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Project

Promoting Sleep and Health Needs of Young Adults with Spinal Cord Injury

Funder: Craig H Neilsen Foundation

Funding period
USD 190 K
Funding amount
Abstract
Unhealthy lifestyle behaviors, such as inadequate sleep, poor nutrition, and insufficient activity are common issues in the general population. Young-adults (ages 18-29) with SCI may be particularly vulnerable to unhealthy lifestyle behaviors because of their age and the physical and psychosocial sequelae related to their injury. The harmful effects of poor lifestyle habits on emotional, physical, and social functioning have been well documented. Of particular concern, these behaviors are linked to the most common and often fatal chronic disease. However, poor sleep, unhealthy diet, and sedentary behavior are all potentially modifiable behaviors. Additionally, there are a number of evidence-based therapeutic approaches to help individuals change unhealthy behavior patterns. We hypothesize that unhealthy lifestyle behaviors are common among young adults with pediatric-onset SCI and that these behaviors are associated with decreased physical and psychological well-being. Further, we hypothesize a brief evidenced-based intervention focused on increasing healthy behaviors will be feasible and received positively by young adults with SCI. The overall objective of this application is to explore the prevalence of unhealthy lifestyle behaviors (sleep, activity, and diet) among young-adults with pediatric-onset SCI, asses the health outcomes associated with unhealthy behavior, develop a brief intervention to improve unhealthy behaviors, and to obtain preliminary data on the intervention’s efficacy, feasibility, and acceptability in a small pilot study. The proposed project will accomplish these specific aims by utilizing a combination of objective and subjective evaluations tools to track the pervasiveness of unhealthy lifestyle behavior patterns among a cohort of young adults with SCI as compared to a control group of peers. Participants will complete a series of standardized self-report forms and will be monitored for a week using actigraph technology that quantifies sleep and time spent engaged in physical activity. Using motivational interviewing and therapeutic feedback techniques, a health coach will assist participants in setting healthy and realistic goals relevant to improving current behaviors. The proposed intervention in this application is simple, affordable, and easily transportable across a variety of clinical and non-clinical settings. We expect that the results of this project will show that the intervention is feasible, well liked, and associated with improvements in behavior, the efficacy of which can be evaluated in a larger, future randomized-control trial. Ultimately, we believe that by attending to the unique sleep, diet and activity needs of young-adults with pediatric-onset SCI we can potentially improve health and functioning, leading to greater well-being and better quality of life. Additionally, the reduction in health risks and complications associated with healthy behavior change has the potential to decrease long-term health care costs associated with complex medical care. (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

    Neurosciences

  • RCDC

    Nutrition

  • RCDC

    Mind and Body

  • RCDC

    Sleep Research

  • RCDC

    Spinal Cord Injury

  • RCDC

    Basic Behavioral and Social Science

  • RCDC

    Behavioral and Social Science

  • RCDC

    Clinical Research

  • RCDC

    Clinical Trials and Supportive Activities

  • RCDC

    Neurodegenerative

  • RCDC

    Pediatric

  • RCDC

    Prevention

  • HRCS RAC

    3.1 Primary prevention interventions to modify behaviours or promote well-being

  • HRCS RAC

    6.6 Psychological and behavioural

  • Health Research Areas

    Clinical

  • Broad Research Areas

    Public Health