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Exploring Physical Activity and Exercise Participation in Individuals with Spinal Cord Injury

This study aims to identify individual and environmental factors influencing physical activity (PA) and exercise among individuals with spinal cord injury (SCI). It investigates whether participation in PA and exercise predicts the onset of secondary conditions and enhances social participation over time. Utilizing a quantitative approach, the national self-administered survey targets 1,000 adults with SCI to gather comprehensive data on their physical activity levels, health conditions, self-efficacy, and community integration. Insights from this research could inform better interventions to promote active lifestyles in this population.

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Exploring Physical Activity and Exercise Participation in Individuals with Spinal Cord Injury

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  1. Physical Activity, Exercise, and Secondary Conditions in People with Spinal Cord InjuryA Survey from the SCI RRTC on Secondary Conditions & ExercisePei-Shu Ho, Ph.D. & Mel Neri, BANational Rehabilitation Hospital Center for Health & Disability Research

  2. Purpose of the Study • To determine the individual and environmental factors associated with participation in physical activity (PA) or exercise among people with SCI • To determine if participation in PA or exercise can predict rates of secondary conditions and social participation

  3. Research Questions • What are the factors associated with participation in PA or exercise among people with SCI? • Does participation in PA or exercise predict the onset of secondary conditions and levels of social participation over time?

  4. Methodology • Quantitative methodology • National, self-administered mail survey of 1,000 adults with SCI • Random selection of participants from the NSCIA membership and mailing list • Two year administration period; second survey mailed one year after first survey is received

  5. Sources of Survey Questions • Questions referenced from existing surveys: • NHIS (National Health Interview Survey; Federal) • PADS (Physical Activity & Disability Scale; UIC) • CIQ (Community Integration Questionnaire; RRTC on Community Integration & TBI) • CAGE (Ewing, 1984) • NRH CHDR Managed care RRTC survey • Newly developed questions: • Self-Efficacy

  6. Survey Content Areas (in order they appear in survey) • Chronic and Secondary Conditions (e.g., asthma, fractures) • Functional Conditions (e.g., ADLs & IADLs) • Physical Activity (e.g., aerobic, strength, & flexibility activities) • Therapy (e.g., type and frequency) • Wheelchair use (e.g., manual vs. power)

  7. Survey Content Areas (cont.) • Health Risk Behaviors (e.g., smoking & drinking) • Community Integration (e.g., social interactions, ways to fill time) • Self-Efficacy (e.g., confidence that one’s own behavior can lead to change) • Demographics (e.g., level of injury, level of education)

  8. Next Steps • Pilot-testing and revisions with consumers and clinicians • Survey administration will begin in Fall 2004 • Between the first and second survey, 30 qualitative, in-depth interviews (15 exercisers and 15 non-exercisers) • To determine what factors prevent or promote exercise behavior and PA

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