Pilot evaluation of a coping-oriented supportive program for people with spinal cord injury during inpatient rehabilitation
Abstract
Purpose To report the feasibility and preliminary effects of a psychosocial care program entitled "coping-oriented supportive program" (COSP) for people with spinal cord injury (SCI) during inpatient rehabilitation. Methods This was a pilot test of the COSP using a convenience sample of 22 participants with SCI (11 participants per group) with pre- and post-test, comparison group design. The feasibility, acceptability, and preliminary effects of the COSP were examined. Results Nine patients with SCI in the intervention group and 11 in the comparison group who completed five or more sessions of the intervention were included in the data analysis. The COSP was feasible with high levels of recruitment, retention and protocol adherence. Good acceptability was suggested by the participants' feedback on the intervention program. The intervention group had a statistically significant greater improvement in self-efficacy (z = -1.978, p = 0.048), life enjoyment and satisfaction (z = -2.801, p = 0.005), and satisfaction of social support (z = -2.298, p = 0.022) at post-test, when compared to the comparison group. Whereas, no significant improvement was found for coping. Conclusions Our findings support the feasibility and acceptability of the COSP, and suggest that this intervention is a promising psychosocial care program to enhance people's life satisfaction and well-being as well as the satisfaction of social support after SCI. Further testing of this program with a larger-sized and…
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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 [10]
Cites
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,026 · see citing works
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
the CONSORT Group, Schulz, K. F., Altman, D. G., & Moher, D. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-18 · Cited by 13,371 · see citing works
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
(2016) · Andalas University Repository (Andalas University) · Cited by 8,424 · see citing works
You want to measure coping but your protocol’ too long: Consider the brief cope
Carver, C. S. (1997) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0401_6 · Cited by 7,361 · see citing works
Nursing Research Generating and Assessing Evidence for Nursing Practice
Timmins, F. (2013) · Nurse Education in Practice · doi:10.1016/j.nepr.2013.04.001 · Cited by 5,505 · see citing works
Stress, Appraisal, and Coping. New York, NY: Springer;
Lazarus, R. M., & Folkman, S. (1984) · Medical Entomology and Zoology · Cited by 3,473 · see citing works
A Brief Measure of Social Support: Practical and Theoretical Implications
Sarason, I. G., Sarason, B. R., Shearin, E. N., & Pierce, G. R. (1987) · Journal of Social and Personal Relationships · doi:10.1177/0265407587044007 · Cited by 1,977 · see citing works
Oxford Handbook of Chinese Psychology
Bond, M. H. (2010) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199541850.001.0001 · Cited by 661 · see citing works
Predicting posttraumatic growth in breast cancer survivors
Bellizzi, K. M., & Blank, T. O. (2006) · Health Psychology · doi:10.1037/0278-6133.25.1.47 · Cited by 416 · see citing works
Psychological morbidity and spinal cord injury: a systematic review
Craig, A. R., Tran, Y., & Middleton, J. W. (2008) · Spinal Cord · doi:10.1038/sc.2008.115 · Cited by 398 · see citing works
(1993) · PubMed · Cited by 349 · see citing works
Virtanen, M., Jokela, M., Nyberg, S. T., Madsen, I. E. H., Lallukka, T., Ahola, K., Alfredsson, L., Batty, G. D., Bjorner, J. B., Borritz, M., et al. (2015) · BMJ · doi:10.1136/bmj.g7772 · Cited by 317 · see citing works
