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Perception and predictors of health locus of control at rehabilitation discharge and 1 year after traumatic spinal cord injury
- Source :
- International Journal of Rehabilitation Research. 44:370-376
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- This retrospective study examined the perception and predictors of health locus of control (LOC) in 71 individuals with a spinal cord injury (SCI) at discharge from inpatient rehabilitation (average age 39 years, 77% male, 54% black, 51% cervical SCI, 51% incomplete SCI and average time post-SCI 20 days). We also determined if health LOC beliefs and predictors change over the 1st year after SCI in a representative subsample of 36 individuals. The participants completed surveys regarding the health LOC, self-esteem and depression whereas demographic and SCI information were retrieved from medical records. At inpatient discharge, 55% of SCI individuals endorsed the doctor LOC category compared to internal (14%), other people (6%), chance (3%) or multiple LOC categories (22%). A similar pattern was found at 1-year postinjury (doctor LOC 44% and non-doctor LOC combined 56%). A backward stepwise regression revealed that white race (P = 0.093), >12 years of education (P = 0.001) and cervical level of SCI (P = 0.033) were significant predictors of the doctor LOC category at inpatient discharge (overall classification accuracy 76%). Similarly, >12 years of education (P = 0.055), cervical level of SCI at inpatient discharge (P = 0.033) and higher self-esteem at 1-year post-SCI (P = 0.113) were significant predictors of the doctor LOC category at 1-year post-SCI (overall classification accuracy 78%). We conclude that health LOC remains stable over the 1st year after SCI with the majority of individuals believing that the control over outcomes of their health is in the hands of doctors. These findings have implications for the provision of rehabilitation services after SCI.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
media_common.quotation_subject
Physical Therapy, Sports Therapy and Rehabilitation
Perception
Humans
Medicine
Spinal cord injury
Internal-External Control
Spinal Cord Injuries
Depression (differential diagnoses)
Retrospective Studies
media_common
Rehabilitation
business.industry
Medical record
Retrospective cohort study
Stepwise regression
medicine.disease
Patient Discharge
Locus of control
Physical therapy
Female
business
Subjects
Details
- ISSN :
- 03425282
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- International Journal of Rehabilitation Research
- Accession number :
- edsair.doi.dedup.....d584e5efcfedad829c8cf7ab5f26447b