Ali Lakhani1,2, Sanjoti Parekh2,3, David P Watling2, Peter Grimbeek4, Ross Duncan5, Susan Charlifue6, Elizabeth Kendall2. 1. The School of Psychology and Public Health, La Trobe University, Melbourne, Australia. 2. The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia. 3. Abt Associates, Australia. 4. Private Consultant, Brisbane, Australia. 5. Spinal Life Australia, Woolloongabba, Australia. 6. Craig Hospital, Englewood, Colorado, USA.
Abstract
OBJECTIVES: This study aims to investigate the association between self-reported accessibility and engagement with health services and places in the community, and quality of life (QOL) for people with spinal cord damage (SCD). DESIGN: Cross-sectional survey. SETTING: Community. PARTICIPANTS: Two-hundred and sixty-six people with a SCD residing in Australia (Mage = 62.34, SDage = 15.95). OUTCOME MEASURE: The International Spinal Cord Injury Quality of Life Basic Data Set. RESULTS: Univariate regressions demonstrated that accessing a higher number of places in the community was significantly associated with favorable self-reported psychological health (β = .160, P < .01), physical health (β = .144, P < .01), overall well-being (β = .206, P < .01), and QOL (β = .187, P < .01). In contrast, reporting a higher number of inaccessible places was significantly associated with unfavorable self-reported psychological health (β = -.171, P < .01), physical health (β = -.270, P < .001), overall well-being (β = -.238, P < .001), and QOL (β = -.244, P < .001). Being older and living with injury or onset of damage longer were significantly associated with favorable scores across all outcomes (P < .01) except physical health. CONCLUSIONS: Community engagement can have a considerable impact on the self-reported health and QOL of people with SCD. Interventions aimed at increasing community engagement, particularly for people who have recently experienced SCD are warranted.
OBJECTIVES: This study aims to investigate the association between self-reported accessibility and engagement with health services and places in the community, and quality of life (QOL) for people with spinal cord damage (SCD). DESIGN: Cross-sectional survey. SETTING: Community. PARTICIPANTS: Two-hundred and sixty-six people with a SCD residing in Australia (Mage = 62.34, SDage = 15.95). OUTCOME MEASURE: The International Spinal Cord Injury Quality of Life Basic Data Set. RESULTS: Univariate regressions demonstrated that accessing a higher number of places in the community was significantly associated with favorable self-reported psychological health (β = .160, P < .01), physical health (β = .144, P < .01), overall well-being (β = .206, P < .01), and QOL (β = .187, P < .01). In contrast, reporting a higher number of inaccessible places was significantly associated with unfavorable self-reported psychological health (β = -.171, P < .01), physical health (β = -.270, P < .001), overall well-being (β = -.238, P < .001), and QOL (β = -.244, P < .001). Being older and living with injury or onset of damage longer were significantly associated with favorable scores across all outcomes (P < .01) except physical health. CONCLUSIONS: Community engagement can have a considerable impact on the self-reported health and QOL of people with SCD. Interventions aimed at increasing community engagement, particularly for people who have recently experienced SCD are warranted.
Entities:
Keywords:
Accessibility; Community engagement; Physical health; Psychological health; Quality of life; Spinal cord damage
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