Rehabilitation Psychology最新文献

{"title":"African American Dementia Caregiver Strategies Inventory: Initial descriptive and psychometric evaluation.","authors":"Robert L Glueckauf, Nik M Lampe, Benjamin J Behers, Yuxia Wang, Joshua Paredes, W Shuford Davis, Jane Springer, Gabriel Schettini, Daniel L Bernabe, Tomeka Norton-Brown, Caroline Gordon, Gina Shetty, Daniel Rubin, Giulia Vasquez, Sarai Jean-Pierre, Floyd B Willis, Alexandra Xan C H Nowakowski","doi":"10.1037/rep0000684","DOIUrl":"10.1037/rep0000684","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Primary objectives of the study were: (a) to identify the most frequently used categories of cognitive-behavioral intervention (CBI) strategies used by distressed African American caregivers (CG) of persons living with dementia to address self-reported problems and; (b) to conduct an initial evaluation of the psychometric properties of the African American Dementia Caregiver Strategies Inventory (DCSI-A) in categorizing CBI strategies.</p><p><strong>Research method/design: </strong>Development of the DCSI-A was divided into four steps: (a) generating a large item pool of CG intervention strategies from two parent CBI randomized controlled trials; (b) creating a preliminary version of the DCSI-A; (c) generating subsequent versions with larger number of strategy categories based on consensus agreement; and (d) finalizing the 23-item DCSI-A with coding rules, definitions, and examples. Two analytic approaches were used: (a) descriptive statistics to examine the frequency and percentage of strategy category endorsements; and (b) reliability analyses (percent agreement and kappa) to assess overall coder agreement and coder drift.</p><p><strong>Results: </strong>The most frequently used CG strategy categories were as follows: (a) health-related intervention strategies; (b) strategies to facilitate socialization and community activities; (c) assertiveness techniques; (d) relaxation strategies; and (e) effective thinking strategies. Average coder agreement was high (93.31%, κ = .92). Considerable stability across coders was shown across assessment intervals: 94.56% average agreement (κ = .94) for the first interval and 92.07% agreement (κ = .91) for the second interval.</p><p><strong>Conclusions/implications: </strong>Findings of this investigation showed strong initial support for the reliability of the DCSI-A and its capacity to capture diverse components of CBI for African American CGs of persons living with dementia. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mediating role of chronic pain acceptance on the relationship between functional difficulties and depression in women with Chiari malformation.","authors":"Emily P Rabinowitz, Karlee S Patrick, Grant H Ripley, Michael E Levin, Richard Labuda, Philip A Allen, Joseph W Ditre, Douglas L Delahanty","doi":"10.1037/rep0000685","DOIUrl":"10.1037/rep0000685","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Women with Chiari malformation (CM), a congenital physical disability associated with significant chronic pain, frequently experience functional difficulties and depression. This study examined whether chronic pain acceptance, defined as the ability to acknowledge unpleasant sensations without attempting to alter or avoid them, mediates the association between functional difficulties and depression symptoms.</p><p><strong>Research method/design: </strong>This study included a baseline and 1-month follow-up assessment of 100 women with CM. At baseline, participants completed the interference subscale of the Brief Pain Inventory, the Instrumental Activities of Daily Living scale, and the Chronic Pain Acceptance Questionnaire; at 1-month follow-up, participants completed the depression subscale of the 21-item version of the Depression, Anxiety, and Stress Scale. Mediation analyses were conducted using maximum likelihood estimation with missing values.</p><p><strong>Results: </strong>Chronic pain acceptance fully mediated the relationship between Instrumental Activities of Daily Living scores and depression symptoms, accounting for 76% of the total effect (<i>b</i> = 0.87, <i>SE</i> = 0.28, <i>p</i> = .002). Chronic pain acceptance partially mediated the relationship between pain interference and depression symptoms, accounting for 29% of the total effect (<i>b</i> = 0.71, <i>SE</i> = 0.30, <i>p</i> = .02).</p><p><strong>Conclusion/implications: </strong>Chronic pain acceptance may be one possible modifiable mechanism linking functional difficulties and pain interference to depression symptoms among women with CM, suggesting that interventions targeting chronic pain acceptance may reduce depression risk in this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brain injury identification cards: Current owner impressions and preliminary acceptability of a novel technology to improve safety, communication, and advocacy after injury.","authors":"Sarah M Bannon, Holly Carrington, Natalia Bernal Fernández, Kristen Dams-O'Connor, Eric Watson","doi":"10.1037/rep0000678","DOIUrl":"https://doi.org/10.1037/rep0000678","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Brain injuries often have lifelong consequences that include long-term impairments and disability. Policy-, community-, and society-level interventions are a critical path to survivor impact. A recent qualitative study highlighted the potential of a new tool, Brain Injury Identification Cards, for enhancing survivor safety, self-advocacy, and well-being. The primary purpose of our study was to conduct a quantitative assessment of perceived benefits and self-reported credibility, expectancy, and acceptability to inform future trials.