Perceptions of a self-guided web-based exercise programme for shoulder pain after spinal cord injury: A qualitative study

Spinal Cord, 2023 · DOI: https://doi.org/10.1038/s41393-023-00877-3 · Published: January 26, 2023

Spinal Cord Injury Orthopedics Telehealth & Digital Health

Simple Explanation

This study explores how people with spinal cord injuries (SCI) feel about using a web-based exercise program to help with shoulder pain. The goal is to understand what would make them want to use such a program. The researchers used interviews to gather opinions on what people expect from this type of program, focusing on whether it seems right for them, easy to use, and engaging enough to stick with. The findings will help design a web-based program that is more appealing and useful for people with SCI, increasing the chances they will use it to manage their shoulder pain.

Study Duration

Not specified

Participants

16 pwSCI with shoulder pain

Evidence Level

Qualitative study

Key Findings

1
Participants evaluate the program by asking 'Is it right for me?', considering whether they should use it, can use it, and will use it.
2
Credibility and safety are key factors in deciding whether to start using the program (Should I use it?).
3
Feeling competent, having control, and fostering positive experiences are important for ongoing engagement (Can I use it? and Will I use it?).

Research Summary

This qualitative study explored the perceptions of people with spinal cord injury (pwSCI) regarding a self-guided web-based exercise program for shoulder pain, using the Person-Based Approach. The study identified three main themes influencing participants' decisions to use the program: Should I use it?, Can I use it?, and Will I use it?, highlighting the importance of credibility, safety, competence, control, and positive experiences. The findings emphasize the need for tailored, theory-based interventions that incorporate behavioral strategies and promote feelings of competence, relatedness, and autonomy to enhance engagement and effectiveness.

Practical Implications

Design Considerations

The SPIN program should incorporate features that build trust, ensure safety, and offer personalized guidance to enhance user confidence.

Engagement Strategies

Incorporate elements such as progress tracking, gamification, and peer support to foster positive experiences and maintain user motivation.

Implementation Planning

Collaborate with SCI clinicians and services to promote SPIN as an evidence-based tool, leveraging their credibility to increase uptake and adherence.

Study Limitations

1
The findings may not be representative of the entire SCI community with shoulder pain.
2
The perspectives of Māori and other culturally diverse populations were not fully captured.
3
The perspectives of those who live rurally were not fully captured in this research.

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