NIDILRR Program Database Detailed Record.
Project Type/Research Category: Rehabilitation Research and Training Centers (RRTCs).
Funding Priority: Health and Function.
For more information on NIDILRR's funding priorities, read about NIDILRR's Core Areas of Research in the Long Range Plan at
https://acl.gov/sites/default/files/about-acl/2019-01/NIDILRR%20LRP-2018-2023-Final.pdf.
Rehabilitation Research and Training Center on Secondary Conditions in Individuals with SCI.
This project has completed its research activities and is now closed. Check REHABDATA for documents.Medical University of South Carolina.
College of Health Professions
Department of Health Science and Research.
151-B Rutledge Avenue
MSC 962.
Charleston, SC 29425.
E-mail: roperde@musc.edu.
URL(s): http://www.longevityafterinjury.comhttp://academicdepartments.musc.edu/chp/longevity_after_injury/funded_projects/rrtc/www.helpafterdisability.comhttp://www.facebook.com/longevityafterinjuryprojecthttp://www.linkedin.com/groups/MUSC-Longevity-after-Injury-Project-5043886?trk=myg_ugrp_ovr.
Principal Investigator: James S. Krause, PhD; Lee L. Saunders, PhD.
PI Phone: 843/792-1337.
Public Contact: D'Andra Roper-Shine.
Public Contact Phone: 843/792-3117.
Fax: 843/792-5649.
Project Number: 90RT5003 (formerly H133B090005).
About grant numbers.Start Date: October 1, 2009.
Length: 60 months.
NIDILRR Officer: Pimjai Sudsawad, ScD.
NIDILRR Funding: FY 09 $794,504; FY 10 $797,646; FY 11 $791,037; FY 12 $794,494; FY 13 $786,639; FY 14 $0 (No-cost extension through 9/30/2015); FY 15 $0 (No-cost extension through 9/29/2016); FY 16 $0 (No-cost extension through 5/31/2017).
Abstract: The RRTC combines an integrated program of research to identify risk and protective factors for secondary conditions in spinal cord injury (SCI) with a systematic program of education, training, dissemination, and technical assistance. This program allows new knowledge to be directly translated into prevention strategies at the policy, rehabilitative, clinical, community, and individual consumer levels. The key to prevention of secondary conditions is to first identify to whom they occur and why, then to widely educate and disseminate new knowledge to professionals and consumers in a format they can directly use in the prevention of secondary conditions. Through three research studies, integrating two theoretical models of risk of secondary conditions, the project identifies the risk and protective factors that put the greatest number of individuals at risk for the greatest number of conditions. Study 1 is a longitudinal follow-up of 2,548 participants who completed an extensive assessment of risk and protective factors for secondary conditions that include adverse events (e.g., pressure ulcers, hospitalizations), chronic conditions (e.g., pain, fatigue), and psychosocial conditions (e.g., depressive disorder). A new cohort is also being added to the study, comprised of those who are more recently injured (no less than 500 participants). The study examines the stability of secondary conditions and identifies psychological, environmental, and behavioral predictors of future episodes of secondary conditions. Study 2 identifies the association of access to health services, including initial rehabilitation services (i.e., inpatient, outpatient only, no rehabilitation), with presence of secondary conditions. By using two population-based cohorts, with an anticipated 1,500 responses, this study identifies the role of access to services among those with the fewest resources as they are at greatest risk for secondary conditions. Study 3 utilizes a 17-year follow-up among approximately 150 participants from Rancho Los Amigos National Rehabilitation Center, along with approximately 200 more recently injured individuals, to investigate the stability of metabolic syndrome over time and its relationship with risk and protective factors, and with secondary conditions including pain, fatigue, and a depressive disorder.
Descriptors: Prevention, Research and training centers, Risk Assessment, Secondary conditions, Spinal cord injuries.
