Evidence map›Paper›PMID 37438771›Full record

ArticleBMC public health2023

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.

Ali Lakhani, Salvatore Dema, Josh Hose, Nazim Erdem, Dennis Wollersheim, Andrea Grindrod, Peter Grimbeek, Susan Charlifue

Abstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ali LakhaniThe School of Psychology and Public Health, La Trobe University, 360 Collins St, Melbourne, VIC, 3000, Australia. a.lakhani@latrobe.edu.au.ORCID 0000-0003-3209-7831
Salvatore DemaAustin Health - Royal Talbot Rehabilitation Centre, 1 Yarra Blvd, Kew, VIC, 3101, Australia.
Josh HoseAQA Victoria, 416 Heidelberg Rd, Fairfield, VIC, 3078, Australia.
Nazim ErdemAQA Victoria, 416 Heidelberg Rd, Fairfield, VIC, 3078, Australia.
Dennis WollersheimThe School of Psychology and Public Health, La Trobe University, 360 Collins St, Melbourne, VIC, 3000, Australia.
Andrea GrindrodPalliative Care Department, Eastern Health, 251 Mountain Highway, Wantirna, VIC, 3152, Australia.
Peter GrimbeekUpper Brookfield, Brisbane, QLD, 4069, Australia.
Susan CharlifueCraig Hospital, Englewood, CO, 80113, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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]: β = -.251, p < .01, Lockdown 2: β = -.400, p < .01) and positively (Lockdown 1: β = .601, p < .01, Lockdown 2 [n = 65]: β = .430, p < .01) associated with resilience. Indirect negative associations between resilience and increased outdoor autonomy limitations (Lockdown 1: β = -.195, p < .01, Lockdown 2: β = -.255, p < .01) and social life limitations (Lockdown 1: β = -.217, p < .01, Lockdown 2: β = -.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.

Indexed as

COVID-19Spinal Cord InjuriesCommunicable Disease ControlHumansLatent Class AnalysisLongitudinal StudiesPhysical DistancingQuality of LifeVictoriaCOVID-19DisabilityLockdownLongitudinalPublic HealthResilienceSocial distancingStructural equation modelling

Identifiers

PMID37438771
PMCPMC10337146

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.