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Project

Executive functioning and self-management of health and participation for individuals with SCI

Funder: Craig H Neilsen Foundation

Funding period
USD 200 K
Funding amount
Abstract
Management of health after SCI is complicated. Individuals must learn to monitor their bodies and consciously implement an ongoing routine of health behaviors in order to manage the physiological functioning that most people take for granted. The more severe the impairment, the more health behaviors are required and the greater the cognitive demands involved. It is not sufficient for adults aging with SCI to adhere to medical recommendations, rather they must adopt and integrate a decision making paradigm and adapt actions based on the current status of any number of factors as the body’s health, capacity and functioning, as well as factors within the environment, change over time . These types of skills, then, suggest the importance of executive functioning in self-management of health and functioning. Executive functioning is a set of cognitive skills that are essential to an individual’s ability to engage in novel and purposeful behavior, including those associated with health management and participation in the community. Included under this umbrella concept are inhibitory control, working memory, mental flexibility, planning and problem solving, and verbal fluency. However, despite the seemingly logical connection between executive functioning and self-management processes, self-management theories and programs do not recognize or address cognitive functioning and research directly connecting these constructs is lacking. This study is designed to fill this research gap by specifically examining the relationship between executive functioning, self-management behaviors, and health outcomes among individuals with SCI while exploring factors that moderate this relationship.The objective of this project is to examine the impact of executive functioning (and its various components) on the ability of individuals with traumatic spinal cord injury (SCI) to engage in self-management behaviors as well as on their health, participation and quality of life outcomes. This study has two phases and two sites to allow for a systematic and rigorous exploration of the relationships between executive functioning, self-management behaviors and health, participation and quality of life outcomes among individuals with SCI of individuals. The first phase will consist of individual assessments of 100 adults with traumatic SCI in which researchers will measure the cognitive ability, including executive functions, of the individuals and gather self-report data related to health management behaviors and health outcomes. In phase two, at least 400 adults with SCI will be administered self-assessments using mail and web-based surveys to gather data to assess the associations between executive behaviors, self-management, and outcomes such as health, participation and quality of life as well as to identify factors that moderate these relationships. These complementary approaches will determine if a relationship exists between executive functioning / executive behavior, self-management behaviors and health, participation and quality of life outcomes and identify the factors that moderate these relationships. (CHN: PSR chn:wdg)
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System

Categories
  • FOR (ANZSRC)

    1117 Public Health and Health Services

  • FOR (ANZSRC)

    1701 Psychology

  • RCDC

    Injury (total) Accidents/Adverse Effects

  • RCDC

    Injury - Trauma - (Head and Spine)

  • RCDC

    Mental Health

  • RCDC

    Neurosciences

  • RCDC

    Mind and Body

  • RCDC

    Spinal Cord Injury

  • RCDC

    Basic Behavioral and Social Science

  • RCDC

    Behavioral and Social Science

  • RCDC

    Clinical Research

  • RCDC

    Neurodegenerative

  • HRCS HC

    Mental Health

  • Health Research Areas

    Clinical

  • Broad Research Areas

    Public Health