The Impact of the COVID-19 Pandemic on Individuals Living with Spinal Cord Injury: A Qualitative Study

Overview

Journal Rehabil Psychol

Date 2022 Nov 17

PMID 36395055

Authors

Sherri L LaVela

Justina Wu

Andrea L Nevedal

Alex H S Harris

Susan M Frayne

Katherine D Arnow

Nicolas B Barreto

Kristen Davis

Dan Eisenberg

Affiliations

Soon will be listed here.

Abstract

Purpose/objective: To explore the impact of the COVID-19 pandemic as experienced and reported by individuals living with a spinal cord injury (SCI).

Research Method/design: Descriptive qualitative design using in-depth semistructured interviews with individuals with SCI ( = 33) followed by thematic analysis.

Results: Three main themes described impacts of the COVID-19 pandemic. (a) Impact on health care use; subthemes elaborated that this was attributable to in-person health care facility restrictions or individual decisions to delay care. Individuals with SCI experienced lapses in primary and SCI-specialty care, rehabilitation/therapy services, and home care, but some made use of telehealth services. (b) Impact on weight and/or weight management lifestyle behaviors; subthemes discussed that engagement in physical activity declined because of fitness center closures, recreational activity cancellations, and safety precautions limiting community-based and outdoor activities. The pandemic disrupted participants' independence in purchasing and making preferred food selections which impacted healthy eating. Participants ate due to boredom, at nonmealtimes, and consumed unhealthy foods during the pandemic. (c) Impact on psychosocial factors; included subthemes noting reduced social interactions, social participation, and ability to pursue pastimes with family, friends, and groups they belonged to. The pandemic also triggered emotional reactions such as worry, fear, doubt, demotivation, and feelings of social isolation.

Conclusions: Our findings highlight the magnitude of consequences faced by individuals with SCI when restrictions to health care, healthy lifestyle endeavors, and social participation occurred during the COVID-19 pandemic. Findings may inform SCI health care providers on what is needed in response to future public health or natural disaster crises. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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References

Krug E, Cieza A . Strengthening health systems to provide rehabilitation services. Bull World Health Organ. 2017; 95(3):167. PMC: 5328120. DOI: 10.2471/BLT.17.191809. View

Hatchett P, Mulroy S, Eberly V, Haubert L, Requejo P . Body mass index changes over 3 years and effect of obesity on community mobility for persons with chronic spinal cord injury. J Spinal Cord Med. 2016; 39(4):421-32. PMC: 5102291. DOI: 10.1080/10790268.2015.1133482. View

Lamy E, Viegas C, Rocha A, Raquel Lucas M, Tavares S, Capela E Silva F . Changes in food behavior during the first lockdown of COVID-19 pandemic: A multi-country study about changes in eating habits, motivations, and food-related behaviors. Food Qual Prefer. 2022; 99:104559. PMC: 8830148. DOI: 10.1016/j.foodqual.2022.104559. View

Righi G, Baroni E, Righi L, Belloni L, Del Popolo G . Perception of the COVID-19 pandemic among people with spinal cord injury: an Italian survey. Spinal Cord Ser Cases. 2022; 8(1):2. PMC: 8753331. DOI: 10.1038/s41394-021-00470-x. View

Selassie A, Snipe L, Focht K, Welldaregay W . Baseline prevalence of heart diseases, hypertension, diabetes, and obesity in persons with acute traumatic spinal cord injury: potential threats in the recovery trajectory. Top Spinal Cord Inj Rehabil. 2013; 19(3):172-82. PMC: 3743967. DOI: 10.1310/sci1903-172. View

Gustafson K, Stillman M, Capron M, OConnell C, Di Giusto M, Tyagi N . COVID-19 and spinal cord injury and disease: results of an international survey as the pandemic progresses. Spinal Cord Ser Cases. 2021; 7(1):13. PMC: 7880520. DOI: 10.1038/s41394-020-00356-4. View

Czeisler M, Marynak K, Clarke K, Salah Z, Shakya I, Thierry J . Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns - United States, June 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(36):1250-1257. PMC: 7499838. DOI: 10.15585/mmwr.mm6936a4. View

