NCHPAD Research Abstracts: Assessment of a Holistic Wellness Program for Persons with Spinal Cord Injury
Zemper, E. D., Tate, D. G., Roller, S., Forchheimer, M., Chiodo, A., Nelson, V. S., et al. (2003). Assessment of holistic wellness program for persons with spinal cord injury. American Journal of Physical Medicine & Rehabilitation, 82, 957-968.
Purpose: To evaluate the effectiveness of a comprehensive and holistic wellness program for men and women with traumatic and non-traumatic spinal cord injury (SCI).
Participants: A total of 43 adults with traumatic and non-traumatic spinal cord injuries (30 men and 13 women).
Method: A randomized clinical trial was employed, with participants randomized into intervention and control groups. Data were collected from all participants at three time points (baseline; 2 weeks after the intervention; 4 months later). The intervention consisted of six 4-hour workshop sessions at the University of Michigan with four modules comprising the intervention workshop sessions: (1) lifestyle management, (2) physical activity, (3) nutrition, and (4) preventing secondary conditions.
Results: At baseline, 73% of the participants stated that they would like to be involved in an exercise program, yet only 45% were active in such a program at the end of the study. Physicians had recommended an exercise program in only 48% of the cases. The major concerns identified by the participants as barriers to physical fitness were lack of motivation (54%), cost of an exercise program (40%), not knowing where to exercise (36%), and lack of interest (34%).
Discussion: Barriers identified by the participants indicate that multiple factors play complex roles for persons with SCI who engage in physical activity. Concerns about accessibility, information about fitness centers, and other resources should be addressed for any wellness programs for persons with SCI.
Read the entire abstract at http://www.ncpad.org/235/1536/Assessment~of~holistic~wellness~program~for~persons~with~