Documents in REHABDATA: A latent structural equation model of risk behaviors and pressure ulcer outcomes among people with spinal cord injury.A latent structural equation model of protective behaviors and pressure ulcer outcomes among people living with spinal cord injury.A longitudinal study of depression in survivors of spinal cord injury.A longitudinal study of self-reported spasticity among individuals with chronic spinal cord injury.Accelerated death rate in population-based cohort of persons with traumatic brain injury.Allostatic load and spinal cord injury: Review of existing research and preliminary data.Assistive devices and future fall-related injuries among ambulatory adults with spinal cord injury: A prospective cohort study.Association of health services with secondary conditions: Use of a population -based cohort of persons with SCI in South Carolina.Association of race, socioeconomic status, and health care access with pressure ulcers after spinal cord injury.Association of spasticity and life satisfaction after spinal cord injury.Associations between doing planned exercise and probable major depressive disorder in individuals following spinal cord injury.Baseline prevalence of heart diseases, hypertension, diabetes, and obesity in persons with acute traumatic spinal cord injury: Potential threats in the recovery trajectory.Behavioral factors and unintentional injuries after spinal cord injury.Cardiometabolic changes and disparities among persons with spinal cord injury: A 17-year cohort study.Center for the prevention of secondary conditions after spinal cord injury: Background and overview of coordinated activities.Changes in hospitalization, physician visits, and self-reported fitness after spinal cord injury: A cross-sequential analysis of age, years since injury, and age at injury onset.Chronic health conditions among people with spinal cord injury (SCI).Comparison of rates of hospitalization and emergency department visits using self-report South Carolina administrative billing data among a population-based cohort with spinal cord injury.Comparison of rates of hospitalization and emergency room visits among people with spinal cord injury.Concentration of costs among high utilizers of health care services over the first 10 years after spinal cord injury rehabilitation: A population-based study.Coordinated program of research: Theoretical risk model, literature, and shared methodology.Cross-talk between IGF-1 and estrogen receptors attenuates intracellular changes in ventral spinal cord 4.1 motoneuron cells due to interferon-gamma exposure.Current trends in venous thromboembolism among persons hospitalized with acute traumatic spinal cord injury: Does early access to rehabilitation matter?.Determinants of in-hospital death after acute spinal cord injury: A population-based study.Do risk factors for mortality after spinal cord injury parallel those from the general United States population?.Emergency room visits and hospitalizations among participants with spinal cord injury.Employment status, hours working, and gainful earnings after spinal cord injury: relationship with pain, prescription medications for pain, and nonprescription opioid use.Environmental barriers and subjective health among people with chronic spinal cord injury: A cohort study.Epidemiology of pediatric traumatic spinal cord injury in a population-based cohort, 1998-2012.Epidemiology of traumatic spinal cord injury among persons older than 21 years: A population-based study in South Carolina, 1998-2012.Gainful employment and risk of mortality after spinal cord injury: Effects beyond that of demographic, injury and socioeconomic factors.Health, employment and longevity project newsletter: Summer/Fall 2019.Health, employment and longevity project: Aging and participation after SCI study: News and updates.Health, employment and longevity project, Summer 2020.Health, employment, and longevity project news and updates, Spring 2014.Health, secondary conditions, and life expectancy after spinal cord injury.Income and risk of mortality after spinal cord injury.Injury perceptions, hope for recovery, and psychological status after spinal cord injury.Latent structural analysis of health outcomes in people living with spinal cord injury.Life expectancy estimates in the life care plan: Accounting for economic factors.Lifetime prevalence of chronic health conditions among persons with spinal cord injury.Longevity after injury project news and updates, Fall 2013.Longevity after injury project news and updates, Spring 2013.Longevity after injury project news and updates, Fall 2012.Longevity after injury project news and updates, Spring 2015.Longevity after injury project news and updates, Fall 2014.Mediating effects of pain interference on the relationships between pain intensity and probable