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Predictors of activation among persons with spinal cord injury during hospitalization: A cross‐sectional study
Aim To test the contributions of self‐efficacy, resilience, social support, and negative moods (i.e., anxiety, depression) to patient activation among persons with spinal cord injury (SCI). Methods One hundred and twenty‐two participants with SCI were recruited from the spinal surgery department at...
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| Published in: | Japan journal of nursing science : JJNS 2023-07, Vol.20 (3), p.e12532-n/a |
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| container_issue | 3 |
| container_start_page | e12532 |
| container_title | Japan journal of nursing science : JJNS |
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| creator | Tang, Xiangxiang Huang, Jin Wang, Wenyan Su, Xiaoping Yu, Zepeng |
| description | Aim
To test the contributions of self‐efficacy, resilience, social support, and negative moods (i.e., anxiety, depression) to patient activation among persons with spinal cord injury (SCI).
Methods
One hundred and twenty‐two participants with SCI were recruited from the spinal surgery department at a large general hospital. During the period before discharge after surgery, standardized self‐assessment questionnaires were used to collect data on patient activation, self‐efficacy, resilience, social support, anxiety, depression, demographics (age, gender, education, marital status), and disease‐related information (etiologies, level of injury, American Spinal Injury Association Impairment Scale score). Hierarchical regression analysis, mediation analysis, and moderation analysis were performed in SPSS, Amos, and Jamovi to determine the influencing factors of patient activation.
Results
Self‐efficacy, resilience, social support, anxiety, and depression uniquely explained 38.2% (p |
| doi_str_mv | 10.1111/jjns.12532 |
| format | article |
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To test the contributions of self‐efficacy, resilience, social support, and negative moods (i.e., anxiety, depression) to patient activation among persons with spinal cord injury (SCI).
Methods
One hundred and twenty‐two participants with SCI were recruited from the spinal surgery department at a large general hospital. During the period before discharge after surgery, standardized self‐assessment questionnaires were used to collect data on patient activation, self‐efficacy, resilience, social support, anxiety, depression, demographics (age, gender, education, marital status), and disease‐related information (etiologies, level of injury, American Spinal Injury Association Impairment Scale score). Hierarchical regression analysis, mediation analysis, and moderation analysis were performed in SPSS, Amos, and Jamovi to determine the influencing factors of patient activation.
Results
Self‐efficacy, resilience, social support, anxiety, and depression uniquely explained 38.2% (p < .001) of the variance in patient activation after controlling for demographic and disease‐related covariates. The full model explained 53.7% (p < .001) of the variance in patient activation. In the mediation analysis, self‐efficacy, resilience, and social support had partial mediating effects (p < .05). In the moderation analysis, marital status moderated the relationship between self‐efficacy and patient activation (p < .05).
Conclusions
Activation of persons with SCI is a positive psychosocial resource related to higher self‐efficacy, resilience, and social support. Marital status may affect activation in persons with SCI. The causal relationship between these psychosocial variables needs to be proved by further intervention studies.</description><identifier>ISSN: 1742-7932</identifier><identifier>EISSN: 1742-7924</identifier><identifier>DOI: 10.1111/jjns.12532</identifier><identifier>PMID: 36965136</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Anxiety ; Coping ; Cross-sectional studies ; Health psychology ; Hospitalization ; Marital status ; Mental depression ; Mental health ; Mobility ; patient activation ; rehabilitation nursing ; self‐management ; Social support ; Spinal cord injuries ; spinal cord injury</subject><ispartof>Japan journal of nursing science : JJNS, 2023-07, Vol.20 (3), p.e12532-n/a</ispartof><rights>2023 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of Japan Academy of Nursing Science.</rights><rights>2023 The Authors. Japan Journal of Nursing Science published by John Wiley & Sons Australia, Ltd on behalf of Japan Academy of Nursing Science.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4172-2b380bc97af2c1106e2406a16aff4d4585ee19ee70bfa392a5d43bbaafd3ad5c3</citedby><cites>FETCH-LOGICAL-c4172-2b380bc97af2c1106e2406a16aff4d4585ee19ee70bfa392a5d43bbaafd3ad5c3</cites><orcidid>0000-0001-6172-1563 ; 0000-0003-0872-2510</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36965136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tang, Xiangxiang</creatorcontrib><creatorcontrib>Huang, Jin</creatorcontrib><creatorcontrib>Wang, Wenyan</creatorcontrib><creatorcontrib>Su, Xiaoping</creatorcontrib><creatorcontrib>Yu, Zepeng</creatorcontrib><title>Predictors of activation among persons with spinal cord injury during hospitalization: A cross‐sectional study</title><title>Japan journal of nursing science : JJNS</title><addtitle>Jpn J Nurs Sci</addtitle><description>Aim
To test the contributions of self‐efficacy, resilience, social support, and negative moods (i.e., anxiety, depression) to patient activation among persons with spinal cord injury (SCI).
