Abstract
Objective
To verify the causal relationship between sociodemographic factors, health conditions,
and activities that influence the participation of people with spinal cord injury
(SCI) using International Spinal Cord Injury (InSCI) Survey data and to investigate
the moderation effects of environmental restrictions and health care system concerns.
Design
Cross-sectional community survey and structural equation model.
Setting
SCI databases of the Korea National Rehabilitation Center and Korea Spinal Cord Injury
Association.
Participants
Community-dwelling adults (N=890) with SCI.
Interventions
Not applicable.
Main Outcome Measures
The InSCI questionnaire domains included sociodemographic factors, health conditions,
activity, participation, environmental restrictions, and health system concerns. Sociodemographic
factors included age, education, and income. Health conditions included bowel dysfunction,
respiratory problems, and pain, among others. Activity included “daily routine” and
“using hands,” among others. Participation included “interacting with people” and
“intimate relationships,” among others. Environmental restrictions included “public
places” and “negative attitudes,” among others. Health care system concerns included
“nursing care” and “experience of being treated,” among others.
Results
The hypothesis that health conditions would have a significant effect on activity
was supported because 51% of the total variance in activity factors was explained
by health condition factors. The hypothesis that activity would have a significant
effect on participation was also supported because 63.4% of total variance in participation
factors was explained by activity factors. The moderation effect tests supported the
hypotheses that health conditions, activity, and participation would differ depending
on the extent of environmental restrictions as well as the extent of health system
concerns.
Conclusions
When formulating policies and recommendations to promote the participation of people
with SCI living in the South Korean community, the influence of environmental restrictions
and health systems as well as the causal influence of health conditions and activity
should be considered.
Keywords
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Article Info
Publication History
Published online: August 23, 2022
Accepted:
August 8,
2022
Received in revised form:
August 2,
2022
Received:
March 11,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
This research was supported by a grant (21-H-01, 22-C-02) by the Korea National Rehabilitation Center.
Disclosures: none
Identification
Copyright
© 2022 by the American Congress of Rehabilitation Medicine.
