%0 Journal Article
%T The experience and perspective of people with spinal cord injury about well-being interventions: a systematic review of qualitative studies
%J Disability and rehabilitation
%D 2020
%A Simpson, Bronwyn
%A Villeneuve, Michelle
%A Clifton, Shane
%V ePub
%N ePub
%P ePub-ePub
%X PURPOSE: Promoting well-being is a key aim of rehabilitation. The intentional design of interventions to address well-being requires an understanding of the factors that  affect this complex phenomenon. A growing body of qualitative literature has  identified determinants that people with SCI report affect their well-being. It is  unclear whether or how rehabilitation interventions can influence these well-being  determinants. This study sought to explore the experience and perspective of people  with SCI about interventions that target their well-being. <br><br>METHOD: Systematic search  of seven databases. Deductive analysis to categorize findings related to well-being  determinants, and further inductive coding to identify sub-themes, relationships and  additional findings. <br><br>RESULTS: Twenty studies were selected, involving a wide range  of interventions. Each intervention influenced a number of well-being determinants,  which were inter-related. People with SCI reported improvements in both subjective  and psychological well-being. However, well-being was not always well defined in the  studies and people with SCI reported lack of priority for, and opportunity to engage  in, well-being interventions in the current rehabilitation system. <br><br>CONCLUSIONS:  Rehabilitation interventions can influence well-being determinants. These  determinants form a useful framework for the intentional design of well-being  interventions, which should be informed by a broad understanding of well-being. IMPLICATIONS FOR REHABILITATION Well-being can be influenced by rehabilitation  interventions, and a more explicit focus on well-being in intervention design and  evaluation is recommended. Conceptual frameworks used to define and measure  well-being should adopt a broad understanding of well-being. Well-being  interventions should address the determinants identified by people with SCI  (engaging in occupation, responsibility, values and perspectives, self-worth,  self-continuity, relationships and the environment). People with SCI want a greater  priority placed on well-being interventions, and more opportunities to engage in  these interventions, especially in the community.<p /> <p>Language: en</p>
%G en
%I Informa - Taylor and Francis Group
%@ 0963-8288
%U http://dx.doi.org/10.1080/09638288.2020.1864668