OBJECTIVE: To test the effectiveness of a holistic (comprehensive and integrated) wellness program for adults with spinal cord injury. DESIGN: A total of 43 adults with spinal cord injury were randomly assigned to intervention or control groups. The intervention group attended six half-day wellness workshops during 3 mos, covering physical activity, nutrition, lifestyle management, and prevention of secondary conditions. Outcome measures included several physical measures and standard psychosocial measures. Statistical analyses included paired t tests, used to determine within-group differences, and multiple regression conducted to assess between-group differences. RESULTS: When comparing within-group baseline and final results, the intervention group reported fewer and less severe secondary conditions by the end of the study. Similarly, significant improvements were found in health-related self-efficacy and health behaviors. No significant changes in physiologic variables were observed. Although no significant between-group differences were observed, regression analyses suggested participation in the wellness program may be associated with improved health behaviors. CONCLUSION: Within-group comparisons suggest improvements in several areas of the participants' overall health behaviors. These findings, although preliminary, emphasize the potential role of health behaviors in positively influencing long-term health outcomes and quality of life.
RCT Entities:
OBJECTIVE: To test the effectiveness of a holistic (comprehensive and integrated) wellness program for adults with spinal cord injury. DESIGN: A total of 43 adults with spinal cord injury were randomly assigned to intervention or control groups. The intervention group attended six half-day wellness workshops during 3 mos, covering physical activity, nutrition, lifestyle management, and prevention of secondary conditions. Outcome measures included several physical measures and standard psychosocial measures. Statistical analyses included paired t tests, used to determine within-group differences, and multiple regression conducted to assess between-group differences. RESULTS: When comparing within-group baseline and final results, the intervention group reported fewer and less severe secondary conditions by the end of the study. Similarly, significant improvements were found in health-related self-efficacy and health behaviors. No significant changes in physiologic variables were observed. Although no significant between-group differences were observed, regression analyses suggested participation in the wellness program may be associated with improved health behaviors. CONCLUSION: Within-group comparisons suggest improvements in several areas of the participants' overall health behaviors. These findings, although preliminary, emphasize the potential role of health behaviors in positively influencing long-term health outcomes and quality of life.
Authors: Stephanie L Silveira; Tracey A Ledoux; Craig A Johnston; Claire Kalpakjian; Daniel P O'Connor; Michael Cottingham; Ryan McGrath; Denise Tate Journal: Disabil Health J Date: 2019-09-20 Impact factor: 2.554
Authors: Stephanie L Silveira; Tracey A Ledoux; Craig A Johnston; Claire Kalpakjian; Daniel P O'Connor; Michael Cottingham; Ryan McGrath; Denise Tate Journal: J Spinal Cord Med Date: 2018-12-17 Impact factor: 1.985
Authors: Becky Matter; Melanie Feinberg; Katherine Schomer; Mark Harniss; Pat Brown; Kurt Johnson Journal: J Spinal Cord Med Date: 2009 Impact factor: 1.985
Authors: Amanda McIntyre; Stephanie L Marrocco; Samantha A McRae; Lindsay Sleeth; Sander Hitzig; Susan Jaglal; Gary Linassi; Sarah Munce; Dalton L Wolfe Journal: Top Spinal Cord Inj Rehabil Date: 2020
Authors: Katherine Froehlich-Grobe; Jaehoon Lee; Lauren Aaronson; Dorothy E Nary; Richard A Washburn; Todd D Little Journal: Arch Phys Med Rehabil Date: 2013-07-16 Impact factor: 3.966