Hicks, A. L., Ginis, K. A. M., Pelletier, C., Ditor, D. S., Foulon, B. L., & Wolfe, D. L. (2011) · Spinal Cord · doi:10.1038/sc.2011.62 · Cited by 304 · see citing works
Symptoms of major depression in people with spinal cord injury: Implications for screening
Bombardier, C. H., Richards, J. S., Krause, J. S., Tulsky, D. S., & Tate, D. G. (2004) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2004.07.348 · Cited by 280 · see citing works
STEVANOVIC, D. (2011) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2011.01735.x · Cited by 278 · see citing works
Promoting intervention fidelity
Dumas, J. E., Lynch, A. M., Laughlin, J. E., Smith, E. P., & Prinz, R. J. (2001) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(00)00272-5 · Cited by 277 · see citing works
Relationship Between Quality of Life and Self-Efficacy in Persons With Spinal Cord Injuries
Middleton, J. W., Tran, Y., & Craig, A. R. (2007) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2007.09.001 · Cited by 274 · see citing works
Kennedy, P., Duff, J., Evans, M. B., & Beedie, A. (2003) · British Journal of Clinical Psychology · doi:10.1348/014466503762842002 · Cited by 227 · see citing works
Education and change in cognitive function
Farmer, M. E., Kittner, S. J., Rae, D. S., Bartko, J. J., & Regier, D. A. (1995) · Annals of Epidemiology · doi:10.1016/1047-2797(94)00047-w · Cited by 200 · see citing works
Müller, R., Peter, C., Cieza, A., & Geyh, S. (2011) · Spinal Cord · doi:10.1038/sc.2011.116 · Cited by 190 · see citing works
Woolrich, R. A., Kennedy, P., & Tasiemski, T. (2006) · Psychology, Health & Medicine · doi:10.1080/13548500500294211 · Cited by 168 · see citing works
Contamination in trials of educational interventions
Keogh-Brown, M. R., Bachmann, M. O., Shepstone, L., Hewitt, C. E., Howe, A., Ramsay, C. R., Song, F., Miles, J. N. V., Torgerson, D. J., Miles, S., et al. (2007) · Health Technology Assessment · doi:10.3310/hta11430 · Cited by 168 · see citing works
Kennedy, P., Evans, M. B., & Sandhu, N. (2008) · Psychology Health & Medicine · doi:10.1080/13548500802001801 · Cited by 147 · see citing works
Galvin, L., & Godfrey, H. P. D. (2001) · Spinal Cord · doi:10.1038/sj.sc.3101221 · Cited by 146 · see citing works
Norrbrink Budh, C., Kowalski, J., & Lundeberg, T. (2006) · Journal of Rehabilitation Medicine · doi:10.1080/16501970500476258 · Cited by 143 · see citing works
The Reliability and Validity of Pain Interference Measures in Persons With Spinal Cord Injury
Raichle, K. A., Osborne, T. L., Jensen, M. P., & Cardenas, D. D. (2006) · Journal of Pain · doi:10.1016/j.jpain.2005.10.007 · Cited by 138 · see citing works
Psychological resources in spinal cord injury: a systematic literature review
Peter, C., Müller, R., Cieza, A., & Geyh, S. (2011) · Spinal Cord · doi:10.1038/sc.2011.125 · Cited by 134 · see citing works
Self-Efficacy and Spinal Cord Injury: Psychometric Properties of a New Scale.
Middleton, J. W., Tate, R. L., & Geraghty, T. J. (2003) · Rehabilitation Psychology · doi:10.1037/0090-5550.48.4.281 · Cited by 123 · see citing works
Matagne Heutink, B., Post, M. W. M., Bongers-Janssen, H. M. H., Dijkstra, C. A., Snoek, G. J., Spijkerman, D. C. M., & Lindeman, E. (2011) · Pain · doi:10.1016/j.pain.2011.09.029 · Cited by 115 · see citing works
King, C., & Kennedy, P. (1999) · British Journal of Clinical Psychology · doi:10.1348/014466599162629 · Cited by 102 · see citing works
The Application of Cognitive-Behavioral Therapy to Counseling Chinese
Lin, Y.-N. (2002) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2002.56.1.46 · Cited by 97 · see citing works
Intention to treat analysis versus per protocol analysis of trial data
Sedgwick, P. M. (2015) · BMJ · doi:10.1136/bmj.h681 · Cited by 94 · see citing works
Harvey, L. A., Lin, C.-W., Glinsky, J. V., & Wolf, A. D. (2008) · Spinal Cord · doi:10.1038/sc.2008.100 · Cited by 88 · see citing works
