Critical factors inﬂuencing the decision to enroll in a physical activity intervention among a predominant group of adults with spinal cord injury: a grounded theory study

Spinal Cord, 2021 · DOI: https://doi.org/10.1038/s41393-020-0530-7 · Published: August 3, 2020

Spinal Cord Injury Rehabilitation Research Methodology & Design

Simple Explanation

This study explores why adults with spinal cord injuries (SCI) may or may not choose to participate in physical activity research programs. It identifies key factors influencing their decision-making process. The research found that people with SCI consider their ability to participate (scheduling, transportation, health), weigh the benefits against the effort required, and assess whether the program meets their individual needs and preferences. The study suggests a 3-step process to improve recruitment into physical activity programs for individuals with SCI, focusing on addressing these core concerns.

Study Duration

Not specified

Participants

22 wheelchair users

Evidence Level

Qualitative grounded theory study

Key Findings

1
Adults with SCI consider their capability to participate based on scheduling, transportation, and secondary health conditions.
2
Participants mentally balance the anticipated benefits of the program against the difficulty of starting it.
3
The desirability of the program, based on personal preferences and needs, is a critical factor in their decision.

Research Summary

This study used a grounded theory approach to examine factors influencing the decision to enroll in physical activity research among adults with SCI. The research identified three core concerns: capability (scheduling, transportation, health), balancing (benefits vs. effort), and desirability (personal preferences). The study proposes a 3-step decision-making process to enhance recruitment in PA research, addressing these concerns in a hierarchical manner.

Practical Implications

Targeted Recruitment Strategies

Recruiters should address participant concerns about capability, balancing, and desirability to increase enrollment in physical activity programs.

Personalized Program Design

Physical activity programs should be designed to be adaptable, enjoyable, and tailored to individual needs and preferences.

Community Partnerships

Building partnerships with community organizations and employing wheelchair users as recruiters can enhance trust and improve recruitment efforts.

Study Limitations

1
Findings may not be generalizable to all SCI/wheelchair users due to the qualitative nature of the study.
2
Low representation of females and limited diversity in the sample.
3
Participants were asked to recall hypothetical experiences, which may be less reliable.

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