Methods
One hundred and twenty‐two participants with SCI were recruited from the spinal surgery department at a large general hospital. During the period before discharge after surgery, standardized self‐assessment questionnaires were used to collect data on patient activation, self‐efficacy, resilience, social support, anxiety, depression, demographics (age, gender, education, marital status), and disease‐related information (etiologies, level of injury, American Spinal Injury Association Impairment Scale score). Hierarchical regression analysis, mediation analysis, and moderation analysis were performed in SPSS, Amos, and Jamovi to determine the influencing factors of patient activation.
Results
Self‐efficacy, resilience, social support, anxiety, and depression uniquely explained 38.2% (p < .001) of the variance in patient activation after controlling for demographic and disease‐related covariates. The full model explained 53.7% (p < .001) of the variance in patient activation. In the mediation analysis, self‐efficacy, resilience, and social support had partial mediating effects (p < .05). In the moderation analysis, marital status moderated the relationship between self‐efficacy and patient activation (p < .05).
Conclusions
Activation of persons with SCI is a positive psychosocial resource related to higher self‐efficacy, resilience, and social support. Marital status may affect activation in persons with SCI. The causal relationship between these psychosocial variables needs to be proved by further intervention studies.</description><subject>Anxiety</subject><subject>Coping</subject><subject>Cross-sectional studies</subject><subject>Health psychology</subject><subject>Hospitalization</subject><subject>Marital status</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Mobility</subject><subject>patient activation</subject><subject>rehabilitation nursing</subject><subject>self‐management</subject><subject>Social support</subject><subject>Spinal cord injuries</subject><subject>spinal cord injury</subject><issn>1742-7932</issn><issn>1742-7924</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp9kctOwzAQRS0EoqWw4QOQJTYIKcWPPBp2VcWrqgAJWEeO7VBHaRzshCqs-AS-kS_BbUoXLPBmLM-Zq_G9ABxjNMTuXOR5aYeYBJTsgD6OfOJFMfF3t3dKeuDA2hwhiumI7oMeDeMwwDTsg-rRSKF4rY2FOoOM1-qd1UqXkC10-QoraawuLVyqeg5tpUpWQK6NgKrMG9NC0RjlsLl2vZoV6mM9fAnHkBtt7ffnl5V89eTmbN2I9hDsZayw8mhTB-Dl-up5cuvNHm7uJuOZx30cEY-kdIRSHkcsIxxjFErio5DhkGWZL_xgFEiJYykjlGaMxoQFwqdpylgmKBMBpwNw1ulWRr810tbJQlkui4KVUjc2IVHszMAhRg49_YPmujFuY0eNKMHE-Rg76ryj1h8zMksqoxbMtAlGySqHZJVDss7BwScbySZdSLFFf413AO6ApSpk-49UMp3eP3WiP6JvllA</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Tang, Xiangxiang</creator><creator>Huang, Jin</creator><creator>Wang, Wenyan</creator><creator>Su, Xiaoping</creator><creator>Yu, Zepeng</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6172-1563</orcidid><orcidid>https://orcid.org/0000-0003-0872-2510</orcidid></search><sort><creationdate>202307</creationdate><title>Predictors of activation among persons with spinal cord injury during hospitalization: A cross‐sectional study</title><author>Tang, Xiangxiang ; Huang, Jin ; Wang, Wenyan ; Su, Xiaoping ; Yu, Zepeng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4172-2b380bc97af2c1106e2406a16aff4d4585ee19ee70bfa392a5d43bbaafd3ad5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anxiety</topic><topic>Coping</topic><topic>Cross-sectional studies</topic><topic>Health psychology</topic><topic>Hospitalization</topic><topic>Marital status</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Mobility</topic><topic>patient