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  4. Examining How the Perception of Health Can Impact Participation and Autonomy Among Adults with Spinal Cord Injury

Examining How the Perception of Health Can Impact Participation and Autonomy Among Adults with Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2016 · DOI: 10.1310/sci2203-165 · Published: July 1, 2016

Spinal Cord InjuryPatient ExperienceRehabilitation

Simple Explanation

This study explores how people with spinal cord injuries (SCI) view their own health and how this view affects their ability to participate in everyday activities and feel independent. The study looks at different aspects of participation, such as family roles, outdoor activities, social life, and work or education. Researchers categorized participants into two groups: those with a positive perception of their health and those with a negative perception. They then compared how these groups performed in different areas of participation and autonomy using a questionnaire. The findings suggest that a person's perception of their health can indeed influence their participation and autonomy in areas like family, outdoor activities, social life, and work/education. However, the study did not find a significant impact on autonomy indoors.

Study Duration
Not specified
Participants
42 adults with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Perceived health significantly impacts family roles, autonomy outdoors, social life, and work/education among adults with SCI.
  • 2
    Perceived health did not have a significant impact on autonomy indoors.
  • 3
    Adults with SCI who have a more positive perception of their health tend to have higher participation and autonomy scores in various life domains.

Research Summary

This study examined the impact of perceived health on participation and autonomy among adults with SCI, focusing on family roles, outdoor activities, social life, and work/education. The results indicated that perceived health significantly influences participation in family roles, autonomy outdoors, social life and relationships, and work/education, but not autonomy indoors. The study highlights the importance of addressing an individual’s perception of health in rehabilitation programs to improve participation and autonomy in various life roles.

Practical Implications

Incorporate Health Education

Integrate health education into outpatient services, focusing on how it relates to participation in different life roles and activities.

Develop Specific Clinical Outcomes

Create clinical outcomes that address both participation and health management to facilitate community integration and reduce hospital readmissions.

Utilize the ICF Framework

Apply the ICF framework to better understand the influence of perceived health on participation restrictions and autonomy.

Study Limitations

  • 1
    The study used a convenience sample from a single rehabilitation hospital.
  • 2
    The cross-sectional survey design does not allow for causal relationships to be determined.
  • 3
    The small sample size limits generalizations to the broader SCI population.

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