Culture and Psychotherapy: Review and Practical Guidelines
Tseng, W.-S. (1999) · Transcultural Psychiatry · doi:10.1177/136346159903600201 · Cited by 86 · see citing works
Perry, K. N., Nicholas, M. K., & Middleton, J. W. (2010) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181bff8f3 · Cited by 80 · see citing works
‘Nothing about us without us’: the emerging disability movement and advocacy in China
Zhang, C. (2017) · Disability & Society · doi:10.1080/09687599.2017.1321229 · Cited by 78 · see citing works
Self-Efficacy and Quality of Life in People with Spinal Cord Injuries in China
Hampton, N. Z. (2000) · Rehabilitation Counseling Bulletin · doi:10.1177/003435520004300202 · Cited by 67 · see citing works
Margaret McCartney: Jeremy Hunt should follow his own advice on emergency care
McCartney, M. (2015) · BMJ · doi:10.1136/bmj.h1 · Cited by 67 · see citing works
Coping with spinal cord injury: personal and marital adjustment in the Hong Kong Chinese setting
Chan, R., Lee, P. W. H., & Lieh‐Mak, F. (2000) · Spinal Cord · doi:10.1038/sj.sc.3101085 · Cited by 63 · see citing works
Cohen, D., Yoon, D. P., & Johnstone, B. (2009) · International Journal for the Psychology of Religion · doi:10.1080/10508610802711335 · Cited by 63 · see citing works
Craig, A. R., Hancock, K. M., Chang, E. M. L., & Dickson, H. G. (1998) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048679809062717 · Cited by 62 · see citing works
Kennedy, P., Ludé, P., Elfström, M. L., & Smithson, E. F. (2011) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2010.11.016 · Cited by 59 · see citing works
Lee, Y.-T., Liu, S.-I., Huang, H.-C., Sun, F.-J., Huang, C.-R., & Yeung, A. (2014) · Quality of Life Research · doi:10.1007/s11136-013-0528-0 · Cited by 58 · see citing works
Duchnick, J. J., Letsch, E. A., & Curtiss, G. (2009) · Rehabilitation Psychology · doi:10.1037/a0015571 · Cited by 52 · see citing works
Guest, R., Craig, A., Nicholson Perry, K., Tran, Y., Ephraums, C., Hales, A., Dezarnaulds, A., Crino, R., & Middleton, J. (2015) · Rehabilitation Psychology · doi:10.1037/rep0000052 · Cited by 49 · see citing works
Overall, J. E., Tonidandel, S., & Starbuck, R. R. (2009) · Social Science Research · doi:10.1016/j.ssresearch.2009.01.004 · Cited by 49 · see citing works
Matagne Heutink, B., Post, M. W. M., Luthart, P., Schuitemaker, M., Slangen, S., Sweers, J., Vlemmix, L., & Lindeman, E. (2014) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-1798 · Cited by 47 · see citing works
Does the Factor Structure of the Brief COPE Fit Different Types of Traumatic Events?
Wang, A. W.-T., Cheng, C., Chang, C., Chen, D., Chen, S.-T., Shieh, V., Lo, A., & Hsu, W. (2016) · European Journal of Psychological Assessment · doi:10.1027/1015-5759/a000321 · Cited by 37 · see citing works
Psychological intervention during spinal rehabilitation: a preliminary study
Dorstyn, D., Mathias, J. L., & Denson, L. A. (2009) · Spinal Cord · doi:10.1038/sc.2009.161 · Cited by 34 · see citing works
Rehabilitation as a fight: A narrative case study of the first year after a spinal cord injury
Angel, S., Kirkevold, M., & Pedersen, B. D. (2008) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482620802393724 · Cited by 21 · see citing works
Perry, K. N. (2014) · International Journal of Physical Medicine & Rehabilitation · doi:10.4172/2329-9096.1000226 · Cited by 17 · see citing works
Guide for Health Professionals on the Psychosocial Care of People with Spinal Cord Injury
Craig, A., & Perry, K. N. (2008) · Cited by 15 · see citing works
Chen, H., Wu, T., & Lin, C. (2015) · Journal of Clinical Nursing · doi:10.1111/jocn.12768 · Cited by 14 · see citing works
Shanmugham, K., Elliott, T. R., & Palmatier, A. D. (2004) · Neurorehabilitation · doi:10.3233/nre-2004-19309 · Cited by 12 · see citing works
