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  4. What happens post-­lockdown for people with disability? Autonomy, quality of life, service access and health changes for people with spinal cord injury in Victoria, Australia after COVID-­19 social distancing restrictions

What happens post-­lockdown for people with disability? Autonomy, quality of life, service access and health changes for people with spinal cord injury in Victoria, Australia after COVID-­19 social distancing restrictions

Health Soc Care Community, 2022 · DOI: 10.1111/hsc.13958 · Published: July 16, 2022

Spinal Cord InjuryCOVID-19Healthcare

Simple Explanation

Social distancing restrictions, while important for controlling COVID-19, can negatively impact health and access to services, especially for those with disabilities. This study examined how lifting social distancing restrictions affected autonomy, health service access, health issues, and quality of life for people with spinal cord injury (SCI) in Victoria, Australia. The study found that after restrictions were lifted, participants experienced more health conditions, better access to health services, and fewer limitations in participation and autonomy.

Study Duration
6 Months
Participants
71 people with spinal cord injury in Victoria, Australia
Evidence Level
Longitudinal study

Key Findings

  • 1
    Participants experienced a significant increase in health conditions after the lifting of social distancing restrictions.
  • 2
    There was a significant decrease in the number of inaccessible health services post-lifting of restrictions.
  • 3
    Participants showed a significantly lower level of limitations across participation and autonomy, outdoor autonomy, and work and education domains after restrictions were lifted.

Research Summary

This longitudinal study investigated the impact of lifting social distancing restrictions on priority domains for people with disability including autonomy and participation, access to health services, health issues and quality of life. Non-­parametric tests for significant differences confirmed that 6-­months post-­lifting social distancing restrictions participants experienced a significant increase in health conditions, a significant decrease in the number of inaccessible health services, and a significantly lower level of limitations across participation and autonomy, outdoor autonomy and work and education domains. The adverse health experienced by people with spinal cord injury after lifting restrictions may in part result from limited health service access and reduced participation during the time of restrictions.

Practical Implications

Prioritize Essential Care

Clear definitions of essential care are needed to ensure eligible individuals receive required care during lockdowns.

Resource Health Services

Health and social services need adequate resources to address potential increases in health issues, especially for populations at higher risk of secondary issues.

Address Autonomy Limitations

Understand the adverse consequences of social participation limitations to inform support for people during and after lockdowns.

Study Limitations

  • 1
    Findings may be specific to regions with similar strict social distancing policies.
  • 2
    Study population limited to people with SCI, limiting generalizability to other groups.
  • 3
    Replication with a larger sample size is warranted.

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