Benefits and barriers to return to education and relationship to quality of life for people living with spinal cord injury: Results of a mixed methods study
The Journal of Spinal Cord Medicine, 2025 · DOI: 10.1080/10790268.2023.2294520 · Published: January 1, 2024
Simple Explanation
This study investigates the challenges and support systems related to returning to education (RTE) after a spinal cord injury (SCI). It also explores how RTE impacts the quality of life (QOL) for individuals with SCI. The research involved interviews and surveys with 15 people with SCI who were participating in a Vocational Resource Facilitation (VRF) program. The study identified various barriers and facilitators that affect their ability to pursue educational goals. The study found that people who returned to education after SCI reported a better quality of life and were more likely to be employed. The VRF program played a significant role in helping individuals overcome obstacles and achieve their educational goals.
Key Findings
- 1Common barriers to RTE included physical and mental health issues, transportation difficulties, time constraints, inaccessible environments, financial limitations, lack of awareness about available resources, and experiences of discrimination.
- 2Facilitators to RTE included the VRF program, social support from family and friends, financial assistance, virtual learning options, organizational support from schools and vocational agencies, and supportive policies like the ADA.
- 3Individuals who returned to education after SCI reported a higher quality of life and were more likely to be employed, suggesting a positive correlation between education, well-being, and employability.
Research Summary
Practical Implications
Improve Transportation Access
Address transportation barriers through accessible community transportation research, driving rehabilitation programs, and financial assistance to enable independent driving.
Strengthen VRF Programs and Healthcare Integration
Expand Vocational Resource Facilitation (VRF) programs within rehabilitation hospitals, promote clinician knowledge of vocational resources, and integrate RTE/RTW discussions into treatment goals.
Expand Disability Policy Support
Extend Individuals with Disabilities Education Act (IDEA) benefits to individuals over 21 in post-secondary education and ensure equal disability discrimination protections across all educational levels.
Study Limitations
- 1The sample was recruited from participants enrolled in the VRF program, who likely had fewer barriers than those who were not in the program.
- 2The sample size of this pilot study was small and captured 60% of participants in the VRF program.
- 3Although QOL results are not statistically significant due to the small sample size in this pilot study, qualitative data affirms that RTE offers many benefits on mood, self-perception and social integration.