Predictors of resilience for people with spinal cord injury over two periods of COVID-19 social distancing restrictions: a 12-month longitudinal study using structural equation modelling

被引：2

作者：

Lakhani, Ali ^{[1
,2
,3
]}

Dema, Salvatore ^{[4
]}

Hose, Josh ^{[5
]}

Erdem, Nazim ^{[5
]}

Wollersheim, Dennis ^{[1
]}

Grindrod, Andrea ^{[3
,6
]}

Grimbeek, Peter ^{[7
]}

Charlifue, Susan ^{[8
]}

机构：

[1] La Trobe Univ, Sch Psychol & Publ Hlth, 360 Collins St, Melbourne, Vic 3000, Australia

[2] Griffith Univ, Menzies Hlth Inst Queensland, Hopkins Ctr, Logan Campus,Univ Dr, Meadowbrook, Qld 4131, Australia

[3] Eastern Hlth, Palliat Care Dept, 251 Mt Highway, Wantirna, Vic 3152, Australia

[4] Austin Hlth Royal Talbot Rehabil Ctr, 1 Yarra Blvd, Kew, Vic 3101, Australia

[5] AQA Victoria, 416 Heidelberg Rd, Fairfield, Vic 3078, Australia

[6] La Trobe Univ, Sch Psychol & Publ Hlth, Publ Hlth Palliat Care Unit, Kingsbury Dr, Bundoora, Vic 3086, Australia

[7] Upper Brookfield, Brisbane, Qld 4069, Australia

[8] Craig Hosp, Englewood, CO 80113 USA

来源：

BMC PUBLIC HEALTH | 2023年 / 23卷 / 01期

关键词：

COVID-19; Disability; Resilience; Structural equation modelling; Longitudinal; Social distancing; Lockdown; Public Health; QUALITY-OF-LIFE; MENTAL-HEALTH; SAMPLE-SIZE; PARTICIPATION; DISABILITY; COMMUNITY; AUTONOMY; IMPACT;

D O I：

10.1186/s12889-023-16238-x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundThe novel coronavirus (COVID-19) pandemic is disproportionately impacting the health of people with disability. Resilience has remained an important health promoting characteristic during periods of social distancing restrictions. Factors promoting resilience for people with disability under the context of the pandemic remains poorly understood. Studies have yet to investigate evidence-based factors that promote resilience over multiple periods of restrictions for people with disability.MethodsA longitudinal study developed via a collaborative partnership between peer-support workers with lived experience of spinal cord injury (SCI) and university researchers was undertaken to fill knowledge gaps around factors promoting resilience for people with SCI during two periods of stringent social distancing restrictions within Victoria, Australia. Over 12-months, participants with SCI completed two surveys, towards the end of two lockdown periods. Evidence-based factors associated with resilience were measured. The Impact on Participation and Autonomy Questionnaire, the International SCI Quality of Life scale, and the 10-item Conor Davidson Resilience Scale, respectively measured autonomy and participation limitations, life satisfaction and psychological health, and resilience. A structural equation modelling (SEM) approach established factors directly and indirectly associated with resilience.ResultsA model with excellent fit was produced. During two extended lockdowns over the 12-month period, increased family role limitations and favourable psychological health were respectively, negatively (Lockdown 1 [n = 127]: & beta; = -.251, p < .01, Lockdown 2: & beta; = -.400, p < .01) and positively (Lockdown 1: & beta; = .601, p < .01, Lockdown 2 [n = 65]: & beta; = .430, p < .01) associated with resilience. Indirect negative associations between resilience and increased outdoor autonomy limitations (Lockdown 1: & beta; = -.195, p < .01, Lockdown 2: & beta; = -.255, p < .01) and social life limitations (Lockdown 1: & beta; = -.217, p < .01, Lockdown 2: & beta; = -.142, p < .05) existed, and these relationships were moderated by psychological health.ConclusionsPsychological health, and participation and autonomy are determinants of resilience during periods of crisis. Health and social care providers and public health departments should prioritise programs promoting these domains, to counter the negative impact of social distancing.

引用

页数：12

共 67 条

[1] Predictors of participation enfranchisement of wheelchair users with spinal cord injury in the United States [J].