</p><p><strong>Research method/design: </strong>In this cross-sectional study, we assessed the impressions of current owners (<i>N</i> = 99) of Brain Injury Identification Cards. We administered online self-report questionnaires and characterized perceived experiences, acceptability, and utility using descriptive statistics.</p><p><strong>Results: </strong>Most (>67%) had favorable impressions about their own use of the Brain Injury Identification Cards, although approximately 19% perceived the cards as stigmatizing or embarrassing, and 22% said the cards were not helpful for their stress and anxiety surrounding traumatic brain injury symptoms. Overall, participants rated treatment credibility and expectancy as high, and all respondents who completed survey items (<i>n</i> = 96) indicated that they would recommend cards to others with traumatic brain injury and other medical conditions.</p><p><strong>Conclusions/implications: </strong>Our findings highlight the perceived benefits of using a Brain Injury Identification Card among established Card owners. Future studies in representative samples of survivors assessing user experiences before and after the receipt of Brain Injury Identification Cards are needed to assess potential intervention effects. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmet needs poststroke and associated factors: A systematic review and meta-analysis.","authors":"Kennice Tan, Tharshanah Thayabaranathan, Tara Purvis, Yiran Wang, Monique F Kilkenny, Mark R Nelson, Dominique A Cadilhac, Lauren M Sanders, Sarah J Wallace, Rosanne Freak-Poli, Jan Cameron, Muideen T Olaiya","doi":"10.1037/rep0000675","DOIUrl":"10.1037/rep0000675","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Data on commonly reported unmet needs poststroke are crucial to inform interventions and ongoing care of survivors. We aimed to synthesize contemporary data on the prevalence of unmet needs among survivors in the community, and associated factors.</p><p><strong>Research method/design: </strong>We searched MEDLINE, Embase, and CINAHL for articles with prevalence estimates on unmet needs poststroke. Only articles comprising data collected from 2013 to June 2025 from survivors living in the community or their proxies were included. A random-effects model was used to meta-analyze prevalence, whereas associated factors were summarized.</p><p><strong>Results: </strong>Of 1,233 articles screened, 19 were eligible for inclusion (<i>n</i> = 8,138 participants), including 13/19 with data on associated factors, and one from a low-to-middle-income country. Overall, 68 unique unmet needs were identified across six domains: body function (<i>n</i> = 13), cognition/mental health (<i>n</i> = 10), social/community integration (n = 7), activity/participation (<i>n</i> = 14), service/information (<i>n</i> = 11), and recovery (<i>n</i> = 13). The pooled prevalence of reporting ≥1 unmet need was 65%. Unmet needs with the greatest pooled prevalence estimates were those related to education/information on stroke (60%), fatigue (49%), concentration (46%), headache (37%), anxiety/depression (36%), and diet (36%). Factors that were commonly associated with reported unmet needs include those related to social determinants of health (most commonly age and sex), stroke type/severity, poststroke care (most commonly length of hospital stay and poststroke services), multimorbidity, and health and well-being.</p><p><strong>Conclusion/implications: </strong>We provide contemporary data on unmet needs among stroke survivors in the community, and associated factors. Our findings could inform more tailored support, particularly psychological support, for survivors in the community. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyadic adjustment for younger individuals following stroke: A cross-sectional study.","authors":"Jordan Kwamanakweenda, Masaru Teramoto, Alexandra L Terrill","doi":"10.1037/rep0000676","DOIUrl":"10.1037/rep0000676","url":null,"abstract":"<p><strong>Objective: </strong>Stroke recovery and its associated outcomes have an impact on both persons with stroke and their care partners. The current study examined differences between younger and older couples coping with stroke, as well as focusing on how depression and satisfaction outcomes for one member of the dyad impacted the other.</p><p><strong>Design: </strong>This cross-sectional secondary analysis examines baseline data from a pilot study involving 34 couples coping with stroke, originally part of an 8-week positive psychology intervention designed to foster resilient romantic relationships. Participants completed self-reported ratings of depressive symptoms (Patient Health Questionnaire) and satisfaction with social roles (Patient-Reported Outcomes Measurement Information System Satisfaction with Social Roles-Short-Form 7a v1).</p><p><strong>Results: </strong>Younger persons with stroke were more likely to be unemployed, have children under 18, and report lower education levels, whereas older participants were more often male and had longer relationships. Significant inverse correlations were found between depressive symptoms (Patient Health Questionnaire-9) and satisfaction with social roles (Patient-Reported Outcomes Measurement Information System Satisfaction with Social Roles), particularly among younger dyads. Actor-partner interdependence models revealed that younger stroke survivors' social role satisfaction was inversely related to both their own and their care partners' depressive symptoms, whereas in older dyads, only care partners' outcomes showed significant negative associations.</p><p><strong>Conclusions: </strong>This study highlights differences between younger and older couples coping with stroke, revealing that younger dyads exhibit more influence among one another as well as worse recovery outcomes. These findings underscore factors that can impact long-term recovery and life participation for both persons with stroke and their care partners. