Structure and conceptualization of acceptance: a split-sample exploratory and confirmatory factor analysis approach to investigate the multidimensionality of acceptance of spinal cord injury.

Only 431 of 686 invited people provided complete data, and all were from people who had already consented to be in a hospital database. The paper estimates about 3,000 people live with spinal cord injury in Denmark, so the sample may not represent all of them. The study did not test any intervention or patient outcome. It only examined how questionnaire items group together. Two negatively worded AAQ-M items were excluded because they loaded separately from very similar positive items, so the final 11-item set differs from the original scales. One SCL-CSQ item about accepting the lesion loaded almost equally on accepting reality and value change, so its wording may not separate the facets cleanly. The model fits these data but is not necessarily exhaustive. Future research may find more dimensions. The split samples were similar except time since injury, with mean 13.35 years in sample 1 and 15.61 years in sample 2.

The authors declared no conflicts of interest.

Do not read this as evidence that a treatment improves acceptance or rehabilitation outcomes. The study tested how questionnaire items group together, not whether any treatment works.