KITE, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.
Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2022 Dec 8;12(12):e065684. doi: 10.1136/bmjopen-2022-065684.
Many individuals living with spinal cord injury (SCI) experience falls and a fear of falling, both of which can impact participation in daily activities and quality of life. A single group, convergent mixed methods study will be conducted to examine the effects of a photovoice intervention on falls self-efficacy among individuals living with chronic SCI. Secondary objectives include examining the effects of photovoice on fear of falling, participation and quality of life and exploring participants' experiences and perceptions of the photovoice intervention through qualitative interviews.
Adults with SCI (n=40) will be divided into groups according to their mobility status (ie, those who ambulate and those who primarily use a wheelchair). The study will be conducted virtually over three consecutive phases, totalling 30 weeks. Each group will self-report falls for 12 weeks prior to and following the intervention (phases 1 and 3, respectively). The 6-week photovoice intervention (phase 2) will be comprised of two photo assignments, two individual interviews with a researcher and a peer mentor, and four group meetings. Participants will discuss these photos at the interviews and group meetings. Standardised questionnaires of falls self-efficacy, fear of falling, participation and life satisfaction will be administered at four time points (ie, beginning of each phase and the end of phase 3). Questionnaire scores will be examined over time using repeated-measures analysis of variance. A semistructured interview will be completed at the end of phase 3 to gain feedback on the photovoice intervention. Qualitative data will be analysed using reflexive thematic analysis.
Ethics approval was obtained prior to study enrolment. Findings will be shared through peer-reviewed scientific publications and participant-directed knowledge translation activities.
NCT04864262.
许多脊髓损伤（SCI）患者会经历跌倒和跌倒恐惧，这两者都会影响他们参与日常活动和生活质量。一项单组、收敛混合方法研究将检查摄影心声干预对慢性 SCI 患者跌倒自我效能的影响。次要目标包括检查摄影心声对跌倒恐惧、参与度和生活质量的影响，并通过定性访谈探索参与者对摄影心声干预的体验和看法。
将根据他们的移动状态（即步行者和主要使用轮椅者）将 SCI 成人（n=40）分为两组。该研究将在三个连续阶段以虚拟方式进行，总时长为 30 周。每组将在干预前（第 1 阶段）和干预后（第 3 阶段）自我报告 12 周的跌倒情况。为期 6 周的摄影心声干预（第 2 阶段）将包括两项摄影任务、两次与研究人员和同伴导师的单独访谈以及四次小组会议。参与者将在访谈和小组会议上讨论这些照片。在四个时间点（即每个阶段开始时和第 3 阶段结束时）将使用标准化问卷评估跌倒自我效能感、跌倒恐惧、参与度和生活满意度。使用重复测量方差分析来随时间检查问卷得分。在第 3 阶段结束时将完成半结构式访谈，以获取对摄影心声干预的反馈。将使用反思性主题分析对定性数据进行分析。
在研究开始前获得了伦理批准。研究结果将通过同行评审的科学出版物和面向参与者的知识转化活动进行分享。
NCT04864262。
