264493 Tertiary prevention and spinal cord injury: Implications for future research

Sunday, October 28, 2012

Jennifer Piatt, PhD, CTRS , School of Health, Physical Education, and Recreation, Indiana University, Bloomington, IN
Jessie Bennett, MS, CTRS , Recreation, Park, and Tourism Administration, Indiana University, Bloomington, IN
Melissa Zahl, PhD, CTRS , School of Kinesiology and Recreation, Illinois State University, Normal, IL
Prior research examining community integration and adults with spinal cord injury (SCI) has focused on quality of life, psychosocial benefits, and social integration. This research has shown that a decline in community reintegration is linked to physical independence, mobility, social integration, occupation (Sekaran, et al, 2010), and health status (Anderson, Krajci, & Vogel, 2003). Few studies have examined how community health addresses tertiary prevention with SCI. With the decrease in acute hospital days and inpatient rehabilitation stays from 1973 to 2005 (National Spinal Cord Injury Statistical Center) there is a greater demand for outpatient services that address secondary health conditions (i.e., urinary tract infection, pressure sores, pain, and cardiovascular disease) associated with SCI. In a research study completed by Boschen, Tonack, & Gargaro (2003) subjects stated that although they appreciated and understood the importance of the rehabilitation process to a healthy lifestyle, the current health care system is not relevant to the needs of the individual with SCI. Furthermore, van Loo, et al. (2010) demonstrated that individuals with SCI who experienced secondary health conditions associated with the SCI believed that over 34.1% were preventable if the correct outpatient treatment was in place. This presentation will provide a critical analysis of the current literature on SCI and community integration, with a focus on how public health services, including recreational therapy, can promote positive clinical outcomes, including tertiary prevention. Research questions will be identified for future studies in this area of health disparity.

Learning Areas:
Assessment of individual and community needs for health education
Chronic disease management and prevention
Diversity and culture
Other professions or practice related to public health
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Articluate current outpatient services that address tertiary prevention among individuals with spinal cord injury. 2. Describe 3 clinical outcomes that can be measured in relationship to spinal cord injury and public health. 3. Identify areas where research is currently lacking in relationship to public health and spinal cord injury.

Keywords: Community Research, Vulnerable Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Jennifer Piatt, Assistant Professor at Indiana University, Bloomington, has been a practicing recreational therapist for over 16 years working in acute care, rehabilitation, and outpatient services. She has provided direct patient care for spinal cord injury, mental illness, developmental disabilities, seniors, and youth with physical disabilities. Her current research is spinal cord injury and community integration (particularly in rural areas). She has over 20 publications and has presented at state, national and international conferences.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.