{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T15:56:46Z","timestamp":1781279806229,"version":"3.54.1"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T00:00:00Z","timestamp":1674691200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T00:00:00Z","timestamp":1674691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Physiotherapy New Zealand (PNZ) and Neurology Group of PNZ"},{"name":"as for V.Stavric"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spinal Cord"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Study design<\/jats:title>\n                <jats:p>Qualitative study.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objectives<\/jats:title>\n                <jats:p>The benefits of exercise to reduce shoulder pain in people with spinal cord injury (SCI) are well documented. Digital health interventions offer a potential solution to overcome barriers to access rehabilitation support for exercise. The aim of this project was to gain people\u2019s perspectives to inform the development of a self-guided web-based exercise intervention. <jats:underline>S<\/jats:underline>houlder <jats:underline>P<\/jats:underline>ain <jats:underline>I<\/jats:underline>ntervention delivered over the inter<jats:underline>N<\/jats:underline>et (SPIN) is a self-guided web-based intervention to prescribe, monitor, and progress evidence-based exercises for people living with SCI and shoulder pain.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Setting<\/jats:title>\n                <jats:p>Community in Auckland, New Zealand.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The Person-Based Approach was used as the framework. Using an Interpretive Descriptive methodology, data were collected in individual and focus group interviews, exploring participants\u2019 perceptions of this intervention idea. Data were analysed using conventional content analysis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Sixteen participants took part and asked <jats:italic>Is it right for me?<\/jats:italic>. This had three main sub-themes. <jats:italic>Should I use it?<\/jats:italic>, whether I believe it will work for me right now; <jats:italic>Can I use it?<\/jats:italic>, whether I can operate the intervention competently and confidently and <jats:italic>Will I use it?<\/jats:italic>, whether it will be responsive to my unique needs, and keep me coming back.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Participants expressed their expectations and tipping points when considering using an intervention like this. These findings will inform and guide design and development of an acceptable technology-based intervention to increase the likelihood of engagement with a self-guided web-based exercise programme. The model developed from these themes could be used to inform future self-guided intervention development.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1038\/s41393-023-00877-3","type":"journal-article","created":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T11:02:52Z","timestamp":1674730972000},"page":"238-243","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Perceptions of a self-guided web-based exercise programme for shoulder pain after spinal cord injury: A qualitative study"],"prefix":"10.1038","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9144-4189","authenticated-orcid":false,"given":"Verna","family":"Stavric","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola L.","family":"Saywell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola M.","family":"Kayes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,1,26]]},"reference":[{"key":"877_CR1","doi-asserted-by":"publisher","first-page":"305","DOI":"10.2522\/ptj.20100182","volume":"91","author":"SJ Mulroy","year":"2011","unstructured":"Mulroy SJ, Thompson L, Kemp B, Hatchett PP, Newsam CJ, Lupold DG, et al. Strengthening and optimal movements for painful shoulders (STOMPS) in chronic spinal cord injury: a randomized controlled trial. Phys Ther. 2011;91:305\u201324. https:\/\/doi.org\/10.2522\/ptj.20100182.","journal-title":"Phys Ther"},{"key":"877_CR2","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1097\/NPT.0000000000000103","volume":"39","author":"KA Cratsenberg","year":"2015","unstructured":"Cratsenberg KA, Deitrick CE, Harrington TK, Kopecky NR, Matthews BD, Ott LM, et al. Effectiveness of exercise programs for managment of shoulder pain in manual wheelchair users wtih spinal cord injury. J Neurol Phys Ther. 2015;39:197\u2013203. https:\/\/doi.org\/10.1097\/NPT.0000000000000103.","journal-title":"J Neurol Phys Ther"},{"key":"877_CR3","doi-asserted-by":"publisher","unstructured":"Curtis KA, Tyner TM, Zachary L, Lentell G, Brink D, Didyk T, et al. Effect of a standard exercise protocol on shoulder pain in long-term wheelchair users. 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