Understanding Health Outcomes

Physical Secondary Conditions in People With Spinal Cord Injury

Rie Suzuki, Gloria L. Krahn, Michael J. McCarthy, Elizabeth Adams

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Objective: To examine the association of predisposing characteristics and enabling characteristics with physical secondary conditions through health practices and health care use in people with spinal cord injury (SCI). Design: Cross-sectional survey mailed to adults in portions of the northeastern and northwestern United States. Participants: Two hundred seventy adults with SCI recruited through durable medical equipment supply companies. Main Outcome Measures: Self-reported health practices, health care use, and physical secondary conditions. Results: In the Andersen behavioral model, F increment tests supported findings that predisposing characteristics accounted for 12% of variance in secondary conditions, enabling characteristics accounted for 16%, and health practices and health care use accounted for another 13%. Path analysis revealed that health care use mediated self-efficacy and interpersonal support. Conclusions: Predisposing characteristics including self-efficacy, enabling characteristics, and health care use are associated with physical secondary conditions in complex ways. More research is needed on measures of health practices and their relation to secondary conditions.

Original languageEnglish (US)
Pages (from-to)338-350
Number of pages13
JournalRehabilitation Psychology
Volume52
Issue number3
DOIs
StatePublished - Aug 2007

Fingerprint

Spinal Cord Injuries
Delivery of Health Care
Health
Self Efficacy
Durable Medical Equipment
Northwestern United States
New England
Cross-Sectional Studies
Outcome Assessment (Health Care)
Equipment and Supplies
Research

Keywords

  • environmental context
  • health care use
  • secondary conditions
  • self-efficacy
  • spinal cord injuries

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Health Professions(all)
  • Clinical Psychology

Cite this

Understanding Health Outcomes : Physical Secondary Conditions in People With Spinal Cord Injury. / Suzuki, Rie; Krahn, Gloria L.; McCarthy, Michael J.; Adams, Elizabeth.

In: Rehabilitation Psychology, Vol. 52, No. 3, 08.2007, p. 338-350.

Research output: Contribution to journalArticle

Suzuki, Rie ; Krahn, Gloria L. ; McCarthy, Michael J. ; Adams, Elizabeth. / Understanding Health Outcomes : Physical Secondary Conditions in People With Spinal Cord Injury. In: Rehabilitation Psychology. 2007 ; Vol. 52, No. 3. pp. 338-350.
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