The relationship between fatigue and participation in spinal cord injury

E M Smith; B Imam; W C Miller; N D Silverberg; H A Anton; S J Forwell; A F Townson

doi:10.1038/sc.2015.149

The relationship between fatigue and participation in spinal cord injury

E M Smith
, B Imam
, W C Miller
, N D Silverberg
, H A Anton
, S J Forwell
, A F Townson

Faculty of Medicine
Graduate Program in Rehabilitation Sciences
University of British Columbia
d Rehabilitation Research Program and GF Strong Rehabilitation Research Lab
VANCOUVER
Genome British Columbia
b Rehabilitation Research Program
Vancouver Coastal Health Research Institute
c International Collaboration on Repair Discoveries

Research output: Contribution to journal › Article › peer-review

Abstract

STUDY DESIGN: Cross-sectional national survey.

OBJECTIVES: To explore the association between fatigue and community participation frequency and provide an adjusted model of the relationship including important covariates.

SETTING: Canada; Community.

METHODS: Data were obtained from the Rick Hansen Spinal Cord Injury Registry Community Survey. We used multi-variable regression analyses with hierarchical backward elimination, including variable specification, interaction assessment and confounding assessment. Variables with statistically significant correlation with the primary-dependent variable (participation) were included for modeling.

RESULTS: The crude model of association between fatigue and participation accounted for 7.2% of the variance in participation scores. The full model with all a priori selected variables accounted for 25.1% of variance in participation scores. The adjusted model, including the identified confounders (pain, depressive mood, comorbidities and level of injury), accounted for 21.1% of variance in participation scores. Depressive mood variables had the highest standardized beta coefficients, reflecting the largest contribution to this model.

CONCLUSION: Fatigue has a statistically significant negative association with participation for individuals with spinal cord injury, when controlling for pain, depressive mood, comorbidities and level of injury. Multifaceted clinical interventions and research addressing fatigue, pain and depressive symptoms are warranted.

Original language	English
Pages (from-to)	457-62
Number of pages	6
Journal	Spinal Cord
Volume	54
Issue number	6
DOIs	https://doi.org/10.1038/sc.2015.149
Publication status	Published - 1 Jun 2016
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 16 Peace, Justice and Strong Institutions

Keywords

Adult
Canada
Cross-Sectional Studies
Fatigue/epidemiology
Female
Health Surveys
Humans
Male
Middle Aged
Regression Analysis
Residence Characteristics
Spinal Cord Injuries/epidemiology

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10.1038/sc.2015.149

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title = "The relationship between fatigue and participation in spinal cord injury",

abstract = "STUDY DESIGN: Cross-sectional national survey.OBJECTIVES: To explore the association between fatigue and community participation frequency and provide an adjusted model of the relationship including important covariates.SETTING: Canada; Community.METHODS: Data were obtained from the Rick Hansen Spinal Cord Injury Registry Community Survey. We used multi-variable regression analyses with hierarchical backward elimination, including variable specification, interaction assessment and confounding assessment. Variables with statistically significant correlation with the primary-dependent variable (participation) were included for modeling.RESULTS: The crude model of association between fatigue and participation accounted for 7.2\% of the variance in participation scores. The full model with all a priori selected variables accounted for 25.1\% of variance in participation scores. The adjusted model, including the identified confounders (pain, depressive mood, comorbidities and level of injury), accounted for 21.1\% of variance in participation scores. Depressive mood variables had the highest standardized beta coefficients, reflecting the largest contribution to this model.CONCLUSION: Fatigue has a statistically significant negative association with participation for individuals with spinal cord injury, when controlling for pain, depressive mood, comorbidities and level of injury. Multifaceted clinical interventions and research addressing fatigue, pain and depressive symptoms are warranted.",

keywords = "Adult, Canada, Cross-Sectional Studies, Fatigue/epidemiology, Female, Health Surveys, Humans, Male, Middle Aged, Regression Analysis, Residence Characteristics, Spinal Cord Injuries/epidemiology",

author = "Smith, \{E M\} and B Imam and Miller, \{W C\} and Silverberg, \{N D\} and Anton, \{H A\} and Forwell, \{S J\} and Townson, \{A F\}",

note = "Publisher Copyright: {\textcopyright} 2016 International Spinal Cord Society.",

year = "2016",

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doi = "10.1038/sc.2015.149",

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journal = "Spinal Cord",

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AU - Smith, E M

AU - Imam, B

AU - Miller, W C

AU - Silverberg, N D

AU - Anton, H A

AU - Forwell, S J

AU - Townson, A F

PY - 2016/6/1

Y1 - 2016/6/1

N2 - STUDY DESIGN: Cross-sectional national survey.OBJECTIVES: To explore the association between fatigue and community participation frequency and provide an adjusted model of the relationship including important covariates.SETTING: Canada; Community.METHODS: Data were obtained from the Rick Hansen Spinal Cord Injury Registry Community Survey. We used multi-variable regression analyses with hierarchical backward elimination, including variable specification, interaction assessment and confounding assessment. Variables with statistically significant correlation with the primary-dependent variable (participation) were included for modeling.RESULTS: The crude model of association between fatigue and participation accounted for 7.2% of the variance in participation scores. The full model with all a priori selected variables accounted for 25.1% of variance in participation scores. The adjusted model, including the identified confounders (pain, depressive mood, comorbidities and level of injury), accounted for 21.1% of variance in participation scores. Depressive mood variables had the highest standardized beta coefficients, reflecting the largest contribution to this model.CONCLUSION: Fatigue has a statistically significant negative association with participation for individuals with spinal cord injury, when controlling for pain, depressive mood, comorbidities and level of injury. Multifaceted clinical interventions and research addressing fatigue, pain and depressive symptoms are warranted.

AB - STUDY DESIGN: Cross-sectional national survey.OBJECTIVES: To explore the association between fatigue and community participation frequency and provide an adjusted model of the relationship including important covariates.SETTING: Canada; Community.METHODS: Data were obtained from the Rick Hansen Spinal Cord Injury Registry Community Survey. We used multi-variable regression analyses with hierarchical backward elimination, including variable specification, interaction assessment and confounding assessment. Variables with statistically significant correlation with the primary-dependent variable (participation) were included for modeling.RESULTS: The crude model of association between fatigue and participation accounted for 7.2% of the variance in participation scores. The full model with all a priori selected variables accounted for 25.1% of variance in participation scores. The adjusted model, including the identified confounders (pain, depressive mood, comorbidities and level of injury), accounted for 21.1% of variance in participation scores. Depressive mood variables had the highest standardized beta coefficients, reflecting the largest contribution to this model.CONCLUSION: Fatigue has a statistically significant negative association with participation for individuals with spinal cord injury, when controlling for pain, depressive mood, comorbidities and level of injury. Multifaceted clinical interventions and research addressing fatigue, pain and depressive symptoms are warranted.

KW - Adult

KW - Canada

KW - Cross-Sectional Studies

KW - Fatigue/epidemiology

KW - Female

KW - Health Surveys

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KW - Male

KW - Middle Aged

KW - Regression Analysis

KW - Residence Characteristics

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DO - 10.1038/sc.2015.149

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SN - 1362-4393

VL - 54

SP - 457

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ER -

The relationship between fatigue and participation in spinal cord injury

Abstract

UN SDGs

Keywords

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