Causal Model of Psychological Empowerment Among People With Spinal Cord Injury in Thailand.
Dalin Rattanasuk, Kusuma Khuwatsamrit
PMID 34004612WHAT IT FOUND
In 260 Thai adults with spinal cord injury, self-esteem was the strongest factor linked to feeling empowered.
Daily function, support, and longer injury time related to empowerment through self-esteem. Age and education did not.
Key findings
01Self-esteem was the factor most strongly associated with psychological empowerment.
02Physical impairment duration, social support, and daily function were linked to empowerment through self-esteem.
03Age and education were not significant factors in the final model.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured people at one time, so it cannot show that changing any factor changes empowerment. The sample came from one university hospital in Thailand and used convenience sampling, so it may not represent other people with spinal cord injury. The model was changed until it fit the data, so the final relationships should be treated cautiously. The questionnaires were not tested for construct and content validity in this Thai sample, although reliability was measured. Only people aged 18 to 60 with a Barthel Index score below 20 were included, so it says little about older adults, children, or people who are more independent.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not read this as proof that improving self-esteem will improve empowerment. The study measured people at one time, and the model was changed to fit the data.