{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:40:35Z","timestamp":1783546835309,"version":"3.55.0"},"reference-count":52,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T00:00:00Z","timestamp":1703462400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Sunnaasstiftelsen"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JFMK"],"abstract":"<jats:p>This study explored the physical, social, and psychological benefits of an active rehabilitation (AR) camp as experienced by participants with spinal cord injury (SCI), and perceived fitness and mastery of being physically active six months after the camp. The study used a mixed-method design with pre- (n = 23), post- (n = 23), and follow-up questionnaires (n = 18) and individual interviews (n = 8). Fuzzy qualitative comparative analysis (fsQCA) was used to analyze the quantitative data and qualitative content analysis was used to analyze the qualitative data. Results showed that benefits were mainly experienced in the social and psychological domains. As for the physical domain, younger and more recently injured persons with tetraplegia reported more benefits. Six months after the camp, being in the preparation stage of change and being somewhat physically active were necessary and sufficient conditions for experiencing mastery of physical activity regardless of injury type, but only persons with paraplegia experienced fitness benefits. Qualitative data shed further light on the perceived benefits of the camp. The knowledge gained from this study might help practitioners to tailor interventions to individual needs and researchers to ask questions that take into consideration the complexity of active rehabilitation and changes in physical activity behavior for people with SCI.<\/jats:p>","DOI":"10.3390\/jfmk9010007","type":"journal-article","created":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T03:42:12Z","timestamp":1703475732000},"page":"7","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Experiences of Participants with Spinal Cord Injury at an Active Rehabilitation Camp"],"prefix":"10.3390","volume":"9","author":[{"given":"Terese","family":"Wilhelmsen","sequence":"first","affiliation":[{"name":"Department of Educational Sciences, University of South-Eastern Norway, 3045 Drammen, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Marie","family":"Lannem","sequence":"additional","affiliation":[{"name":"Research Department, Sunnaas Rehabilitation Hospital, 1450 Nesoddtangen, Norway"},{"name":"Department of Sport and Social Sciences, Norwegian University of Sport Sciences, 0806 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marit","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Department of Sport and Social Sciences, Norwegian University of Sport Sciences, 0806 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9711-1756","authenticated-orcid":false,"given":"Marika","family":"Augutis","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Division of Neurogeriatrics, Karolinska Institutet, 141-83 Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4495-6819","authenticated-orcid":false,"given":"Henrik","family":"Gustafsson","sequence":"additional","affiliation":[{"name":"Department of Sport and Social Sciences, Norwegian University of Sport Sciences, 0806 Oslo, Norway"},{"name":"Department of Educational Sciences, Karlstad University, 651 88 Karlstad, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1038\/sc.2009.87","article-title":"Physical activity and subjective well-being among people with spinal cord injury: A meta-analysis","volume":"48","author":"Jetha","year":"2010","journal-title":"Spinal Cord"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1038\/s41393-020-00550-z","article-title":"Physical activity interventions, chronic pain, and subjective well-being among persons with spinal cord injury: A systematic scoping review","volume":"59","author":"Todd","year":"2021","journal-title":"Spinal Cord"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1212\/WNL.0000000000004224","article-title":"Effects of exercise on fitness and health of adults with spinal cord injury: A systematic review","volume":"89","author":"Ditor","year":"2017","journal-title":"Neurology"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1080\/17437199.2016.1198240","article-title":"A systematic review of review articles addressing factors related to physical activity participation among children and adults with physical disabilities","volume":"10","author":"Ma","year":"2016","journal-title":"Health Psychol. Rev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1038\/sc.2016.181","article-title":"Are adults with spinal cord injury meeting the spinal cord injury-specific physical activity guidelines? A look at a sample from a Canadian province","volume":"55","author":"Rocchi","year":"2017","journal-title":"Spinal Cord"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1016\/j.apmr.2015.02.027","article-title":"Prospective study of the occurrence of psychological disorders and comorbidities after spinal cord injury","volume":"96","author":"Craig","year":"2015","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1111\/j.1365-2702.2010.03432.x","article-title":"Using peer mentoring for people with spinal cord injury to enhance self-efficacy beliefs and prevent medical complications","volume":"20","author":"Ljungberg","year":"2011","journal-title":"J. Clin. Nurs."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1038\/sc.2008.115","article-title":"Psychological morbidity and spinal cord injury: A systematic review","volume":"47","author":"Craig","year":"2009","journal-title":"Spinal Cord"},{"key":"ref_9","unstructured":"Marini, I., Glover-Graf, N.M., and Millington, M.J. (2012). Psychosocial Aspects of Disability: Insider Perspectives and Counseling Strategies, Springer Publishing Co.. pp. xv, 512-xv."