School of Health and Exercise Sciences, University of British Columbia Okanagan, Kelowna, BC, Canada.
International Collaboration on Repair Discoveries, Vancouver, BC, Canada.
Spinal Cord. 2021 Jun;59(6):665-674. doi: 10.1038/s41393-020-00555-8. Epub 2020 Sep 28.
Knowledge translation study.
Use the Theoretical Domains Framework (TDF) and Behaviour Change Wheel (BCW) to (1) identify barriers and facilitators to participation in daily activities and social roles among people aging with spinal cord injury (SCI); and, (2) systematically co-develop participation-focused intervention recommendations with SCI community organizations that can support people aging with SCI.
Canadian SCI community.
Semi-structured interviews were conducted with 22 people (minimum 45 years of age; minimum 10 years post injury). Participants were asked about their experiences with participating in daily activities and social roles while aging and preferences for what participation-focused interventions should entail. Transcripts were analyzed to address three stages of behaviour change intervention design: (1) identify barriers and facilitators; (2) identify intervention functions and policy categories; (3) identify implementation options. Findings were synthesized into intervention recommendations and assessed for feasibility.
Participation in daily activities and social roles was heavily influenced by three TDF domains: environmental context and resources, skills, and social influences. Six intervention functions and all policy categories within the BCW were considered viable intervention options. Multiple messengers and modes of delivery were identified as important. The synthesized recommendations included educating SCI organization membership, partnering with other disability organizations, and advocating to the provincial government.
Findings suggest that multiple intervention formats delivered through a variety of implementation options are needed to enhance participation in daily activities and social roles while aging with SCI. Future efforts should focus on translating the recommendations into real-world behaviour change interventions.
知识转化研究。
使用理论领域框架（TDF）和行为改变轮（BCW）来：（1）确定参与日常活动和社会角色的障碍和促进因素，以适应脊髓损伤（SCI）后老龄化的人群；（2）与 SCI 社区组织共同制定以参与为重点的干预措施建议，以支持老龄化的 SCI 人群。
加拿大 SCI 社区。
对 22 名参与者（年龄最小 45 岁，受伤后最小 10 年）进行了半结构化访谈。参与者被问及他们在衰老过程中参与日常活动和社会角色的经验，以及他们对以参与为重点的干预措施的偏好。对转录本进行了分析，以解决行为改变干预设计的三个阶段：（1）确定障碍和促进因素；（2）确定干预功能和政策类别；（3）确定实施选项。研究结果综合为干预建议，并评估其可行性。
日常活动和社会角色的参与受到 TDF 三个领域的强烈影响：环境背景和资源、技能和社会影响。六个干预功能和 BCW 中的所有政策类别都被认为是可行的干预选择。多种信息传递者和传递方式被认为是重要的。综合建议包括教育 SCI 组织成员、与其他残疾组织合作以及向省政府倡导。
研究结果表明，需要通过多种实施选项提供多种干预形式，以增强 SCI 后老龄化人群参与日常活动和社会角色的能力。未来的努力应侧重于将建议转化为现实世界的行为改变干预措施。