activation</topic><topic>rehabilitation nursing</topic><topic>self‐management</topic><topic>Social support</topic><topic>Spinal cord injuries</topic><topic>spinal cord injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tang, Xiangxiang</creatorcontrib><creatorcontrib>Huang, Jin</creatorcontrib><creatorcontrib>Wang, Wenyan</creatorcontrib><creatorcontrib>Su, Xiaoping</creatorcontrib><creatorcontrib>Yu, Zepeng</creatorcontrib><collection>Wiley Open Access</collection><collection>Wiley Online Library Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Japan journal of nursing science : JJNS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tang, Xiangxiang</au><au>Huang, Jin</au><au>Wang, Wenyan</au><au>Su, Xiaoping</au><au>Yu, Zepeng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of activation among persons with spinal cord injury during hospitalization: A cross‐sectional study</atitle><jtitle>Japan journal of nursing science : JJNS</jtitle><addtitle>Jpn J Nurs Sci</addtitle><date>2023-07</date><risdate>2023</risdate><volume>20</volume><issue>3</issue><spage>e12532</spage><epage>n/a</epage><pages>e12532-n/a</pages><issn>1742-7932</issn><eissn>1742-7924</eissn><abstract>Aim
To test the contributions of self‐efficacy, resilience, social support, and negative moods (i.e., anxiety, depression) to patient activation among persons with spinal cord injury (SCI).
Methods
One hundred and twenty‐two participants with SCI were recruited from the spinal surgery department at a large general hospital. During the period before discharge after surgery, standardized self‐assessment questionnaires were used to collect data on patient activation, self‐efficacy, resilience, social support, anxiety, depression, demographics (age, gender, education, marital status), and disease‐related information (etiologies, level of injury, American Spinal Injury Association Impairment Scale score). Hierarchical regression analysis, mediation analysis, and moderation analysis were performed in SPSS, Amos, and Jamovi to determine the influencing factors of patient activation.
Results
Self‐efficacy, resilience, social support, anxiety, and depression uniquely explained 38.2% (p < .001) of the variance in patient activation after controlling for demographic and disease‐related covariates. The full model explained 53.7% (p < .001) of the variance in patient activation. In the mediation analysis, self‐efficacy, resilience, and social support had partial mediating effects (p < .05). In the moderation analysis, marital status moderated the relationship between self‐efficacy and patient activation (p < .05).
Conclusions
Activation of persons with SCI is a positive psychosocial resource related to higher self‐efficacy, resilience, and social support. Marital status may affect activation in persons with SCI. The causal relationship between these psychosocial variables needs to be proved by further intervention studies.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>36965136</pmid><doi>10.1111/jjns.12532</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0001-6172-1563</orcidid><orcidid>https://orcid.org/0000-0003-0872-2510</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anxiety Coping Cross-sectional studies Health psychology Hospitalization Marital status Mental depression Mental health Mobility patient activation rehabilitation nursing self‐management Social support Spinal cord injuries spinal cord injury |
| title | Predictors of activation among persons with spinal cord injury during hospitalization: A cross‐sectional study |
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