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  4. Protocol for a single group, mixed methods study investigating the efficacy of photovoice to improve self-­efficacy related to balance and falls for spinal cord injury

Protocol for a single group, mixed methods study investigating the efficacy of photovoice to improve self-­efficacy related to balance and falls for spinal cord injury

BMJ Open, 2022 · DOI: 10.1136/bmjopen-2022-065684 · Published: December 1, 2022

Spinal Cord InjuryAgingResearch Methodology & Design

Simple Explanation

This study explores how a 'photovoice' intervention can improve confidence in balance and reduce falls among people with spinal cord injuries (SCI). Participants will take photos related to their experiences with falls and balance. The study involves group meetings and interviews where participants discuss their photos and strategies for preventing falls. The goal is to see if this approach can increase self-confidence and improve participation in daily activities for individuals with SCI. Researchers will track falls, use questionnaires to measure self-efficacy and quality of life, and conduct interviews to gather feedback on the photovoice intervention.

Study Duration
30 weeks
Participants
40 adults with SCI
Evidence Level
Not specified

Key Findings

  • 1
    The study hypothesizes that photovoice will improve falls self-efficacy among individuals with SCI who ambulate and those who use a wheelchair.
  • 2
    Researchers also expect that photovoice will reduce fear of falling and improve quality of life and participation in activities.
  • 3
    The study aims to identify improvements for future photovoice interventions through qualitative feedback.

Research Summary

This paper describes the protocol for a study examining the use of photovoice to improve falls self-efficacy among individuals with SCI. The mixed-methods study will involve falls tracking, questionnaires, and interviews to assess the impact of a 6-week photovoice intervention. The study seeks to understand how photovoice affects falls self-efficacy, fear of falling, participation, and quality of life, and to improve future photovoice interventions.

Practical Implications

Improved Fall Prevention

The study could lead to more effective fall prevention initiatives tailored to the SCI population.

Enhanced Self-Efficacy

Photovoice may increase self-efficacy, leading to greater participation and improved quality of life for individuals with SCI.

Accessible Interventions

The virtual delivery of the intervention enhances participation from across Canada and the USA.

Study Limitations

  • 1
    The lack of a control group limits the interpretation of the data and precludes conclusions about causation.
  • 2
    The SAFE measure’s psychometric properties have not been evaluated in the SCI population
  • 3
    Potential risk to confidentiality by participating in the group meetings.

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