Physical activity promotion in Spanish adults with spinal cord injury: community guidelines, supporting resources and messaging strategies.

Monforte, Javier; Castan, Alex; Smith, Brett; Hoekstra, Femke; Úbeda-Colomer, Joan · Disabil Rehabil · 2025

other · Level V

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Abstract

<b><i>Purpose:</i></b> The purpose of this study was threefold: (1) to develop spinal cord injury (SCI) physical activity (PA) community guidelines suitable for a Spanish context; (2) to generate seminal resources for supporting PA participation in Spain and, potentially, other Spanish speaking countries; and (3) to identify potential communication strategies for delivering the guidelines and resources. <b><i>Materials and methods:</i></b> 19 people with SCI, 4 healthcare professionals, a partnership champion, two critical friends, and two SCI experts participated in a co-designed process of knowledge translation (KT). Available international resources were used as initial prototypes. Focus group discussions, qualitative surveys and member reflections were used to gather relevant insights and action a process of iterative prototyping of the KT products. <b><i>Results:</i></b> One infographic, one booklet and two videos were produced. The participants of this research support a model of PA messaging focused on short conversations with a variety of PA messengers, including social workers and occupational therapists. A formal partnership with a neurorehabilitation hospital was established and informed this work throughout. <b><i>Conclusions:</i></b> The research has resulted in new resources tailored to Spanish SCI population to promote and support physically active lifestyles.