| Autor: |
Silveira SL; Department of Health and Human Performance, University of Houston, Houston, Texas, USA.; Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, Alabama, USA., Ledoux TA; Department of Health and Human Performance, University of Houston, Houston, Texas, USA., Johnston CA; Department of Health and Human Performance, University of Houston, Houston, Texas, USA., Kalpakjian C; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, USA., O'Connor DP; Department of Health and Human Performance, University of Houston, Houston, Texas, USA., Cottingham M; Department of Health and Human Performance, University of Houston, Houston, Texas, USA., McGrath R; Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, North Dakota, USA., Tate D; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, USA. |
| Abstrakt: |
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. |
