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  4. The role of self-efficacy in community reintegration among persons with traumatic spinal cord injury in South Africa

The role of self-efficacy in community reintegration among persons with traumatic spinal cord injury in South Africa

The Journal of Spinal Cord Medicine, 2022 · DOI: 10.1080/10790268.2020.1855867 · Published: January 1, 2022

Spinal Cord InjuryMental HealthPublic Health

Simple Explanation

This study investigates how well people with traumatic spinal cord injuries (TSCI) feel integrated into their communities in South Africa, and whether their belief in their own abilities (self-efficacy) plays a role. The study found that community reintegration is generally low among individuals with TSCI in South Africa. This means many participants don't feel like they are a part of their community or have useful things to do in it. Self-efficacy, particularly social functioning, significantly affects community reintegration. People who are confident in their social abilities tend to be more integrated into their communities after a TSCI.

Study Duration
February 2018 until October 2019
Participants
108 community-dwelling adults with TSCI
Evidence Level
Cross-sectional exploratory survey

Key Findings

  • 1
    Community reintegration among individuals with TSCI in the study was generally low, with a mean CIM score of 31.48 out of 50.
  • 2
    The social functioning factor of self-efficacy was the strongest predictor of community reintegration, explaining 33% of the variance after controlling for accommodation and injury level.
  • 3
    Individuals living in informal dwellings/shacks were significantly less integrated into their communities compared to those living in formal houses or nursing homes.

Research Summary

The study assessed community reintegration and its relationship with self-efficacy among individuals with TSCI in South Africa, finding generally low levels of reintegration. Social functioning, accommodation type, and injury level significantly influenced community reintegration, with social functioning being the strongest predictor. The study highlights the importance of social support and community resources in facilitating reintegration for individuals with TSCI.

Practical Implications

Client-Focused Rehabilitation

Rehabilitation professionals should design interventions that address specific barriers to community reintegration for each individual.

Accessible Rehabilitation Services

Rehabilitation services should be accessible at all levels to promote self-efficacy through independent social functioning.

Mental Health Interventions

Incorporate mental health interventions to improve confidence, self-perception, and goal setting for individuals with TSCI.

Study Limitations

  • 1
    The sample was drawn from only one province of South Africa and was relatively small.
  • 2
    The data did not include completeness of the injury variables.
  • 3
    The cross-sectional design does not easily answer the direction of the relationship.

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