major depression among participants with spinal cord injury.Metabolic syndrome and spinal cord injury: A 17-year longitudinal study.Natural course of life changes after spinal cord injury: A 35-year longitudinal study.Oxidative stress, DNA damage, and the telomeric complex as therapeutic targets in acute neurodegeneration.Pain and fatigue as mediators of the relationship between mobility aid usage and depressive symptomatology in ambulatory individuals with SCI.Pain and spinal cord injury.Pain medication misuse among participants with spinal cord injury.Posttraumatic stress disorder after spinal cord injury.Prediction of postinjury employment and percentage of time worked after spinal cord injury.Preinjury cigarette smoking among those with traumatic spinal cord injury.Prevalence of chronic health conditions and hospital utilization in adults with spinal cord injury: an analysis of self-report and South Carolina administrative billing data.Prevalence of chronic health conditions and hospital utilization in adults with spinal cord injury: An analysis of self-report and South Carolina administrative billing data.Prevalence of cigarette smoking and attempts to quit in a population-based cohort with spinal cord injury.Prevention and management of secondary health conditions in people after spinal cord injury: Report of the state of the science 2013.Project-induced displacement, secondary stressors, and health.Protective behaviors and pressure ulcers among those with spinal cord injury.Psychoactive substance use among individuals with chronic spinal cord injury: Patterns and characteristics.Psychoactive substance use among individuals with chronic spinal cord injury: Patterns and characteristics.Psychological factors affecting alcohol use after spinal cord injury.Racial disparities in depression and life satisfaction after spinal cord injury: A mediational model.Racial-ethnic variation in paid and unpaid caregiving: Findings among persons with traumatic spinal cord injury.Rasch measurement properties of the pain medication questionnaire in persons with spinal cord injury.Rehabilitation research and training center on secondary conditions in spinal cord injury.Risk and protective factors for mortality after spinal cord injury.Risk and protective factors for secondary conditions: A 15-year longitudinal study.Risk and protective factors for cause-specific mortality after spinal cord injury.Risk behaviors related to cigarette smoking among persons with spinal cord injury.Risk factors for mortality after spinal cord injury in the USA.Risk for subsequent injuries after spinal cord injury: A 10-year longitudinal analysis.Risk of death after hospital discharge with traumatic spinal cord injury: A population-based analysis, 1998-2009.Risk of fall-related injuries among ambulatory participants with spinal cord injury.Risk of mortality and life expectancy after spinal cord injury: The role of health behaviors of and participation.Risk of pain medication misuse after spinal cord injury: The role of substance use, personality, and depression.SCI research team newsletter, Spring 2011.SCI research team newsletter, Spring 2010.SCI research team newsletter, Spring 2012.SCIORG newsletter, Fall 2010.SCIORG newsletter, Fall 2011.Secondary conditions after SCI in a population-based cohort.Social isolation after spinal cord injury.Social participation as a mediator of the relationships of socioeconomic factors and longevity after traumatic spinal cord injury.Stability of predictors of mortality after spinal cord injury.Stability of vocational interests after recent spinal cord injury.Staying pressure injury free: The role of modifiable behaviors.Suicide mortality after spinal cord injury in the United States: Injury cohorts analysis.The association between metabolic syndrome and pressure ulcers among individuals living with spinal cord injury.The association between metabolic syndrome and pressure ulcers among individuals living with spinal cord injury.The relationship between health behaviors and emergency department visits and hospitalizations after traumatic spinal cord injury.The relationship between prescription medication use and ability to ambulate distances after spinal cord injury.The relationship of pressure ulcers, race, and socioeconomic conditions after spinal cord injury.Theoretical risk and prevention model for secondary health conditions and mortality after SCI: 15 years of research.Understanding opioid use among adults with chronic spinal cord injury living in the United States: An issue brief.Unmet expectations of adjustment and depressive symptoms among people with chronic traumatic spinal cord injury.Utilizing research to determine life expectancy: Applications for life care planning.YouTube as an on-line disability self-management tool in persons with spinal cord injury.
