Effect of Training for an Athletic Challenge on Illness Cognition in Individuals with Chronic Disability: A Prospective Cohort Study

Effect of Training for an Athletic Challenge on Illness Cognition in Individuals with Chronic Disability: A Prospective Cohort Study

Illness cognitions (IC) influence how a patient adapts to a chronic disease. The aim was (1) to determine if training for a handcycling mountain time trial (HandbikeBattle) improves IC and (2) to identify factors associated with IC change scores. Persons with a chronic disability (N = 220; including...

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Bibliographic Details
Published in:International journal of environmental research and public health Vol. 21; no. 1; p. 58
Main Authors: DeShazo, Joy M, Kouwijzer, Ingrid, de Groot, Sonja, Post, Marcel W M, Valent, Linda J M, van Leeuwen, Christel M C, Wen, Huacong, Cowan, Rachel E, On Behalf Of The HandbikeBattle Group
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 30-12-2023
Subjects:
Amputation
Body Mass Index
Chronic illnesses
Cognition
Cognition & reasoning
Cohort analysis
Disability
Exercise
Humans
Likert scale
Mental health
Pain
Participation
Prospective Studies
Quality of Life
Questionnaires
Rehabilitation
Self report
Self-efficacy
Spinal cord injuries
Sports
spinal cord injury
wheelchair
adaptive sport
exercise
longitudinal study
psychological adaptation
appraisals
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Summary:Illness cognitions (IC) influence how a patient adapts to a chronic disease. The aim was (1) to determine if training for a handcycling mountain time trial (HandbikeBattle) improves IC and (2) to identify factors associated with IC change scores. Persons with a chronic disability (N = 220; including N = 151 with spinal cord disorder) trained 5 months and participated in the time trial. The IC Questionnaire measured helplessness, acceptance, perceived benefits and was assessed before training (T1), after training (T2), and four months after the event (T3). Age, sex, body mass index (BMI), time since injury (TSI), disability characteristics, self-efficacy, mental health (MH) and musculoskeletal pain were obtained at T1. Multilevel regression analyses showed that helplessness decreased (from 11.96 to 11.28, < 0.01) and perceived benefits increased (from 16.91 to 17.58, < 0.01) from T1 to T2. For helplessness this decrease persisted during follow-up (11.16 at T3). Changes in helplessness were associated with self-efficacy ( = 0.02), MH ( = 0.02) and lesion completeness ( = 0.02), and were independent of disability type ( = 0.66), lesion level ( = 0.30) and demographics such as sex ( = 0.29) and age ( = 0.67). Training with peers may improve helplessness and perceived benefits in individuals with a chronic disability. Especially individuals with MH problems might benefit from training for an athletic challenge with peers to improve illness cognitions, and ultimately, quality of life.
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ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph21010058