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13240646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Setbacks to strengths: A scoping review of positive psychology constructs among veterans and service members with traumatic brain injury.","authors":"Bani Malhotra, Christina DiBlasio, Dilianna Padrón Bartlett, Paul B Perrin, Robin Hanks, Stephanie Agtarap, John W Cyrus, Daniel W Klyce","doi":"10.1037/rep0000681","DOIUrl":"10.1037/rep0000681","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Traumatic brain injury (TBI) is a major health concern for military personnel, and recovery and rehabilitation have historically focused on pathology and deficits. Recent efforts have shifted toward strength-based approaches, with a focus on positive psychology factors in TBI recovery. This study conducted a scoping review of the current research on positive psychology constructs (PPCs) among military personnel with TBI.</p><p><strong>Research method/design: </strong>Using Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines, we identified English peer-reviewed studies published from 2000 to 2024 across four databases (MEDLINE, Embase, APA PsycInfo, and Web of Science) using search terms representing PPCs investigated among adults with military background and TBI. After abstract and full-text screening of 942 studies, data were extracted from 55 studies that met the inclusion criteria for this scoping review.</p><p><strong>Results: </strong>The majority of studies represent veterans (<i>n</i> = 42) who sustained a mild TBI more than 12 months before the study. Social support (<i>n</i> = 18), resilience (<i>n</i> = 14), and quality of life (<i>n</i> = 14) emerged as the most studied PPCs. Studies were primarily based in the United States (<i>n</i> = 49) with positive constructs examined through quantitative, cross-sectional methods (<i>n</i> = 32) using diverse self-report measures. Positive psychology intervention studies among military personnel are sparse (<i>n</i> = 3).</p><p><strong>Conclusions/implications: </strong>An ecological framework situates PPCs across individual, social, and environmental domains, contextualizing multiple spheres of influence on recovery from TBI. Future rehabilitation research would benefit from intentional study design planning with coherent theoretical frameworks that clarify the relationships between PPCs, outcomes, and contextual factors. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13613196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of and coping with racial and disability discrimination.","authors":"Marisa A Krauter, Kathleen R Bogart","doi":"10.1037/rep0000668","DOIUrl":"10.1037/rep0000668","url":null,"abstract":"<p><p>People with disabilities experience increased amounts of ableism, and people of color (POC) experience increased amounts of racism. However, little research has observed the intersection of racism and ableism for POC with disabilities.</p><p><strong>Purpose/objective: </strong>The purpose of this study was to determine differences in perceived discrimination, discrimination attributions, and discrimination coping between those with varying levels of disability observability who are and are not POC.</p><p><strong>Research method/design: </strong>One-hundred and three adults with disabilities completed a cross-sectional online questionnaire measuring their discrimination frequency, attributions, and coping. Multiple regressions were used to analyze differences between POC and non-POC and whether disability observability was a moderator.</p><p><strong>Results: </strong>Experiences of discrimination due to disability were reported by 62% of participants. Those with multiple disabilities were more likely to perceive discrimination to occur and to attribute experiences of discrimination to ableism. Regarding coping with racial discrimination, being a person of color predicted lower feelings of worth as a member of their racial group, perceived negative judgements from others of their racial group, and higher importance of their racial group membership to their self-concept. As observability of a disability increased, feelings of worth regarding their racial group increased for non-POC but decreased for POC.</p><p><strong>Conclusion/implications: </strong>Results show differences in coping with discrimination for those with disabilities who are and are not POC. Discrimination perceptions and coping seem to vary based on how closely disabled peoples' identities fit with prototypical constructions of disability. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining state and trait resilience in individuals with spinal cord injury and chronic pain: A daily and longitudinal analysis.","authors":"Duygu Kuzu, Libak Abou, Daniel Whibley, Anne Arewasikporn, Dawn M Ehde, Noelle E Carlozzi, Anna L Kratz","doi":"10.1037/rep0000669","DOIUrl":"10.1037/rep0000669","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study examined how resilience, conceptualized at both the within-person (state-like) and between-person (trait-like) levels, relates to psychological and social adjustment among individuals with spinal cord injury and chronic pain.</p><p><strong>Research method/design: </strong>A prospective observational study combining ecological momentary assessment and traditional survey methods was conducted over two time points (baseline and a 6-month follow-up). Participants reported on resilience, pain intensity, and psychosocial outcomes using validated scales. Linear mixed-effects models were used to examine daily (state-like) resilience in relation to end-of-day positive affect, well-being, social participation, depressive symptoms, and anxiety while controlling for daily pain intensity and between-person resilience. Multiple regression models tested whether baseline (trait-like) resilience predicted psychosocial outcomes 6 months later, adjusting for baseline levels of each outcome, pain intensity, and relevant covariates.