1. Baseline health-related self-efficacy for individuals following stroke, traumatic brain injury, and spinal cord injury prior to enrollment in a weight-loss intervention.
- Author
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Douglas, Megan E., Driver, Simon, Ochoa, Christa, McShan, Evan, Callender, Librada, and Froehlich-Grobe, Katherine
- Subjects
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OBESITY treatment , *WEIGHT loss , *WOUNDS & injuries , *CROSS-sectional method , *SELF-efficacy , *DATA analysis , *BODY mass index , *WHEELCHAIRS , *GLYCOSYLATED hemoglobin , *EXERCISE , *RESEARCH funding , *KRUSKAL-Wallis Test , *FISHER exact test , *SEX distribution , *BODY weight , *SPINAL cord injuries , *SEVERITY of illness index , *PSYCHOLOGICAL adaptation , *DESCRIPTIVE statistics , *CHI-squared test , *AGE distribution , *PROBLEM solving , *SURVEYS , *RACE , *ANALYSIS of variance , *STATISTICS , *MARITAL status , *NUTRITIONAL status , *BRAIN injuries , *STROKE , *HEALTH promotion , *EPIDEMIOLOGY , *COMPARATIVE studies , *BLOOD pressure , *DATA analysis software , *CONFIDENCE intervals , *PEOPLE with disabilities , *DEMOGRAPHY , *TIME , *EDUCATIONAL attainment , *EMPLOYMENT , *WELL-being , *REGRESSION analysis - Abstract
To examine health-related self-efficacy for individuals following acquired brain or spinal cord injury prior to enrollment in a weight-loss intervention and associations with demographics, injury characteristics, and additional physiologic variables. Cross-sectional analysis of baseline data for community-dwelling adults following stroke (CVA), traumatic brain injury (TBI), or spinal cord injury (SCI) across three disability-adapted weight-loss interventions. Overall results suggest a significant difference between injury type and self-efficacy as measured by the Self Rated Abilities for Health Practices (SRAHP) scale. On average, individuals with SCI had the lowest overall perceived self-efficacy of the three groups (11.2-unit difference; (CI: −17.4, −5.0), followed by those with TBI (9.5-unit difference; (CI: −16.7, −2.4). There were also differences between groups in age, number of household members, time since injury, sex, race, marital status, physiological measures, and employment status. Results suggest that individuals with different disabilities following neurological injuries have different baseline perceptions in their ability to eat a healthy diet and exercise regularly. Health interventions should be tailored for these groups based on disability-specific barriers and should include components to enhance health-related self-efficacy to address weight management among these populations. Evidence suggests that health-related self-efficacy may differ following different injury types and level of disability may impact one's ability to maintain health-related behaviors Results suggest that individuals with a spinal cord injury may have different baseline perceptions of self-efficacy related to their ability to eat a healthy diet and exercise regularly compared to those with a traumatic brain injury or stroke. Health interventions should be tailored to encompass disability-specific barriers which may impact an individual's health-related self-efficacy. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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