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"461","DOI":"10.2340\/16501977-0191","article-title":"Barriers to and facilitators of everyday physical activity in persons with a spinal cord injury after discharge from the rehabilitation centre","volume":"40","author":"Vissers","year":"2008","journal-title":"J. Rehabil. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1038\/sc.2016.147","article-title":"Perceived effectiveness and mechanisms of community peer-based programmes for Spinal Cord Injuries-a systematic review of qualitative findings","volume":"55","author":"Divanoglou","year":"2017","journal-title":"Spinal Cord"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1038\/s41393-021-00725-2","article-title":"Outcomes of peer mentorship for people living with spinal cord injury: Perspectives from members of Canadian community-based SCI organizations","volume":"59","author":"Sweet","year":"2021","journal-title":"Spinal Cord"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1916","DOI":"10.1016\/j.apmr.2019.04.019","article-title":"Investigating Characteristics of Quality Peer Mentors with Spinal Cord Injury","volume":"100","author":"Gainforth","year":"2019","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_14","unstructured":"Chhabra, H.S. (2015). ISCoS Text Book on Comprehensive Management of Spinal Cord Injuries, Wolters Kluwer."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1038\/sc.2014.167","article-title":"A 16-week randomized controlled trial evaluating the physical activity guidelines for adults with spinal cord injury","volume":"53","author":"Pelletier","year":"2015","journal-title":"Spinal Cord"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1038\/s41393-017-0052-0","article-title":"Correspondence re \u201cEvidence-based scientific exercise guidelines for adults with spinal cord injury: An update and new guideline\u201d","volume":"56","author":"Tweedy","year":"2018","journal-title":"Spinal Cord"},{"key":"ref_17","first-page":"15","article-title":"The evolution and evaluation of a therapeutic recreation cottage program for persons with spinal cord injury","volume":"46","author":"Hitzig","year":"2012","journal-title":"Ther. Recreat. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1038\/s41393-017-0017-3","article-title":"Evidence-based scientific exercise guidelines for adults with spinal cord injury: An update and a new guideline","volume":"56","author":"Barrow","year":"2018","journal-title":"Spinal Cord"},{"key":"ref_19","unstructured":"Prochaska, J.O., and DiClemente, C.C. (2005). Handbook of Psychotherapy Integration, Oxford University Press. [2nd ed.]."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1249\/00005768-199411000-00016","article-title":"The transtheoretical model: Applications to exercise behavior","volume":"26","author":"Marcus","year":"1994","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_21","unstructured":"Bandura, A. (1997). Self-Efficacy: The Exercise of Control, W.H. Freeman."},{"key":"ref_22","unstructured":"Horn, T.S., and Smith, A.L. (2019). Advances in Sport and Exercise Psychology, Human Kinetcis. [4th ed.]."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1111\/j.1559-1816.1994.tb00595.x","article-title":"Self-efficacy, decision-making, and stages of change: An integrative model of physical exercise","volume":"24","author":"Marcus","year":"1994","journal-title":"J. Appl. Soc. Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1111\/j.1600-0838.2007.00686.x","article-title":"Perceived barriers to physical activity across Norwegian adult age groups, gender and stages of change","volume":"18","author":"Gill","year":"2008","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s12160-011-9278-9","article-title":"Determinants of physical activity among people with spinal cord injury: A test of social cognitive theory","volume":"42","author":"Ginis","year":"2011","journal-title":"Ann. Behav. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1177\/00343552040480010401","article-title":"Subjective Well-Being Among People with Spinal Cord Injuries: The Role of Self-Efficacy, Perceived Social Support, and Perceived Health","volume":"48","author":"Hampton","year":"2004","journal-title":"Rehabil. Couns. Bull."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1643","DOI":"10.1016\/j.apmr.2007.09.001","article-title":"Relationship between quality of life and self-efficacy in persons with spinal cord injuries","volume":"88","author":"Middleton","year":"2007","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1207\/S15327965PLI1104_01","article-title":"The \u201cwhat\u201d and \u201cwhy\u201d of goal pursuits: Human needs and the self determination of behavior","volume":"11","author":"Deci","year":"2000","journal-title":"Psychol. Inq."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/j.apmr.2017.08.487","article-title":"Spinal Cord Injury Peer Mentorship: Applying Self-Determination Theory to Explain Quality of Life and Participation","volume":"99","author":"Sweet","year":"2018","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1038\/s41393-019-0297-x","article-title":"A scoping review of peer-led interventions following spinal cord injury","volume":"57","author":"Barclay","year":"2019","journal-title":"Spinal Cord"},{"key":"ref_31","unstructured":"Creswell, J.W., and Plano Clark, V.L. (2011). Designing and Conducting Mixed Methods Research, Sage Publications. [2nd ed.]."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.concog.2014.06.012","article-title":"A comparison between a visual analogue scale and a four point scale as measures of conscious experience of motion","volume":"28","author":"Rausch","year":"2014","journal-title":"Conscious Cogn."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1027\/1015-5759.13.3.195","article-title":"Self-referent thought in exercise: The Self-Perception in Exercise Questionnaire","volume":"13","year":"1997","journal-title":"Eur. J. Psychol. Assess."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1038\/sc.2008.117","article-title":"Incomplete spinal cord injury, exercise and life satisfaction","volume":"47","author":"Lannem","year":"2009","journal-title":"Spinal Cord"},{"key":"ref_35","first-page":"83","article-title":"The stages of exercise behavior","volume":"33","author":"Marcus","year":"1993","journal-title":"J. Sports Med. Phys. Fit."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1006\/pmed.2001.0916","article-title":"Applying the transtheoretical model to regular moderate exercise in an overweight population: Validation of a stages of change measure","volume":"33","author":"Sarkin","year":"2001","journal-title":"Prev. Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/s10654-007-9214-2","article-title":"Two short questionnaires on leisure-time physical activity compared with serum lipids, anthropometric measurements and aerobic power in a suburban population from Oslo, Norway","volume":"23","author":"Anderssen","year":"2008","journal-title":"Eur. J. Epidemiol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"48","DOI":"10.5507\/euj.2013.010","article-title":"Physical exercise, stress, coping, burnout and fatigue in persons with incomplete spinal cord injury","volume":"6","author":"Lannem","year":"2013","journal-title":"Eur. J. Adapt. Phys. Act."},{"key":"ref_39","unstructured":"Ragin, C.C. (2010). Redesigning Social Inquiry: Fuzzy Sets and Beyond, University of Chicago Press."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1038\/sj.sc.3101893","article-title":"Incidence, prevalence and epidemiology of spinal cord injury: What learns a worldwide literature survey?","volume":"44","author":"Wyndaele","year":"2006","journal-title":"Spinal Cord"},{"key":"ref_41","unstructured":"Dusa, A. (2019). QCA with R: A Comprehensive Resource, Springer."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness","volume":"24","author":"Graneheim","year":"2004","journal-title":"Nurse Educ. Today"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1080\/1750984X.2017.1317357","article-title":"Developing rigor in qualitative research: Problems and opportunities within sport and exercise psychology","volume":"11","author":"Smith","year":"2018","journal-title":"Int. Rev. Sport Exerc. Psychol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1038\/sc.2009.136","article-title":"Perceptions of exercise mastery in persons with complete and incomplete spinal cord injury","volume":"48","author":"Lannem","year":"2010","journal-title":"Spinal Cord"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1111\/1467-8721.00064","article-title":"Exercise of human agency through collective efficacy","volume":"9","author":"Bandura","year":"2000","journal-title":"Curr. Dir. Psychol. Sci."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"2256","DOI":"10.1016\/j.chb.2006.03.005","article-title":"The effects of group composition of self-efficacy and collective efficacy on computer-supported collaborative learning","volume":"23","author":"Wang","year":"2007","journal-title":"Comput. Hum. Behav."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1016\/j.pec.2020.11.011","article-title":"The effectiveness of peer support on self-efficacy and self-management in people with type 2 diabetes: A meta-analysis","volume":"104","author":"Liang","year":"2021","journal-title":"Patient Educ. Couns."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1177\/0146167201278012","article-title":"Collective efficacy: A multilevel analysis","volume":"27","author":"Watson","year":"2001","journal-title":"Personal. Soc. Psychol. Bull."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2272","DOI":"10.1016\/j.apmr.2014.06.015","article-title":"Reference fitness values in the untrained spinal cord injury population","volume":"95","author":"Simmons","year":"2014","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1080\/09687590802469420","article-title":"Becoming en-wheeled: The situated accomplishment of re-embodiment as a wheelchair user after spinal cord injury","volume":"23","author":"Papadimitriou","year":"2008","journal-title":"Disabil. Soc."},{"key":"ref_51","unstructured":"Norwegian Olympic and Paralympic Committee and Confederation of Sports (2023, November 03). One Sport-Equal Opportunities. Para Strategy for Norwegian Sport 2022\u20132027. Available online: https:\/\/www.paraidrett.no\/siteassets\/dokumenter\/diverse\/parastrategien-nif.pdf."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"12","DOI":"10.3102\/0013189X033007014","article-title":"Mixed Method Research: A Research Paradigm Whose Time Has Come","volume":"33","author":"Johnson","year":"2004","journal-title":"Educ. Res."}],"container-title":["Journal of Functional Morphology and Kinesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2411-5142\/9\/1\/7\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:41:29Z","timestamp":1760132489000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2411-5142\/9\/1\/7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,25]]},"references-count":52,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["jfmk9010007"],"URL":"https:\/\/doi.org\/10.3390\/jfmk9010007","relation":{},"ISSN":["2411-5142"],"issn-type":[{"value":"2411-5142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,25]]}}}