An in-depth understanding of the impact of the environment on participation among people with spinal cord injury

Disability and Rehabilitation
Feng-Hang ChangHsin-Ping Hung

Abstract

To identify environmental factors associated with participation and gain an in-depth understanding of relationships between environmental factors and participation among people with spinal cord injury. Six focus groups (n= 30) with individuals with spinal cord injury were conducted. Two independent coders thematically analyzed the transcribed data. Twenty environmental factors were identified, all of which were classified into eight categories: built environment; natural environment; assistive technology; transportation; information and technology access; economics; social support and social attitudes; and systems, services and policies. While all factors had direct impacts on individuals' participation outcomes, factors within the categories of societal attitudes, policies and economics also affected participation through affecting other environmental factors. Some factors together also showed cumulative or countering effects on participation. Accordingly, a conceptual model of the relationships between environmental factors and participation was constructed. This study highlighted key environmental factors and their impacts on participation of people with spinal cord injury. The findings support previous research findings but...Continue Reading

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Citations

Dec 18, 2019·JMIR Rehabilitation and Assistive Technologies·Maria ColeJeffery McLaughlin
Jan 12, 2019·The Journal of Spinal Cord Medicine·Delgerjargal DorjbalSara Rubinelli
May 26, 2020·Disability and Rehabilitation·Claudia ZaniniSara Rubinelli
Feb 20, 2021·The Journal of Spinal Cord Medicine·Alessio ContiSara Campagna

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