Jackson J, Carlson M, Rubayi S, Scott MD, Atkins MS, Blanche EI, Saunders-Newton C, Mielke S, Wolfe MK, Clark FA, et al.
Disability and rehabilitation. Date of publication 2010 Jan 1;volume 32(7):567-78.
1. Disabil Rehabil. 2010;32(7):567-78. doi: 10.3109/09638280903183829.
Qualitative study of principles pertaining to lifestyle and pressure ulcer risk
in adults with spinal cord injury.
Jackson J(1), Carlson M, Rubayi S, Scott MD, Atkins MS, Blanche EI,
Saunders-Newton C, Mielke S, Wolfe MK, Clark FA.
Author information:
(1)Division of Occupational Science & Occupational Therapy, University of
Southern California, Los Angeles, California, USA. jmjackso@usc.edu
PURPOSE: The aim of this article is to identify overarching principles that
explain how daily lifestyle considerations affect pressure ulcer development as
perceived by adults with spinal cord injury (SCI).
METHOD: Qualitative in-depth interviews over an 18-month period with 20 adults
with spinal injury and a history of pressure ulcers were conducted using
narrative and thematic analyses.
RESULTS: Eight complexly interrelated daily lifestyle principles that explain
pressure ulcer development were identified: perpetual danger; change/disruption
of routine; decay of prevention behaviors; lifestyle risk ratio;
individualization; simultaneous presence of prevention awareness and motivation;
lifestyle trade-off; and access to needed care, services and supports.
CONCLUSIONS: Principles pertaining to the relationship between in-context
lifestyle and pressure ulcer risk underscore previous quantitative findings, but
also lead to new understandings of how risk unfolds in everyday life situations.
Pressure ulcer prevention for community-dwelling adults with SCI can potentially
be enhanced by incorporating principles, such as the decay of prevention
behaviors or lifestyle trade-off, that highlight special patterns indicative of
elevated risk. The identified principles can be used to theoretically drive
future research or to guide innovative lifestyle-focused intervention approaches.
Public policies that promote short-term preventive interventions at critical
junctures throughout a person's life should be considered.
DOI: 10.3109/09638280903183829
PMID: 20136475 [Indexed for MEDLINE]
