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  4. Responsiveness of the International Spinal Cord Injury Quality of Life Basic Data Set V2.0: An international longitudinal study

Responsiveness of the International Spinal Cord Injury Quality of Life Basic Data Set V2.0: An international longitudinal study

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2023.2197820 · Published: May 1, 2023

Spinal Cord InjuryParticipationRehabilitation

Simple Explanation

This study examines how well a specific questionnaire, the International Spinal Cord Injury Quality of Life Basic Data Set V2.0 (QoL-BDS V2.0), can detect changes in the quality of life for people with spinal cord injuries or diseases during their first year after injury. The study involved participants from multiple countries and assessed their satisfaction with life, physical health, psychological health, and social life, alongside their mobility and any secondary health conditions they experienced. By comparing the questionnaire results at the start of rehabilitation and after one year, the researchers aimed to see if the questionnaire could accurately reflect improvements or changes in the participants' quality of life.

Study Duration
12 months
Participants
160 individuals with recent onset of spinal cord injury or disease (SCI/SCD)
Evidence Level
Longitudinal observational study

Key Findings

  • 1
    Scores on ‘life as a whole’, ‘physical health’ and the total scale were significantly higher at follow-up compared to baseline in the total sample and the SCD subgroup, but not in the SCI subgroup.
  • 2
    Increases in ‘physical health’, ‘psychological health’, ‘social life’ and the total score were significantly associated with improvements in the SCI-SCS or mobility scores.
  • 3
    Participants with improved SCI-SCS and mobility at follow-up showed significantly more improvement in satisfaction with social life and the total score compared to participants without such favorable changes.

Research Summary

The study investigated the responsiveness of the QoL-BDS V2.0 to changes in mobility and secondary health conditions (SHCs) among individuals with SCI/SCD during inpatient rehabilitation and after a one-year follow-up. Results showed that scores on 'life as a whole' and 'physical health', as well as the total scale, improved significantly at follow-up, particularly within the SCD subgroup. Improvements in QoL scores were linked to improvements in SCI-SCS and mobility, suggesting that the QoL-BDS V2.0 can partially capture meaningful changes in QoL for this population.

Practical Implications

Clinical Assessment

The QoL-BDS V2.0 can be used as a quick and easy tool to assess quality of life in individuals with SCI/SCD in clinical settings.

Rehabilitation Planning

Understanding the relationship between mobility, secondary health conditions, and QoL can help tailor rehabilitation interventions to improve overall well-being.

Research Applications

The QoL-BDS V2.0 can be used in future studies to document changes in QoL across time, particularly in settings where substantial change in mobility and SHCs is expected.

Study Limitations

  • 1
    Limited sample size due to dropout and other reasons.
  • 2
    Baseline measurements not taken early enough after the onset of SCI.
  • 3
    Reliance on a single-item measure for mobility restrictions.

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