Abstract
Objective
This study aimed to examine same-day associations of pain, fatigue, depressed mood,
anxiety, and perceived cognitive function with social participation in the daily lives
of adults with spinal cord injury (SCI).
Design
Observational study used a combination of baseline surveys and 7 end-of-day (EOD)
diaries.
Setting
General community.
Participants
Individuals with SCI (N=168; mean age, 49.8y; 63% male, 37% female).
Main Outcome Measures
Patient-Reported Outcomes Measurement Information System short form measures (Ability
to Participate in Social Roles and Activities, Pain Intensity, Depression, Anxiety,
Cognitive Function Abilities) were adapted for daily administrations as EOD diaries.
Result
Results of multivariable model showed that daily increases in fatigue (B=−0.10; P=.004) and depressive symptoms (B=−0.25; P=<.001) and decreases in perceived cognitive function (B=0.11; P=<.001) were significantly related to worse same-day social participation. Daily fluctuations
in anxiety and pain were unrelated to same-day social participation.
Conclusions
This is the first study that shows within-person associations of common SCI symptoms
with social participation in the daily lives of adults with SCI. Results from the
current study may help to develop more effective individualized treatments of symptoms
and symptom effect aimed at improving social participation.
Keywords
List of abbreviations:
EOD (end-of-day), ICF (International Classification of Functioning, Disability, and Health), PROMIS (Patient-Reported Outcomes Measurement Information System), SCI (spinal cord injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: August 26, 2021
Accepted:
July 24,
2021
Received in revised form:
June 2,
2021
Received:
January 6,
2021
Footnotes
This study was supported by a grant from the Craig H. Neilsen Foundation (award no. 440343), National Center for Advancing Translational Sciences (NCATS) for the Michigan Institute for Clinical and Health Research (grant no. UL1TR002240). Duygu Kuzu was supported by a postdoctoral fellowship award funded by the University of Michigan's Advanced Rehabilitation Research Training Program in Community Living and Participation from the National Institute of Disability, Independent Living, and Rehabilitation Research, Administration for Community Living (NIDILRR; grant no. 90ARCP0003). The content is solely the responsibility of the authors and does not necessarily represent the views of the Craig H. Neilsen Foundation or NIDILRR.
Disclosures: Jonathan P. Troost disclosed a financial relationship with General Electric and Proctor and Gamble outside the submitted work. The other authors have nothing to disclose.
Identification
Copyright
Published by Elsevier Inc. on behalf of The American Congress of Rehabilitation Medicine.
