Physical activity promotion to persons with spinal cord injury by health and exercise professionals: A scoping review

Giouridis, Nicole; Williams, Toni L.; Tomasone, Jennifer R

doi:10.1080/10790268.2021.1977061

Cited by 8 publications

(6 citation statements)

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“…These barriers include the challenges to the management of secondary complications of SCI, which can make recovery complex and difficult [ 30 ]. Additionally, individuals with SCI may face mobility limitations and disability, which can hinder their ability to engage in physical activity and negatively impact their mental health [ 31 ]. Furthermore, the busy and sedentary lifestyle of modern society can contribute to decreased physical activity levels and an increased risk of depression [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, individuals with SCI may face mobility limitations and disability, which can hinder their ability to engage in physical activity and negatively impact their mental health [ 31 ]. Furthermore, the busy and sedentary lifestyle of modern society can contribute to decreased physical activity levels and an increased risk of depression [ 31 ]. It is important to address these barriers and promote physical activity among individuals with SCI to improve their mental health outcomes.…”

Section: Discussionmentioning

confidence: 99%

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The Relationship Between Physical Activity and Mental Health Among Individuals With Spinal Cord Injury: Protocol for a Scoping Review

Ong,

Omar,

Zanudin

et al. 2024

JMIR Res Protoc

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Background Spinal cord injury (SCI) is a devastating condition that often leads to significant impairments in physical function, leading to disability and mental health disorders. Hence, understanding the prevalence of SCI and the relationship between physical activity and mental health in individuals with SCI is crucial for informing rehabilitation strategies and optimizing outcomes. Objective This study aims to comprehensively analyze existing research on the link between physical activity and mental health and identify the level of physical activity and mental health status, the barriers to physical activity, and SCI’s impacts on psychological well-being in individuals with SCI. Methods An electronic search strategy will be used to identify prevalence studies published since 1993 in health-related databases such as PubMed, MEDLINE, COCHRANE Library, and Wiley Library using the following query: “Spinal Cord Injury” OR “Paraplegia” OR “Tetraplegia” AND “Physical Activity” OR “Exercise” AND “Mental Health” OR “Mental Illness” OR “Mental Disorder.” Bibliographies of primary studies and review articles meeting the inclusion criteria will be searched manually to identify further eligible studies. The risk of bias in the included studies will be appraised using the Joanna Briggs Institute checklist for prevalence studies by 2 review authors. Any disagreement will be resolved by reaching a consensus. Results Funding was received in October 2023, data collection will commence in July 2024, and the results are expected by 2025. We will summarize the selection of the eligible studies using a flowchart. The data from the studies will be extracted and tabulated. This scoping review will be published in a peer-reviewed journal in accordance with PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Conclusions This scoping review underscores the complex relationship between physical activity and mental health among individuals with SCI, highlighting the level of physical activity and mental health status, barriers to physical activity engagement, and psychological implications. Understanding these dynamics is crucial in devising tailored interventions aimed at enhancing mental well-being. This synthesis of evidence emphasizes the need for personalized strategies to promote physical activity, addressing unique challenges faced by this population to foster improved mental health outcomes and overall quality of life. Trial Registration Open Science Framework osf.io/ugx7d; https://osf.io/ugx7d/ International Registered Report Identifier (IRRID) PRR1-10.2196/56081

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Relationship Between Physical Activity and Mental Health Among Individuals With Spinal Cord Injury: Protocol for a Scoping Review

Ong,

Omar,

Zanudin

et al. 2024

JMIR Res Protoc

View full text Add to dashboard Cite

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“…For instance, online sessions reduced the need for difficult travel to in-person sessions while allowing participants to exercise at a personalized pace and level of intensity. The online option for attending sessions supports increasing calls within the literature to use barrier-free methods for program engagement or dissemination to allow for equitable participation for adults with disabilities [44,47,48]. Decreasing barriers by using accessible means of physical activity program delivery, such as online delivery, is supportive of promoting physical activity among disability populations [32,48].…”

Section: Discussionmentioning

confidence: 99%

Evaluating an Adapted Physical Activity Program for University Students and Staff Living with a Physical Disability and/or Chronic Condition through a Self-Determination Theory Lens

