@article{ref1,
title="Well on wheels intervention: satisfaction with life and health for adults with spinal cord injuries",
journal="Journal of spinal cord medicine",
year="2018",
author="Silveira, Stephanie L. and Ledoux, Tracey A. and Johnston, Craig A. and Kalpakjian, Claire and O'Connor, Daniel P. and Cottingham, Michael and McGrath, Ryan and Tate, Denise",
volume="ePub",
number="ePub",
pages="1-9",
abstract="OBJECTIVE/BACKGROUND: To examine how demographic and injury characteristics identify satisfaction with life (SWL), and assess the differential effects of a wellness intervention by baseline SWL groups. <br><br>DESIGN: Baseline and longitudinal analysis of a randomized controlled pilot intervention using decision tree regression and linear mixed models. SETTING: Community based. PARTICIPANTS: Seventy-two individuals with spinal cord injury (SCI) were randomized to an intervention group (n = 39) or control group (n = 33). Participants were aged 44.1 ± 13.0 years and 13.1 ± 10.6 years post-injury. Most participants were male (n = 50; 69.4%) and had paraplegia (n = 38; 52.7%). Participants were classified as high versus low SWL at baseline using a cutoff score of 20. INTERVENTIONS: The intervention aimed to increase self-efficacy, and in turn, increase engagement in health-promoting behaviors related to SWL. Six 4-hour in-person workshops were conducted over a 3-month period led by experts and peer-mentors who were available for support. OUTCOME MEASURE(S): Self-efficacy for health practices, secondary condition severity, health-promoting behaviors, perceived stress, and SWL. <br><br>RESULTS: At baseline, participants with low SWL were recently injured (<4.5 years), while persons with high SWL were married and younger (<49 years old). Intervention participants with low SWL at baseline significantly improved SWL over time compared to those with high SWL (P = 0.02). <br><br>CONCLUSION: Certain injury and demographic characteristics were associated with SWL, and intervention participants with low SWL at baseline improved their SWL over 2 years. Healthcare providers should consider time post-injury, marital status, and age in identifying individuals at risk for low SWL that may benefit from wellness interventions.<p /> <p>Language: en</p>",
language="en",
issn="1079-0268",
doi="10.1080/10790268.2018.1554333",
url="http://dx.doi.org/10.1080/10790268.2018.1554333"
}