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

Author

Listed:
  • Joy M. DeShazo

    (Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL 35294, USA
    These authors contributed equally to this work.)

  • Ingrid Kouwijzer

    (Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands
    Amsterdam Rehabilitation Research Center|Reade, 1054 HW Amsterdam, The Netherlands
    These authors contributed equally to this work.)

  • Sonja de Groot

    (Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands
    Amsterdam Rehabilitation Research Center|Reade, 1054 HW Amsterdam, The Netherlands)

  • Marcel W. M. Post

    (Center of Excellence for Rehabilitation Medicine, UMCU Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, 3583 TM Utrecht, The Netherlands
    Center for Rehabilitation, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands)

  • Linda J. M. Valent

    (Research and Development, Heliomare Rehabilitation Center, 1949 EC Wijk aan Zee, The Netherlands)

  • Christel M. C. van Leeuwen

    (Center of Excellence for Rehabilitation Medicine, UMCU Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, 3583 TM Utrecht, The Netherlands)

  • Huacong Wen

    (Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL 35294, USA)

  • Rachel E. Cowan

    (Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL 35294, USA)

  • on behalf of the HandbikeBattle Group

    (HandbikeBattle Group are listed in Acknowledgments.)

Abstract

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, p < 0.01) and perceived benefits increased (from 16.91 to 17.58, p < 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 ( p = 0.02), MH ( p = 0.02) and lesion completeness ( p = 0.02), and were independent of disability type ( p = 0.66), lesion level ( p = 0.30) and demographics such as sex ( p = 0.29) and age ( p = 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.

Suggested Citation

  • Joy M. DeShazo & Ingrid Kouwijzer & Sonja de Groot & Marcel W. M. Post & Linda J. M. Valent & Christel M. C. van Leeuwen & Huacong Wen & Rachel E. Cowan & on behalf of the HandbikeBattle Group, 2023. "Effect of Training for an Athletic Challenge on Illness Cognition in Individuals with Chronic Disability: A Prospective Cohort Study," IJERPH, MDPI, vol. 21(1), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:21:y:2023:i:1:p:58-:d:1311007
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    References listed on IDEAS

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    1. Schulz, Ute & Mohamed, Nihal E., 2004. "Turning the tide: Benefit finding after cancer surgery," Social Science & Medicine, Elsevier, vol. 59(3), pages 653-662, August.
    2. Cora Maas & Tom Snijders, 2003. "The Multilevel Approach to Repeated Measures for Complete and Incomplete Data," Quality & Quantity: International Journal of Methodology, Springer, vol. 37(1), pages 71-89, February.
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