Differences among participants’ response to a wellness intervention for individuals with spinal cord injuries

Disabil Health J, 2020 · DOI: 10.1016/j.dhjo.2019.100842 · Published: January 1, 2020

Spinal Cord Injury Rehabilitation Public Health

Simple Explanation

This study investigates why some people with spinal cord injuries (SCI) benefit from wellness programs while others do not. The research found that single or divorced individuals, especially those under 50, were less likely to respond positively to the 'Well on Wheels' wellness intervention. These findings suggest that wellness programs for people with SCI may need to be tailored to consider factors like marital status and age to be more effective. Social support and motivation may play a significant role in individuals benefitting from intervention.

Study Duration

3 months

Participants

29 adults with SCI

Evidence Level

Not specified

Key Findings

1
Single/divorced participants were more likely to not respond to the intervention (52%), compared to married participants (17%).
2
Participants who were single/divorced and ≤50 years old were more likely to not respond to the intervention (62%) than those who were older (25%).
3
Responders reported significantly greater secondary condition severity (P=0.03) and fewer health-promoting behaviors (P=0.02).

Research Summary

This study explores factors affecting response to a wellness intervention ('Well on Wheels') for individuals with spinal cord injuries (SCI). The study found that marital status and age are associated with intervention response; single/divorced individuals and those under 50 were less likely to respond positively. The authors suggest tailoring interventions to address individual needs, considering factors like social support and motivation, in line with a precision medicine approach.

Practical Implications

Tailored Interventions

Wellness programs should be customized based on marital status and age to improve effectiveness.

Social Support Emphasis

Interventions should incorporate strategies to enhance social support, particularly for single/divorced individuals.

Further Research

Larger studies are needed to confirm these findings and identify other factors influencing intervention response.

Study Limitations

1
Lack of statistical power from a smaller sample size.
2
Instability in the decision tree due to the small sample.
3
Lack of qualitative inquiry regarding participant perceptions and experiences.

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