{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:42:04Z","timestamp":1791837724531,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100015539","name":"Australian Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015539","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although ageing is universal, spinal cord injury (SCI) intensifies age\u2010related physical, psychosocial, cognitive, and functional challenges, with greater consequences for independence and quality of life. Improved life expectancy exposes limitations in prevailing \u2018ageing well\u2019 frameworks that exclude disability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study used a phenomenological approach. Semi\u2010structured interviews were conducted online with community\u2010dwelling adults aged \u2265\u200950 years who sustained SCI before age 65 and at least 2 years previously, and carers of people who met these criteria. Interviews were recorded, transcribed verbatim, and analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010five interviews were completed (22 people with SCI and 3 carers). Participants described ageing as inevitable but distinctly shaped by SCI. Three themes captured their experiences: (1)\n                      <jats:italic>Compounding vulnerabilities: the experience of accelerated ageing<\/jats:italic>\n                      , describing progressive bodily change, health instability, and adjustment to ageing; (2)\n                      <jats:italic>Converging impacts of biological change and policy gaps<\/jats:italic>\n                      , highlighting cumulative functional impacts alongside challenges navigating services and environmental and attitudinal barriers; and (3)\n                      <jats:italic>Ageing with meaning through participation<\/jats:italic>\n                      , emphasising agency, self\u2010advocacy, and maintaining engagement in work, leisure, and social roles. Adequate disability funding and health and system literacy supported participation, whereas limited SCI\u2010specific knowledge within health and care services and resource constraints undermined ageing well.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ageing well with SCI is shaped by individual adaptation and modifiable system\u2010level factors. Policies that ensure equitable resourcing, strengthen ageing (including SCI\u2010competent services), and support meaningful participation may improve quality of life as this population grows.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lived Experience or Public Contribution<\/jats:title>\n                    <jats:p>People with lived experience of spinal cord injury were actively involved throughout the research process. A consumer advisory panel (CAP) was established following a national expression\u2010of\u2010interest process and comprised eight individuals with lived experience, one carer and a researcher with lived experience. The CAP contributed to study design, recruitment strategies, and interpretation and validation of findings, and supported aspects of data analysis. Panel members represented diverse injury characteristics, time since injury and environmental contexts, enabling identification and consideration of assumptions and biases. In addition, people with lived experience participated as interviewees in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>This study was not a clinical trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70787","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:42:19Z","timestamp":1785256939000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u2018From Superman to Barely Can:\u2019 The Experience of Ageing for Australians With Spinal Cord Injury Sustained Below the Age of 65\u2014A Qualitative Study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4739-7987","authenticated-orcid":false,"given":"Emma","family":"Tan","sequence":"first","affiliation":[{"name":"Discipline of Occupational Therapy, Sydney School of Health Sciences, Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1597-2051","authenticated-orcid":false,"given":"Lynette","family":"Mackenzie","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Therapy, Sydney School of Health Sciences, Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4359-2443","authenticated-orcid":false,"given":"Jacqueline","family":"Wesson","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Therapy, Sydney School of Health Sciences, Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3160-7131","authenticated-orcid":false,"given":"Shane","family":"Clifton","sequence":"additional","affiliation":[{"name":"The Centre for Disability Research and Policy, Sydney School of Health Sciences, Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101729"},{"key":"e_1_2_13_3_1","unstructured":"NSW Agency for Clinical Innovation \u201cAgeing With Spinal Cord Injury \u201d2014."},{"key":"e_1_2_13_4_1","unstructured":"World Health Organisation and International Spinal Cord Society \u201cInternational Persepctives on Spinal Cord Injury \u201d2013 https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/70f845c5-9c61-4f7c-bcac-6a023c903af8\/content."},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/37.4.433"},{"key":"e_1_2_13_6_1","doi-asserted-by":"crossref","unstructured":"N. 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