Understanding physical activity participation in spinal cord injured populations: Three narrative types for consideration

International Journal of Qualitative Studies on Health and Well-being, 2015 · DOI: http://dx.doi.org/10.3402/qhw.v10.27295 · Published: August 14, 2015

Spinal Cord Injury Rehabilitation Research Methodology & Design

Simple Explanation

This study explores why some spinal cord injured (SCI) individuals are more physically active than others by examining the stories they tell themselves about exercise. The researchers identified three main types of narratives: exercise as a path to recovery, exercise as a form of medicine, and exercise as a journey of self-improvement. Understanding these narratives can help healthcare professionals better motivate and support SCI individuals in maintaining active lifestyles.

Study Duration

Not specified

Participants

30 physically active male and female spinal cord injury (SCI) participants

Evidence Level

Not specified

Key Findings

1
The study identified three narrative types: (1) exercise is restitution, (2) exercise is medicine, and (3) exercise is progressive redemption.
2
The 'exercise is restitution' narrative can be fragile as it relies on the hope of a cure, which may not be realistic for all SCI individuals.
3
The 'exercise is medicine' narrative focuses on managing the condition and improving overall well-being, making it a more sustainable motivator.

Research Summary

This study used a narrative approach to understand physical activity participation in the spinal cord injured population, identifying three narrative types: exercise is restitution, exercise is medicine, and exercise is progressive redemption. Each narrative type influences motivation for physical activity, with differences in their focus and potential dangers. The study suggests that understanding these narratives can inform the development of more effective behavioral change interventions and promote physical activity among individuals with SCI.

Practical Implications

Tailored Interventions

Healthcare providers can tailor interventions based on the individual's narrative type to maximize motivation and adherence to physical activity.

Promoting Realistic Expectations

Practitioners should promote the 'exercise is medicine' narrative to manage expectations and avoid disappointment associated with the 'exercise is restitution' narrative.

Fostering Resilience

Encouraging the 'exercise is progressive redemption' narrative can help individuals overcome barriers and maintain an active lifestyle despite challenges.

Study Limitations

1
The study is limited by its qualitative nature, making it difficult to generalize the findings to all SCI populations.
2
The sample was predominantly male, which may limit the transferability of the findings to female SCI individuals.
3
Further research is needed to validate the narrative typology across different SCI populations and contexts.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury