Evidence map›Paper›PMID 38240674›Full record

ArticleThe journal of spinal cord medicine2025

Benefits and barriers to return to education and relationship to quality of life for people living with spinal cord injury: Results of a mixed methods study.

Shelly Hsieh, Adria De Simone, Trevor Dyson-Hudson, John O'Neill, Amanda Botticello, Ada Chen, Steven Kirshblum

Open access · greenAbstract read
In one paragraph

Article in The journal of spinal cord medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Shelly HsiehDepartment of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID 0000-0002-2500-3860
Adria De SimoneKessler Institute for Rehabilitation, West Orange, New Jersey, USA.
Trevor Dyson-HudsonDepartment of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID 0000-0002-0252-2764
John O'NeillDepartment of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID 0000-0001-6587-8111
Amanda BotticelloDepartment of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID 0000-0002-7227-3249
Ada ChenDepartment of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Steven KirshblumDepartment of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID 0000-0003-2824-9214
Rutgers, The State University of New Jersey · USKessler Institute for Rehabilitation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThere is limited research on return to education (RTE) after spinal cord injury (SCI). As a result, few programs exist to help people achieve this goal.

objectiveThe primary objective was to investigate the barriers and facilitators to RTE, and the relationship between RTE and quality of life (QOL). The secondary objective was to examine the role of a Vocational Resource Facilitation (VRF) program on RTE.

methodsA mixed methods approach with a semi-structured interview and online survey was used. Participants included 15 people with SCI with RTE goals who received VRF services at an acute inpatient rehabilitation hospital. Qualitative responses on the barriers, facilitators and perceived benefits of RTE were analyzed using a grounded theory strategy.

resultsBarriers to RTE included physical and mental health, transportation, time, environmental barriers, finances, lack of knowledge about available resources, and discrimination. Facilitators to RTE included the VRF program, social support, financial support, virtual learning, organizational support, and policy constructs. People who RTE after SCI reported better QOL, less depressed mood than those who did not, and were more likely to have returned to work.

conclusionsThis study highlighted common barriers and facilitators to RTE, and potential areas of intervention. VRF is a potentially efficacious early intervention vocational rehabilitation approach that improves participation in education and employment for people with SCI. People who received VRF and achieved RTE may have better QOL outcomes and improved employability.

Indexed as

Quality of LifeRehabilitation, VocationalReturn to WorkSpinal Cord InjuriesAdultFemaleHumansMaleMiddle AgedQualitative ResearchCommunity reintegrationEducationQuality of lifeSpinal cord injuryVocational rehabilitation

Identifiers

PMID38240674
PMCPMC11864026
OpenAlexW4391035165

What OpenQuestion holds

Textmetadata
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.