Bradley E, Curry L, Devers K . Qualitative data analysis for health services research: developing taxonomy, themes, and theory. Health Serv Res. 2007; 42(4):1758-72. PMC: 1955280. DOI: 10.1111/j.1475-6773.2006.00684.x. View

LaVela S, Jones K, Heinemann A, Bartle B, Ehrlich-Jones L . Motivators, goal setting, and helpful feedback for weight management among individuals with spinal cord injury. Rehabil Psychol. 2021; 66(3):257-264. DOI: 10.1037/rep0000385. View

10.

Vives Alvarado J, Miranda-Cantellops N, Jackson S, Felix E . Access limitations and level of psychological distress during the COVID-19 pandemic in a geographically-limited sample of individuals with spinal cord injury. J Spinal Cord Med. 2021; 45(5):700-709. PMC: 9542807. DOI: 10.1080/10790268.2021.2013592. View

11.

Matsuoka M, Sumida M . The effect of the COVID-19 pandemic on the health-related quality of life in home-based patients with spinal cord injuries in Japan. J Spinal Cord Med. 2021; 45(5):760-764. PMC: 9542816. DOI: 10.1080/10790268.2021.1953313. View

12.

Wen H, DeVivo M, Mehta T, Baidwan N, Chen Y . The impact of body mass index on one-year mortality after spinal cord injury. J Spinal Cord Med. 2019; 44(4):563-571. PMC: 8288132. DOI: 10.1080/10790268.2019.1688021. View

13.

Silveira S, Winter L, Clark R, Ledoux T, Robinson-Whelen S . Baseline Dietary Intake of Individuals with Spinal Cord Injury Who Are Overweight or Obese. J Acad Nutr Diet. 2018; 119(2):301-309. DOI: 10.1016/j.jand.2018.08.153. View

14.

Elaraby A, Shahein M, Bekhet A, Perrin P, Gorgey A . The COVID-19 pandemic impacts all domains of quality of life in Egyptians with spinal cord injury: a retrospective longitudinal study. Spinal Cord. 2022; 60(8):757-762. PMC: 8881753. DOI: 10.1038/s41393-022-00775-0. View

15.

Farkas G, Pitot M, Berg A, Gater D . Nutritional status in chronic spinal cord injury: a systematic review and meta-analysis. Spinal Cord. 2018; 57(1):3-17. DOI: 10.1038/s41393-018-0218-4. View

16.

Marco-Ahullo A, Montesinos-Magraner L, Gonzalez L, Morales J, Bernabeu-Garcia J, Garcia-Masso X . Impact of COVID-19 on the self-reported physical activity of people with complete thoracic spinal cord injury full-time manual wheelchair users. J Spinal Cord Med. 2021; 45(5):755-759. PMC: 9543050. DOI: 10.1080/10790268.2020.1857490. View

17.

Hays R, Skootsky S . Patient Experience with In-Person and Telehealth Visits Before and During the COVID-19 Pandemic at a Large Integrated Health System in the United States. J Gen Intern Med. 2022; 37(4):847-852. PMC: 8725638. DOI: 10.1007/s11606-021-07196-4. View

18.

Smith Jr D, Yarar-Fisher C . Contributors to Metabolic Disease Risk Following Spinal Cord Injury. Curr Phys Med Rehabil Rep. 2017; 4(3):190-199. PMC: 5737009. DOI: 10.1007/s40141-016-0124-7. View

19.

Chen Y, Cao Y, Allen V, Richards J . Weight matters: physical and psychosocial well being of persons with spinal cord injury in relation to body mass index. Arch Phys Med Rehabil. 2011; 92(3):391-8. DOI: 10.1016/j.apmr.2010.06.030. View

20.

Duncan G, Avery A, Seto E, Tsang S . Perceived change in physical activity levels and mental health during COVID-19: Findings among adult twin pairs. PLoS One. 2020; 15(8):e0237695. PMC: 7425865. DOI: 10.1371/journal.pone.0237695. View