Objectives: The present cross-sectional study was done to acknowledge the level of resilience, its association with quality of life (QoL), community integration, and demographic/injury-related variables, and identify the determinants that affect resilience among spinal cord injury individuals living in the community.
Methods: The data were collected from 108 participants using the convenience sampling method. A demographic/injury-related questionnaire was used to identify the characteristics of the participants. The CD-RISC10, World Health Organization quality of life-BREF (WHOQOL-BREF), and community integration questionnaire-revised (CIQ-R) were used to measure resilience, QoL, and community integration. Association between resilience and independent variables was examined through Pearson’s correlation and Point-Biserial correlation, whereas, univariate and multivariate linear regression analyses were applied to identify the influence of the demographic/injury-related factors that contribute to resilience, and independent t-test and ANOVA were employed to identify the determinants that affect resilience.
Results: Almost 78% of participants had a moderate-to-high level of resilience. In multivariate analysis, gender, marital status, and profession were found to be statistically significant. Among these predictors, employment had a higher beta value (β=0.684, P=0.026), which signifies its importance in evaluating resilience. Significant associations were established between resilience, QoL domains, community integration, and demographic variables, which included marital status, duration since the injury, and frequency of going out.
Discussion: The present research brings attention to the significance of using appropriate interventions, such as vocational rehabilitation support as well as awareness about the injury to help strengthen resilience and reintegration amongst SCI individuals into their communities. A further longitudinal study is recommended to determine predictive factors of the dynamic nature of resilience over time.
Full-Text [PDF 1204 kb]
(721 Downloads)
| |
Full-Text (HTML) (381 Views)
• There are several reasons why community-dwelling spinal cord injury individuals are poorly resilient, especially in developing countries, where vocational rehabilitation still needs to be strengthened to overcome these barriers.
• Socio-demographic factors (gender, marital status, and employment) and the well-being of the sufferers significantly affect the status of their resilience.
• Attention should be paid to the most important socio-demographic factor, i.e. employment, which is a highly significant factor of resilience amongst spinal cord injury individuals living in the community.
Plain Language Summary
A spinal cord injury is a life-disrupting condition that demands extensive, in-depth rehabilitation. Furthermore, resilience is a dynamic process and is considered an important element that helps people to cope and adjust to the consequences of any stressful or traumatic event, such as spinal cord injury. Unfortunately, resilience among spinal cord injury survivors remains under-researched, especially in developing countries, such as India. Therefore, the present study indicated that physical health, psychological health, environmental factors, as well as demographic variables were strongly associated with resilience. The present study indicated the importance of providing appropriate interventions, such as vocational rehabilitation support as well as awareness about the injury to help strengthen resilience and reintegration amongst spinal cord injury individuals into their communities. Therefore, this will not only help enhance resilience among spinal cord injury people but will also aid in their effective reintegration and equal participation in society
Article type:
Original Research Articles |
Subject:
Rehabilitation Management Received: 2022/05/25 | Accepted: 2022/11/28 | Published: 2023/03/1
Send email to the article author