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  4. Health promotion and cardiovascular risk reduction in people with spinal cord injury: physical activity, healthy diet and maintenance after discharge—protocol for a prospective national cohort study and a preintervention- postintervention study

Health promotion and cardiovascular risk reduction in people with spinal cord injury: physical activity, healthy diet and maintenance after discharge—protocol for a prospective national cohort study and a preintervention- postintervention study

BMJ Open, 2019 · DOI: 10.1136/bmjopen-2019-030310 · Published: November 5, 2019

Spinal Cord InjuryCardiovascular ScienceRehabilitation

Simple Explanation

This study aims to improve cardiovascular health in people with spinal cord injuries (SCI) by focusing on physical activity and diet. It will implement guidelines for managing heart-related risks after SCI through education during rehabilitation. The study will compare a new approach of patient education on cardiovascular risks, physical activity, and diet with a historical control group. The interventions will be integrated into usual care during the project period, and all newly injured patients will receive all multimodal components as appropriate to individual circumstances, such as level of injury.

Study Duration
6 Months
Participants
Approximately 70 patients with a new SCI annually
Evidence Level
Not specified

Key Findings

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    The study investigates the impact of educational and behavioral interventions on physical activity and diet in a subacute clinical rehabilitation setting for SCI patients.
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    The research includes test-retest reliability assessments of VO2peak testing and a multisensor accelerometer to measure physical activity accurately.
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    The study utilizes a patient user panel to gather insights on health promotion practices, ensuring the intervention aligns with patient needs and preferences.

Research Summary

This study protocol outlines a comprehensive approach to address cardiovascular risk in individuals with spinal cord injury (SCI) through a combination of patient education, physical activity, and dietary interventions. The primary study is designed as a controlled, pragmatic, preintervention-postintervention study with 6-month follow-up, using a prospective national cohort study as a historical control. The intervention integrates into usual care, providing targeted education and support for physical activity and healthy diet, while respecting patient autonomy in decision-making.

Practical Implications

Improved Cardiovascular Health

The study aims to reduce cardiovascular risk factors among people with SCI, potentially decreasing the incidence of cardiovascular diseases and improving overall health outcomes.

Enhanced Rehabilitation

Integrating systematic patient education into rehabilitation programs can improve patient adaptation and adherence to recommended physical activity and dietary habits.

Clinical Practice Guidelines

The study will inform and refine clinical practice guidelines for the management of cardiometabolic risk after SCI, providing evidence-based recommendations for healthcare professionals.

Study Limitations

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