Liska,

Pastore,

Bedard

et al. 2024

Disabilities

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The purpose of this mixed-method study was to (1) examine the effect of an adapted physical activity program, Fitness Access McGill (FAM), on leisure-time physical activity (LTPA), autonomous and controlled motivation, and the basic psychological needs of self-determination theory among university students/staff with a physical disability and/or chronic conditions, and (2) explore participants’ experiences after completing FAM. Nineteen participants completed validated questionnaires for all study outcomes pre- and post-FAM. Nine participants partook in a 30–60 min semi-structured interview conducted within three months of completing FAM. Quantitative data were analyzed using repeated measures effect size calculations. Qualitative data were analyzed using directed content analysis. Participants reported an increase in total LTPA (dRMpooled = 0.58), with the greatest positive change on strenuous intensity (dRMpooled = 0.81). Large effects were found for changes in autonomous motivation (dRMpooled = 0.52), autonomy (dRMpooled = 0.79), competence (dRMpooled = 0.79), and relatedness (dRMpooled = 0.89). Participants reported FAM being supportive towards their psychological needs, the development of a LTPA routine, and enhanced overall well-being. Future research can be built upon this study to develop a robust understanding as to how need-supportive, adapted LTPA programs could be implemented within community settings or out-patient rehabilitation to support exercise engagement, physical health and overall well-being among adults with disabilities.

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“…rehabilitation centers or hospitals [ 7 , 8 ], community organizations [ 9 ], fitness centers/gyms [ 9 ], SCI peer mentorship programs [ 10 ], research studies [ 11 ]) and delivered by counselors with different backgrounds and expertise (e.g. SCI peer mentors, physiotherapists, recreation therapists, coaches) [ 12 ]. As a result, there is tremendous variability in how PA counseling support is currently delivered to and received by adults with SCI.…”

Section: Introductionmentioning

confidence: 99%

“…While these findings provide valuable general directions for designing and delivering counseling interventions to adults with SCI, they do not provide specific evidence-based guidance for counselors working in a variety of settings on how to deliver and tailor PA behavioral support that will result in positive changes in clients’ PA, health, and psychosocial well-being. Without more specific guidance, counselors may face barriers to providing PA counseling to adults with SCI [ 12 ]. For example, they may not know how to optimally provide PA counseling to their clients with SCI, indicating that their clients may not optimally benefit from the delivered PA counseling.…”

Section: Introductionmentioning

confidence: 99%

Theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury

Hoekstra

Gainforth

Broeksteeg

et al. 2023

The Journal of Spinal Cord Medicine

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Objectives This project used a systematic and integrated knowledge translation (IKT) approach to co-create theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury (SCI). Methods Guided by the IKT Guiding Principles, we meaningfully engaged research users throughout this project. A systematic approach was used. An international, multidisciplinary expert panel ( n = 15), including SCI researchers, counselors, and people with SCI, was established. Panel members participated in two online meetings to discuss the best practices by drawing upon new knowledge regarding counselor-client interactions, current evidence, and members’ own experiences. We used concepts from key literature on SCI-specific physical activity counseling and health behavior change theories. An external group of experts completed an online survey to test the clarity, usability and appropriateness of the best practices. Results The best practices document includes an introduction, the best practices, things to keep in mind, and a glossary. Best practices focused on how to deliver a conversation and what to discuss during a conversation. Examples include: build rapport, use a client-centred approach following the spirit of motivational interviewing, understand your client’s physical activity barriers, and share the SCI physical activity guidelines. External experts ( n = 25) rated the best practices on average as clear, useful, and appropriate. Conclusion We present the first systematically co-developed theory- and evidence-based best practices for SCI physical activity counseling. The implementation of the best practices will be supported by developing training modules. These new best practices can contribute to optimizing SCI physical activity counseling services across settings.

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Physical activity promotion to persons with spinal cord injury by health and exercise professionals: A scoping review

Cited by 8 publications

References 50 publications

The Relationship Between Physical Activity and Mental Health Among Individuals With Spinal Cord Injury: Protocol for a Scoping Review

The Relationship Between Physical Activity and Mental Health Among Individuals With Spinal Cord Injury: Protocol for a Scoping Review

Evaluating an Adapted Physical Activity Program for University Students and Staff Living with a Physical Disability and/or Chronic Condition through a Self-Determination Theory Lens

Theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury

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