Coping Effectively With Spinal Cord Injuries A Group Program Therapist Guide
Kennedy, P. (2008) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195339727.001.0001 · Cited by 12 · see citing works
A Study of Factors Affecting Moving-Forward Behavior Among People with Spinal Cord Injury
Chen, H., Lai, C.-H., & Wu, T. (2011) · Rehabilitation Nursing · doi:10.1002/j.2048-7940.2011.tb00072.x · Cited by 11 · see citing works
Understanding Depressive Symptoms Among Individuals With Spinal Cord Injuries
O’Shea, A., & Smedema, S. M. (2013) · Rehabilitation Counseling Bulletin · doi:10.1177/0034355213512210 · Cited by 7 · see citing works
Mao, T. (2010) · Zhongguo xinli weisheng zazhi · Cited by 5 · see citing works
Flagged first, then by citations
1 of the 60 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Mou, H., Lam, S. K. K., & Chien, W. T. (2023) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2023.104504 · Cited by 60 · see citing works
Self-citationLi, J., Chan, E. A., Li, M., Lam, Y. P., Wong, A. Y. L., Cheung, J. P. Y., & Li, Y. (2024) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2024.01.004 · Cited by 29 · see citing works
Self-citationAparício, M. J. G., Carrard, V., Morselli, D., Post, M. W. M., Peter, C., Jordan, X., Léger, B., Baumberger, M. E., Gmünder, H. P., Curt, A. E. P., et al. (2019) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2019.08.481 · Cited by 22 · see citing works
Li, Y., Chien, W. T., & Bressington, D. (2020) · Spinal Cord · doi:10.1038/s41393-019-0320-2 · Cited by 16 · see citing works
Self-citationLi, 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-citationZhang, L., Chen, Y., Tang, W., Wang, Q., Zou, L., & Zhou, L. (2025) · BMC Nursing · doi:10.1186/s12912-025-02835-1 · Cited by 7 · see citing works
Li, 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
Cuidados de Enfermagem em Contexto Agudo à Pessoa com Lesão Medular: Scoping review
Sousa, S. S., Martins, M. M., Andrade, M. J., Barbeiro, S. R., & Teixeira, V. T. (2022) · Revista Portuguesa de Enfermagem de Reabilitação · doi:10.33194/rper.2022.204 · Cited by 4 · see citing works
Ustrimova, K. T. A., Fait, B. R., Rème, S. E., Rasmussen, M. S., & Hauger, S. L. (2025) · Disability and Rehabilitation · doi:10.1080/09638288.2025.2530159 · Cited by 3 · see citing works
Hu, Y., Li, M., Tao, R., Hsu, C. L., Craig, A. R., Lam, C. Y., Kahraman, T., & Leung, A. Y. M. (2025) · Frontiers in Neurology · doi:10.3389/fneur.2025.1578323
Haque, N. B., Lystad, R. P., Braithwaite, J., & Mitchell, R. J. (2026) · Journal of Health Services Research & Policy · doi:10.1177/13558196261454533
Haque, N. B., Kreps, F., Lystad, R. P., Braithwaite, J., & Mitchell, R. J. (2026) · BMC Health Services Research · doi:10.1186/s12913-026-14800-y
- Authors
- Li, Y., Bressington, D., & Chien, W.-T.
- Affiliations
- Hong Kong Polytechnic University (HK)
- Corresponding author
- Li, Yan
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2017-10-10
- Volume
- 41
- Issue
- 2
- Pages
- 182-190
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2762942296
- Cited by
- 12
- References
- 60
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 2 · 2022: 1 · 2019: 2
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
- Funders
- Hong Kong Polytechnic University
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- spinal cord injury, psychosocial care, inpatient rehabilitation, self-efficacy, life satisfaction, social support, well-being, feasibility and acceptability, culturally sensitive interventions
- MeSH terms
- Psychosocial Support Systems, Adaptation, Psychological, Adult, Female, Hong Kong, Humans, Inpatients, Male, Middle Aged, Pilot Projects, Spinal Cord Injuries, Program Evaluation, Treatment Outcome, Patient Satisfaction, Self Efficacy
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