Effects of a coping-oriented supportive programme for people with spinal cord injury during inpatient rehabilitation: a quasi-experimental study
Abstract
Study design Parallel-group, quasi-experimental study. Objectives To evaluate the effectiveness of a coping-oriented supportive programme (COSP) for people with spinal cord injury (SCI) over a 12-week follow-up. Setting SCI wards in two rehabilitation hospitals of Shaanxi, China. Methods Ninety-nine participants (mean age = 41, 88% males and 74% paraplegia) joined the COSP intervention (n = 50) or attention control (n = 49) group. The COSP intervention was focussed on the facilitation of coping skills and consisted of 8 weekly sessions, whereas the attentional control group was provided with 8 weekly didactic education sessions. Effects of the COSP intervention were determined by primary outcomes (coping and self-efficacy) and secondary outcomes (depression, anxiety, social support, life satisfaction and pain). Data were collected at pre- and post-intervention, as well as 4- and 12-week follow-up. Results Intention to treat analysis indicated statistically significant effects (with moderate to large effect sizes, all P-values Conclusion The COSP intervention resulted in medium-term psychosocial benefits for people with SCI and has potential for integration into routine inpatient rehabilitation practice.
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Two main waves of cognitive behavioral therapies and coping-oriented strategies have been utilized in prior research on individuals with SCI to alleviate depression and anxiety.
“Two main waves of cognitive behavioral therapies and coping-oriented strategies have been utilized in prior research on individuals with SCI to alleviate depression and anxiety [9-11].”
From Mindfulness- and acceptance-based interventions for people with spinal cord injury: a scoping review. (2025) · cites this paper as [9]
Cites
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Self-citationLi, Y., Bressington, D., & Chien, W.-T. (2019) · Disability and Rehabilitation · doi:10.1080/09638288.2017.1386238 · Cited by 12 · see citing works
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Li, Y., Wong, A., Chung, W. M., Li, M., Molasiotis, A., Bressington, D., Ma, C. Z.-H., Kor, P. P. K., & Yeung, W. F. (2023) · PLOS ONE · doi:10.1371/journal.pone.0282846 · Cited by 12 · see citing works
Self-citationLi, M., Lo, W. Y., Hu, Y., Wang, S., Sun, T.-C., Temesgen, W. A., He, M., & Li, Y. (2025) · Spinal Cord · doi:10.1038/s41393-025-01068-y · Cited by 5 · see citing works
Self-citationMaras, D., Balfour, L., Lefebvre, M., & Tasca, G. (2022) · Research in Psychotherapy: Psychopathology, Process and Outcome · doi:10.4081/ripppo.2022.634 · Cited by 3 · see citing works
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- Authors
- Li, Y., Chien, W. T., & Bressington, D.
- Affiliations
- Hong Kong Polytechnic University (HK)
- Chinese University of Hong Kong (HK)
- Corresponding author
- Li, Yan
- Venue
- Spinal Cord
- Published
- 2019-06-28
- Volume
- 58
- Issue
- 1
- Pages
- 58-69
- ISSN
- 1362-4393 (ISSN-L)
- 1476-5624
- OpenAlex
- W2905124898
- Cited by
- 16
- References
- 6
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 2 · 2022: 4 · 2021: 2 · 2019: 1
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Update notices
- correction (2020-10-09)
- Open access
- closed
- Locations
- Spinal Cord (publishedVersion)
- PubMed (publishedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Hong Kong Polytechnic University
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- spinal cord injury, coping strategies, self-efficacy, maladaptive coping, depression, anxiety, social support, life satisfaction, pain, inpatient rehabilitation, psychosocial interventions, paraplegia
- MeSH terms
- Neurological Rehabilitation, Adaptation, Psychological, Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Education as Topic, Personal Satisfaction, Psychotherapy, Social Support, Spinal Cord Injuries, Outcome Assessment, Health Care
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