|
Citation
|
Silveira SL, Ledoux TA, Johnston CA, Kalpakjian C, O'Connor DP, Cottingham M, McGrath R, Tate D. J. Spinal Cord Med. 2018; ePub(ePub): 1-9. |
|
Affiliation
|
Department of Physical Medicine and Rehabilitation , University of Michigan , Ann Arbor , Michigan , USA. |
|
Abstract
|
OBJECTIVE/BACKGROUND: To examine how demographic and injury characteristics identify satisfaction with life (SWL), and assess the differential effects of a wellness intervention by baseline SWL groups.
DESIGN: Baseline and longitudinal analysis of a randomized controlled pilot intervention using decision tree regression and linear mixed models. SETTING: Community based. PARTICIPANTS: Seventy-two individuals with spinal cord injury (SCI) were randomized to an intervention group (n = 39) or control group (n = 33). Participants were aged 44.1 ± 13.0 years and 13.1 ± 10.6 years post-injury. Most participants were male (n = 50; 69.4%) and had paraplegia (n = 38; 52.7%). Participants were classified as high versus low SWL at baseline using a cutoff score of 20. INTERVENTIONS: The intervention aimed to increase self-efficacy, and in turn, increase engagement in health-promoting behaviors related to SWL. Six 4-hour in-person workshops were conducted over a 3-month period led by experts and peer-mentors who were available for support. OUTCOME MEASURE(S): Self-efficacy for health practices, secondary condition severity, health-promoting behaviors, perceived stress, and SWL.
RESULTS: At baseline, participants with low SWL were recently injured (<4.5 years), while persons with high SWL were married and younger (<49 years old). Intervention participants with low SWL at baseline significantly improved SWL over time compared to those with high SWL (P = 0.02).
CONCLUSION: Certain injury and demographic characteristics were associated with SWL, and intervention participants with low SWL at baseline improved their SWL over 2 years. Healthcare providers should consider time post-injury, marital status, and age in identifying individuals at risk for low SWL that may benefit from wellness interventions.
Language: en |