Effectiveness of a Self-Management Intervention to Promote an Active Lifestyle in Persons With Long-Term Spinal Cord Injury: The HABITS Randomized Clinical Trial

Kooijmans, Hedwig; Post, Marcel W M; Stam, Henk J.; Woude, Lucas H V van der; Spijkerman, Dorien C M; Snoek, Govert J.; Bongers-Janssen, Helma M. H.; Koppenhagen, Casper F. van; Twisk, Jos W. R.; Bussmann, Johannes B. J.

doi:10.1177/1545968317736819

Cited by 24 publications

(15 citation statements)

References 61 publications

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“…Spinal cord injury (SCI) is a devastating disease, with a high rate of disability. Patients with SCI always suffer from paralysis, locomotor and sensory dysfunction, urinary incontinence or gastrointestinal dysfunction 1,2 . The incidence of SCI is 27-83 per million in the US and 10-30 per million in Europe 3,4 , which poses a great burden on society.…”

Section: Introductionmentioning

confidence: 99%

The Efficacy and Safety of Mesenchymal Stem Cell Transplantation for Spinal Cord Injury Patients: A Meta-Analysis and Systematic Review

Yang

2018

Cell Transplant

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Spinal cord injury (SCI) is a devastating disease, with a high rate of disability. In this meta-analysis, we aimed to comprehensively assess the efficacy and safety of mesenchymal stem cells (MSCs) in treating clinical SCI patients. We systematically searched the PUBMED, EMBASE, Chinese Biomedical (CBM), Web of Science and Cochrane databases using the strategy of combination of free-text words and MeSH terms. The indicators of the American Spinal Injury Association (ASIA) impairment scale (AIS)-grading improvement rate and adverse effects were displayed with an overall relative risk (RR). For the continuous variables of the ASIA motor score, light-touch score, pinprick score, activities of daily living (ADL) score, and residual urine volume, we used odds ratio (OR) to analyze the data. Eleven studies comprising 499 patients meeting all inclusion and exclusion criteria were included. No serious heterogeneity or publication bias was observed across each study. The results showed that significant improvements of total AIS grade (RR: 3.70; P < 0.001), AIS grade A (RR: 3.57; P < 0.001), ASIA sensory score (OR: 8.63; P < 0.001) and reduction of residual urine volume (OR: −36.37; P = 0.03) were observed in experimental group compared with control group. However, no significant differences of motor score (OR: 1.37, P = 0.19) and ADL score (OR: 2.61, P = 0.27) were observed between experimental and control groups. In addition, there were no serious and permanent adverse effects after cell transplantation. Cell transplantation with MSCs is effective and safe in improving the sensory and bladder functions of SCI patients.

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Section: Introductionmentioning

confidence: 99%

The Efficacy and Safety of Mesenchymal Stem Cell Transplantation for Spinal Cord Injury Patients: A Meta-Analysis and Systematic Review

Yang

2018

Cell Transplant

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“…Without supportive structures post-discharge, there was a limited agenda for managing cardio-metabolic risk after SCI [9]. Randomized controlled trials examining the effectiveness of lifestyle interventions have conflicting findings [24,25]. Nooijen et al, whose study is the most promising, found that an intervention initiated during inpatient rehabilitation coupled with additional behavioral intervention and a visit to optimize the home environment was effective in eliciting behavioral change toward a more active lifestyle [25].…”

Section: Discussionmentioning

confidence: 99%

Exploring the contextual transition from spinal cord injury rehabilitation to the home environment: a qualitative study

et al. 2021

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Study design Explorative qualitative study based on an interpretative phenomenological approach. Objectives This study explored the possibility of transferring knowledge and skills from a spinal cord injury (SCI) unit to the home environment; the individual and structural factors that potentially influenced this transfer; and its compatibility with a meaningful everyday life. Setting Hospital-based rehabilitation unit and community in Denmark. Methods Fourteen individuals with SCI were selected with maximum variation according to age, sex, marital status, and level of injury. In-depth, semi-structured interviews were conducted in the participants’ homes, 2–10 months after discharge from an SCI unit. Data analysis involved taking an interpretative phenomenological approach combined with a template analysis and applying the transfer of training theory to the discussion. Results Transitioning from the SCI unit to the home environment involved a multidimensional change of context in which most of the participants’ previous life roles had changed. This overarching theme had a decisive influence on: balancing loss and acceptance, facing external structural barriers, and the strength of social relationships when the knowledge and skills acquired at the unit were applied in a meaningful everyday life. Conclusions Transition from the SCI unit to the home environment is influenced by a multidimensional change of context that may restrict the use of acquired skills post-discharge, provide distant prospects for tertiary health promotion, and aggravate the experience of loss in people with SCI. Maintaining relationships is a strong mediator for transferring skills and re-establishing a meaningful everyday life.

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“…We suggest that such research begin with feasibility trials and then proceed with pilot, efficacy trials that will inform effectiveness and implementation research. attention control (N = 31) [11]. [15].…”

Section: Steps Guidancementioning

confidence: 99%

Lifestyle physical activity in manual wheelchair users – an overlooked public health opportunity

et al. 2022

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Public health guidelines and health promotion efforts have traditionally focused on weekly accumulation of moderate to vigorous physical activity (MVPA) via structured exercise. There has been a recent paradigm shift towards the organic incorporation of MVPA in daily leisure and non-leisure time, termed "Lifestyle Physical Activity" (LPA). However, this paradigm shift and the underlying research has neglected manual wheelchair users (MWCUs) with spinal cord injury (SCI), who could benefit from LPA. This article argues for expanding the LPA paradigm shift into research and health promotion efforts involving MWCUs with SCI. We suggest a working definition of LPA for MWCUs and candidate metrics for quantifying LPA. This is followed by brief overviews of LPA correlates, outcomes/consequences, and interventions and the need for theory based approaches to study these domains. We lastly suggest an approach for mitigating potential negative outcomes of increased LPA in MWCUs and suggest a research agenda.

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Effectiveness of a Self-Management Intervention to Promote an Active Lifestyle in Persons With Long-Term Spinal Cord Injury: The HABITS Randomized Clinical Trial

Abstract: A structured 16-week self-management intervention was not effective to change behavior toward a more active lifestyle and to improve perceived behavioral control, stages of change, and attitude.

Cited by 24 publications

References 61 publications

The Efficacy and Safety of Mesenchymal Stem Cell Transplantation for Spinal Cord Injury Patients: A Meta-Analysis and Systematic Review

The Efficacy and Safety of Mesenchymal Stem Cell Transplantation for Spinal Cord Injury Patients: A Meta-Analysis and Systematic Review

Exploring the contextual transition from spinal cord injury rehabilitation to the home environment: a qualitative study

Lifestyle physical activity in manual wheelchair users – an overlooked public health opportunity

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