</p><p><strong>Results: </strong>Higher levels of both daily state-like and trait-like resilience were significantly associated with better same-day psychological and social outcomes. These associations remained significant after controlling for pain intensity and demographic/injury-related covariates. In contrast, trait-like resilience at baseline only predicted social participation at 6 months and was not a significant predictor of long-term emotional well-being, anxiety, or depression.</p><p><strong>Conclusion/implications: </strong>Our findings support the conceptualization of resilience as both an adaptable, immediate resource and a stable trait. Daily resilience may represent an important intervention target to improve real-time management, whereas trait resilience may have a greater impact on long-term social functioning. This study highlights the potential for developing personalized interventions that promote both state-like and trait-like resilience. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scoping review of perceived injustice in mixed trauma and spinal cord injury/disorder samples.","authors":"Kimberley R Monden, Susan J Knight, Quinn D Kellerman, Nicole Theis-Mahon, Aaron Bae, Khalid Abdalla, Jenna Javorina, Sean Hushagen, Scott D McDonald, Michael Tschida, Tiffany Elliott, Angela Hanks Philippus","doi":"10.1037/rep0000664","DOIUrl":"10.1037/rep0000664","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Perceived injustice, the appraisal of injury-related losses as severe, permanent, and unfairly caused by others, is a significant predictor of poor outcomes in musculoskeletal and pain conditions. This scoping review investigates the landscape of perceived injustice research in mixed traumatic injury and spinal cord injury/disorder populations.</p><p><strong>Research method/design: </strong>This scoping review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) reporting guidelines. We reviewed 41 studies published between 2009 and 2024, including quantitative, qualitative, and mixed-methods research.</p><p><strong>Results: </strong>The majority of studies were cross-sectional (<i>n</i> = 27) and conducted in North America (<i>n</i> = 30). Across the reviewed studies, higher perceived injustice, as measured by the Injustice Experience Questionnaire, was consistently reported to be associated with adverse psychosocial and functional outcomes. Specifically, multiple studies reported perceived injustice was a strong predictor of depression, posttraumatic stress disorder, anxiety, and anger, even after controlling for pain and demographic variables. Findings also frequently linked it to greater functional impairment, poorer treatment response, and significant barriers to return to work. Anger and stigma were identified as key mediators in the relationship between perceived injustice and adverse outcomes.</p><p><strong>Conclusions/implications: </strong>Despite robust evidence that perceived injustice could be an intervention target, a critical gap exists in the literature: No studies were found that evaluated interventions designed to target and reduce perceived injustice in these populations. This review underscores the urgent need for the development and testing of targeted interventions to address perceived injustice and improve recovery trajectories for individuals with spinal cord injury and mixed traumatic injuries. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators of adapted mountain biking participation for people living with a spinal cord injury: Exploring participants' lived experiences.","authors":"Sarah Wildish, Nick Wattie, Meghann Lloyd","doi":"10.1037/rep0000680","DOIUrl":"https://doi.org/10.1037/rep0000680","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study's aim was to describe adapted mountain biking facilitators based on the lived experiences of people with a spinal cord injury.</p><p><strong>Method/design: </strong>Participants in this study live with a spinal cord injury and actively participate in adapted mountain biking. Each participant was interviewed online in a one-on-one semistructured format. Transcribed interviews were coded and analyzed using NVivo software, following descriptive phenomenology's Colaizzi method.</p><p><strong>Results: </strong>Ten participants (9 male, 1 female) described their experiences with facilitators of adapted mountain biking, which were conceptualized into the following themes: <i>motivation, human connection, personal facilitators, organizational facilitators,</i> and <i>accessible physical environments</i>.</p><p><strong>Conclusions/implications: </strong>Although distinct themes arose from the data, the facilitators that participants described, such as accessible trail infrastructure, access to resources, and being a part of social groups for adapted mountain biking, operate together to help make adapted mountain biking participation more accessible to people with a spinal cord injury. Despite the presence of these facilitators described by participants, there are still existing sociocultural barriers and not enough efforts to enable participation, which limits the inclusivity of the sport for current and future adapted mountain bikers. Collaboration with policymakers, park management departments, and other stakeholders is essential for implementing the recommended facilitators into practice. Furthermore, there is a need for additional research to understand how facilitators affect individuals on a broader and more in-depth scale, to help grow participation in adapted mountain biking for more people living with a spinal cord injury. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}