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Physical Activity, Exercise, and Secondary Conditions in People with Spinal Cord Injury A Survey from the SCI RRTC on Secondary Conditions & Exercise Pei-Shu Ho, Ph.D. & Mel Neri, BA National Rehabilitation Hospital Center for Health & Disability Research. Purpose of the Study.
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Physical Activity, Exercise, and Secondary Conditions in People with Spinal Cord InjuryA Survey from the SCI RRTC on Secondary Conditions & ExercisePei-Shu Ho, Ph.D. & Mel Neri, BANational Rehabilitation Hospital Center for Health & Disability Research
Purpose of the Study • To determine the individual and environmental factors associated with participation in physical activity (PA) or exercise among people with SCI • To determine if participation in PA or exercise can predict rates of secondary conditions and social participation
Research Questions • What are the factors associated with participation in PA or exercise among people with SCI? • Does participation in PA or exercise predict the onset of secondary conditions and levels of social participation over time?
Methodology • Quantitative methodology • National, self-administered mail survey of 1,000 adults with SCI • Random selection of participants from the NSCIA membership and mailing list • Two year administration period; second survey mailed one year after first survey is received
Sources of Survey Questions • Questions referenced from existing surveys: • NHIS (National Health Interview Survey; Federal) • PADS (Physical Activity & Disability Scale; UIC) • CIQ (Community Integration Questionnaire; RRTC on Community Integration & TBI) • CAGE (Ewing, 1984) • NRH CHDR Managed care RRTC survey • Newly developed questions: • Self-Efficacy
Survey Content Areas (in order they appear in survey) • Chronic and Secondary Conditions (e.g., asthma, fractures) • Functional Conditions (e.g., ADLs & IADLs) • Physical Activity (e.g., aerobic, strength, & flexibility activities) • Therapy (e.g., type and frequency) • Wheelchair use (e.g., manual vs. power)
Survey Content Areas (cont.) • Health Risk Behaviors (e.g., smoking & drinking) • Community Integration (e.g., social interactions, ways to fill time) • Self-Efficacy (e.g., confidence that one’s own behavior can lead to change) • Demographics (e.g., level of injury, level of education)
Next Steps • Pilot-testing and revisions with consumers and clinicians • Survey administration will begin in Fall 2004 • Between the first and second survey, 30 qualitative, in-depth interviews (15 exercisers and 15 non-exercisers) • To determine what factors prevent or promote exercise behavior and PA