Changes in essential care in individuals with spinal cord injury during the COVID-19 pandemic

Spinal Cord, 2023 · DOI: https://doi.org/10.1038/s41393-022-00868-w · Published: November 24, 2022

Spinal Cord Injury COVID-19 Mental Health

Simple Explanation

This study examined how the COVID-19 pandemic affected essential care for people with spinal cord injuries (SCI). It looked at whether changes in access to things like mental health support, medical supplies, and personal care affected their satisfaction with daily activities, involvement in life, and relationships. The study found that difficulties in getting mental health support and medical supplies during the pandemic were linked to lower satisfaction in several areas. This suggests that disruptions in essential care can significantly impact the well-being of people with SCI. The research highlights the need for better planning and support for individuals with SCI during crises like pandemics. This includes ensuring access to mental health services, medical supplies, and personal care assistance to maintain their quality of life.

Study Duration

6-month time-point analysis

Participants

123 community dwelling adults with SCI

Evidence Level

Cross-sectional, observational study

Key Findings

1
Decreased access to mental health support was associated with decreased satisfaction in mobility, participation in recreational activities, and relationships with family and friends.
2
Increased impact on access to medical supplies was associated with decreased satisfaction with participation in household activities.
3
Disruption to PCA/homecare services was associated with decreased satisfaction with feeding and participation in household activities.

Research Summary

This study investigated the impact of changes in essential care during the COVID-19 pandemic on individuals with spinal cord injury (SCI). It focused on satisfaction with activities, participation, and relationships. The findings indicate that the perceived impact of the pandemic on access to mental health support and medical supplies significantly affected satisfaction with various aspects of life for individuals with SCI. The study concludes that future supply chain disruptions or disasters could have wide-reaching effects on individuals with SCIs, necessitating advocacy and policy changes to improve access to essential resources and support.

Practical Implications

Improved Mental Health Care Planning

Future research is needed to improve mental health care planning during subsequent natural disasters.

Advocacy for Access to Medical Supplies

Advocacy and policy changes are needed to promote increased access to bulk provisions of medical supplies during times of crisis.

Telehealth and Interdisciplinary Support

Telehealth should be used to connect persons with SCI with multi-disciplinary rehabilitation teams who can help them navigate care and supply needs.

Study Limitations

1
Most participants were white, male, and largely resided in the United States and in private residences.
2
Sample selection bias may have been introduced via the method of recruiting participants through social media.
3
The cross-sectional nature of this study and lack of knowledge of prior satisfaction with the outcomes precludes causal inferences.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury