{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:19:07Z","timestamp":1787829547715,"version":"build-2784847793"},"reference-count":31,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:00:00Z","timestamp":1709164800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Traumatic spinal cord injury (TSCI) survivors are confronted by both physical and psychosocial barriers when returning to their communities. Therefore, reintegration is an important aspect of their journey back into social life.\n\nObjectives:\u00a0To assess psychosocial reintegration after TSCI in Rwanda.\n\nMethod:\u00a0All community-dwelling adults who were registered in the previous epidemiological study were recruited and injury characteristics questionnaire and the Sydney Psychosocial Reintegration Scale version 2 (SPRS-2) were used to collect data through a telephone interview.\n\nResults:\u00a0The study traced 58 participants, 77.6% (n\u00a0= 45) were male and 56.9% (n\u00a0= 33) were categorised with paraplegia. Overall, the results show poor community reintegration. The SPRS-2 and domain mean (SD) scores were: overall SPRS-2 of 20.95 (11.56), occupational activity (OA) of 3.68 (4.31), interpersonal relationship (IR) of 7.11(4.31) and living skills (LS) of 7.43 (5.32). Gender significantly influenced overall SPRS-2 (p\u00a0= 0.011) and two domains: OA (p\u00a0= 0.005) and LS (p\u00a0= 0.012). Level of injury was significantly associated with an OA domain score of SPRS-2 (p\u00a0= 0.002). Gender explained 29% of the variance in the LS domain of SPRS-2, with males reporting better psychosocial reintegration.\n\nConclusion:\u00a0Gender strongly predicted psychosocial reintegration following a TSCI, which is an indication of the role of social support.\n\nClinical Implications:\u00a0Traumatic SCI rehabilitation should be holistic to help prepare the person to return to the community. There should be an assessment of an individual\u2019s readiness to return to the community before discharge from the hospital.<\/jats:p>","DOI":"10.4102\/sajp.v80i1.1996","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T05:09:06Z","timestamp":1709183346000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Psychosocial reintegration post-traumatic spinal cord injury in Rwanda: An exploratory study"],"prefix":"10.4102","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7910-5176","authenticated-orcid":false,"given":"Maurice","family":"Kanyoni","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00286hs46","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9779-7241","authenticated-orcid":false,"given":"Lena N.","family":"Wikmar","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/056d84691","id-type":"ROR","asserted-by":"publisher"}],"name":"Karolinska Institutet"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7186-8128","authenticated-orcid":false,"given":"Joliana","family":"Philips","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00h2vm590","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Western Cape"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3855-6795","authenticated-orcid":false,"given":"David K.","family":"Tumusiime","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00286hs46","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Atobatele, K.O., Olaleye, O.K. & Adebisi, O., 2018, \u2018Relationships between community reintegration and clinical and psychosocial attributes in individuals with spinal cord injury in a Nigerian city\u2019, Topics in Spinal Cord Injury Rehabilitation 24(4), 306\u2013314. https:\/\/doi.org\/10.1310\/sci16-00055","DOI":"10.1310\/sci16-00055"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Burns, A.S. & O\u2019Connell, C., 2012, \u2018The challenge of spinal cord injury care in the developing world\u2019, Journal of Spinal Cord Medicine 35(1), 3\u20138. https:\/\/doi.org\/10.1179\/2045772311Y.0000000043","DOI":"10.1179\/2045772311Y.0000000043"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Buys, E., Nadasan, T., Pefile, N., Michael, O., Ogunlana, M.O. & Naidoo, D., 2022, \u2018Clinical and socio-demographic determinants of community reintegration in people with spinal cord injury in eThekwini Municipality, KwaZulu-Natal province\u2019, South African Journal of Physiotherapy 78(1), a1631. https:\/\/doi.org\/10.4102\/sajp.v78i1.1631","DOI":"10.4102\/sajp.v78i1.1631"},{"key":"ref3","unstructured":"Collins, D., Saya, U. & Kunda, T., 2016, The impact of community-based health insurance on access to care and equity in Rwanda, Management Science for Health, Medford, MA, pp. 1\u20138."},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"De Wolf, A., Lane-Brown, A., Tate, R.L. 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