ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2017
Relationships between environmental factors and participation in adults with traumatic brain injury, stroke, and spinal cord injury: a cross-sectional multi-center study.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Experiences of Social Connection and Isolation in Adults With Acquired Brain Injury: A Qualitative Systematic Review and Metasynthesis.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- A Biopsychosocial Framework for Apathy Following Moderate to Severe Traumatic Brain Injury: A Systematic Review and Meta-analysis.Neuropsychology review · 2024Pooled it
- Pooled it
- Profiles of Quality of Life Outcomes Observed in Rehabilitation Patients Using Latent Profile Analysis.Archives of physical medicine and rehabilitation · 2026Article
- Rethinking Movement: From Capacity to Context.Kinesiology review (Champaign, Ill.) · 2026Article
- Convergent, discriminant, and known-groups validity of the Behavioural Assessment Screening Tool (BAST) in chronic traumatic brain injury.Brain impairment : a multidisciplinary journal of the Australian Society for the Study of Brain Impairment · 2025Article
- Biopsychosocial factors of quality of life in individuals with moderate to severe traumatic brain injury: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- A Digital Intervention to Promote Self-Management Self-Efficacy Among Community-Dwelling Individuals With Stroke: Pilot Randomized Controlled Trial.JMIR rehabilitation and assistive technologies · 2024Article
- The study of ableism in population health: a critical review.Frontiers in public health · 2024Review
- The Role of the Built Environment in the Community Participation of Adults Aging With Long-Term Physical Disabilities: A Scoping Review.Journal of aging and environment · 2024Article
- Editorial: Advancing the representation of minoritized groups and social determinants of health in brain injury research.Frontiers in neurology · 2023Article
- The role of self-efficacy in community reintegration among persons with traumatic spinal cord injury in South Africa.The journal of spinal cord medicine · 2022Article
- Measurement Feedback System for Intensive Neurorehabilitation after Severe Acquired Brain Injury.Journal of medical systems · 2022Article
- Goal Attainment in an Individually Tailored and Home-Based Intervention in the Chronic Phase after Traumatic Brain Injury.Journal of clinical medicine · 2022Article
- Physical activity and sedentary behavior in people with spinal cord injury: Mitigation strategies during COVID-19 on behalf of ACSM-EIM and HL-PIVOT.Disability and health journal · 2022Article
- Strengthening Community Participation by People With Disabilities in Community-Based Group Homes Through Innovative Action Research.Frontiers in public health · 2022Article
- Adult sports-related traumatic spinal injuries: do different activities predispose to certain injuries?Journal of neurosurgery. Spine · 2021Article
- Rasch Analysis of Social Attitude Barriers and Facilitators to Participation for Individuals with Disabilities.Archives of physical medicine and rehabilitation · 2021Article
- Ecological Momentary Assessment of Social Interactions: Associations With Depression, Anxiety, Pain, and Fatigue in Individuals With Mild Stroke.Archives of physical medicine and rehabilitation · 2021Observational
- Developing a Facilitators Scale in the Context of Travel: ReTRIP.Archives of rehabilitation research and clinical translation · 2020Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
purposeTo develop and evaluate a model of environmental factors-participation relationships for persons with traumatic brain injury (TBI), stroke, and spinal cord injury (SCI), and test whether this model differed across three diagnostic groups, as well as other demographic and clinical characteristics.
methodsA cross-sectional observational study included 545 community-dwelling adults with neurological disorders (TBI = 166; stroke = 189; SCI = 190) recruited at three academic medical centers. Participants completed patient-reported measures of environmental factors and participation.
resultsThe final structural equation model had acceptable fit to the data (CFI = 0.923; TLI = 0.898; RMSEA = 0.085; SRMR = 0.053), explaining 63% of the variance in participation in social roles and activities. Systems, services, and policies had an indirect influence on participation and this relation was mediated by social attitudes and the built and natural environment. Access to information and technology was associated with the built and natural environment which in turn influence on participation (ps < 0.001). The model was consistent across sex, diagnosis, severity/type of injury, education, race, age, marital status, years since injury, wheelchairs use, insurance coverage, personal or household income, and crystallized cognition.
conclusionsSocial and physical environments appear to mediate the influence of systems, services, and policies on participation after acquired neurological disorders. These relations are stable across three diagnostic groups and many personal and clinical factors. Our findings inform health and disability policy, and provide guidance for implementing the initiatives in Healthy People 2020 in particular for people with acquired neurological disorders.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.