{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:40:17Z","timestamp":1786984817457,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":140,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Occupational Therapy International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Spinal cord injury (SCI) is associated with inequality\u2010related participation restrictions. Participation education has been proposed as an intervention to promote participation in daily occupations. This pilot randomized clinical trial (RCT) evaluates the feasibility and minimal effect of the SADL\u2010eM, a participation educational intervention, on the participation of people with spinal cord injury (PW\u2010SCI) in daily occupations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A two\u2010arm pilot RCT included 32 PW\u2010SCI from three inpatient rehabilitation settings in the Gaza Strip aged 18\u201365 years. Eligible cases were randomized equally into two groups. Both groups received standard care. The intervention group also used the SADL\u2010eM during occupational therapy sessions. Participation and adherence were assessed at baseline and after 6 weeks. The Arabic version of the Spinal Cord Independence Measure\u2010Self Reported (SCIM\u2010SR\u2010Ar) was the primary outcome measure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Demographic and injury characteristics were homogenous at baseline (\n                      <jats:italic>p<\/jats:italic>\n                      &gt; 0.05). There was no difference between groups at baseline (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05). Comparing intervention to standard care, the SADL\u2010eM was insignificant after 6 weeks of intervention (\n                      <jats:italic>p<\/jats:italic>\n                      &gt; 0.05) while the inpatient rehabilitation improved participation in daily occupations (16.06%\u201317.00%) in the total sample (\n                      <jats:italic>p<\/jats:italic>\n                      \u2264 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There was an improvement in all outcome measures used; however, the SADL\u2010eM did not reach significance. The intended RCT has major barriers, for example, a low recruitment rate. Community settings can be unique for such an RCT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov identifier: NCT04735887<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/oti\/8774897","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T09:45:13Z","timestamp":1779356713000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Participation Education Intervention for People With SCI From LMIC: A Pilot Randomized Clinical Trial"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5544-0247","authenticated-orcid":false,"given":"Moussa Kleib","family":"Abumostafa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3536-9129","authenticated-orcid":false,"given":"Nicola Ann","family":"Plastow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8082-7635","authenticated-orcid":false,"given":"Maggi","family":"Savin-Baden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"e_1_2_16_1_2","doi-asserted-by":"publisher","DOI":"10.1177\/2192568217703387"},{"key":"e_1_2_16_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.03.018"},{"key":"e_1_2_16_3_2","doi-asserted-by":"publisher","DOI":"10.2196\/33191"},{"key":"e_1_2_16_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-020-0489-4"},{"key":"e_1_2_16_5_2","doi-asserted-by":"publisher","DOI":"10.17159\/2310-3833\/2025\/vol55no3a3"},{"key":"e_1_2_16_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/00084174221116250"},{"key":"e_1_2_16_7_2","doi-asserted-by":"publisher","DOI":"10.2196\/30611"},{"key":"e_1_2_16_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-017-0001-y"},{"key":"e_1_2_16_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2020.04.027"},{"key":"e_1_2_16_10_2","doi-asserted-by":"crossref","unstructured":"YaoD. P. G. InoueK. SyM. P. BontjeP. SuyamaN. YatsuC. PerezD. A. andItoY. Experience of Filipinos With Spinal Cord Injury in the Use of Assistive Technology: An Occupational Justice Perspective Occupational Therapy International2020 2020 6696296 https:\/\/doi.org\/10.1155\/2020\/6696296.","DOI":"10.1155\/2020\/6696296"},{"key":"e_1_2_16_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.11.030"},{"key":"e_1_2_16_12_2","unstructured":"World Health Organization International Classification of Functioning Disability and Health (ICF) 2024 https:\/\/apps.who.int\/classifications\/icfbrowser\/."},{"key":"e_1_2_16_13_2","volume-title":"International Classification of Functioning Disability and Health","author":"World Health Organization","year":"2013"},{"key":"e_1_2_16_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.08.155"},{"key":"e_1_2_16_15_2","doi-asserted-by":"publisher","DOI":"10.47176\/mjiri.34.66"},{"key":"e_1_2_16_16_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2008.171"},{"key":"e_1_2_16_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2021.100854"},{"key":"e_1_2_16_18_2","doi-asserted-by":"crossref","first-page":"48","DOI":"10.4324\/9780429266256-6","volume-title":"Illuminating the Dark Side of Occupation: International Perspectives From Occupational Therapy and Occupational Science","author":"Whiteford G.","year":"2020"},{"key":"e_1_2_16_19_2","first-page":"192","volume-title":"Willard and Spackman\u2019s Occupational Therapy","author":"Wilcock A. 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