Environmental Factors and Their Role in Community Integration after Spinal Cord Injury

Background. The International Classification of Functioning, Disability and Health (ICF) model presents an opportunity to better understand previously neglected longterm social outcomes after traumatic spinal cord injury (SCI), especially the experience of participation. Purpose. The study explored...

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Bibliographic Details
Published in:Canadian journal of occupational therapy (1939) 2007, Vol.74 (5_suppl), p.243-254
Main Authors: Lysack, Cathy, Komanecky, Marie, Kabel, Allison, Cross, Katherine, Neufeld, Stewart
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adolescent
Adult
Adults
African Americans
Aged
Community Relations
Disability
Disability Evaluation
Disabled Persons - classification
Disabled Persons - psychology
Disabled Persons - rehabilitation
Environment Design
Environmental Influences
European Continental Ancestry Group
Female
Humans
Injuries
Life Satisfaction
Male
Middle Aged
Occupational Therapy
Physical Environment
Qualitative research
Quality of Life
Residence Characteristics
Resistance (Psychology)
Self Concept
Sex Factors
Sickness Impact Profile
Social Environment
Social integration
Society
Spinal Cord Injuries - rehabilitation
Studies
Transportation
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Summary:Background. The International Classification of Functioning, Disability and Health (ICF) model presents an opportunity to better understand previously neglected longterm social outcomes after traumatic spinal cord injury (SCI), especially the experience of participation. Purpose. The study explored the relationship between perceived environmental barriers and perceived community integration (a participation proxy) in a sample of adults with traumatic SCI. Methods. The study interviewed African American and White women and men (n=136) who had lived with SCI for an average of 11.5 years. Results. Participants reported environmental barriers at twice the level indicated by previous studies; the natural environment and the policies of government were the most problematic. Levels of community integration were also high. Data suggest a significant relationship (p
ISSN:0008-4174
1911-9828
DOI:10.1177/000841740707405S03