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Research ArticleOriginal Article
Open Access

Personal, family and societal educational needs assessment of individuals with spinal cord injury in Iran

Zahra Khazaeipour, Abolfazl Abouie, Fatemeh Zarei, Hamid Mirzaaghaie, Afsaneh Abd-Mousavi, Alireza Salehi-Nejad, Alexander R Vaccaro and Vafa Rahimi-Movaghar
Neurosciences Journal July 2018, 23 (3) 216-222; DOI: https://doi.org/10.17712/nsj.2018.3.20180023
Zahra Khazaeipour
From Brain and Spinal Cord Injury Research Center (Khazaeipour, Mirzaaghaie, Abd-Mousavi), Neuroscience Institute, from Sina Trauma and Surgery Research Center (Abouie, Rahimi-Movaghar), Tehran University of Medical Sciences, from the Faculty of World Studies (Salehi-Nejad), University of Tehran, from Health Education Department (Zarei), Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, and from the Rothman Institute (Vaccaro), Thomas Jefferson University Hospital, Philadelphia, PA, United States of America
MD, MPH
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Abolfazl Abouie
From Brain and Spinal Cord Injury Research Center (Khazaeipour, Mirzaaghaie, Abd-Mousavi), Neuroscience Institute, from Sina Trauma and Surgery Research Center (Abouie, Rahimi-Movaghar), Tehran University of Medical Sciences, from the Faculty of World Studies (Salehi-Nejad), University of Tehran, from Health Education Department (Zarei), Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, and from the Rothman Institute (Vaccaro), Thomas Jefferson University Hospital, Philadelphia, PA, United States of America
MD, MPH
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Fatemeh Zarei
From Brain and Spinal Cord Injury Research Center (Khazaeipour, Mirzaaghaie, Abd-Mousavi), Neuroscience Institute, from Sina Trauma and Surgery Research Center (Abouie, Rahimi-Movaghar), Tehran University of Medical Sciences, from the Faculty of World Studies (Salehi-Nejad), University of Tehran, from Health Education Department (Zarei), Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, and from the Rothman Institute (Vaccaro), Thomas Jefferson University Hospital, Philadelphia, PA, United States of America
PhD
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Hamid Mirzaaghaie
From Brain and Spinal Cord Injury Research Center (Khazaeipour, Mirzaaghaie, Abd-Mousavi), Neuroscience Institute, from Sina Trauma and Surgery Research Center (Abouie, Rahimi-Movaghar), Tehran University of Medical Sciences, from the Faculty of World Studies (Salehi-Nejad), University of Tehran, from Health Education Department (Zarei), Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, and from the Rothman Institute (Vaccaro), Thomas Jefferson University Hospital, Philadelphia, PA, United States of America
PhD, BS
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Afsaneh Abd-Mousavi
From Brain and Spinal Cord Injury Research Center (Khazaeipour, Mirzaaghaie, Abd-Mousavi), Neuroscience Institute, from Sina Trauma and Surgery Research Center (Abouie, Rahimi-Movaghar), Tehran University of Medical Sciences, from the Faculty of World Studies (Salehi-Nejad), University of Tehran, from Health Education Department (Zarei), Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, and from the Rothman Institute (Vaccaro), Thomas Jefferson University Hospital, Philadelphia, PA, United States of America
MD, BS
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Alireza Salehi-Nejad
From Brain and Spinal Cord Injury Research Center (Khazaeipour, Mirzaaghaie, Abd-Mousavi), Neuroscience Institute, from Sina Trauma and Surgery Research Center (Abouie, Rahimi-Movaghar), Tehran University of Medical Sciences, from the Faculty of World Studies (Salehi-Nejad), University of Tehran, from Health Education Department (Zarei), Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, and from the Rothman Institute (Vaccaro), Thomas Jefferson University Hospital, Philadelphia, PA, United States of America
PhD
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Alexander R Vaccaro
From Brain and Spinal Cord Injury Research Center (Khazaeipour, Mirzaaghaie, Abd-Mousavi), Neuroscience Institute, from Sina Trauma and Surgery Research Center (Abouie, Rahimi-Movaghar), Tehran University of Medical Sciences, from the Faculty of World Studies (Salehi-Nejad), University of Tehran, from Health Education Department (Zarei), Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, and from the Rothman Institute (Vaccaro), Thomas Jefferson University Hospital, Philadelphia, PA, United States of America
MD, PhD
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Vafa Rahimi-Movaghar
From Brain and Spinal Cord Injury Research Center (Khazaeipour, Mirzaaghaie, Abd-Mousavi), Neuroscience Institute, from Sina Trauma and Surgery Research Center (Abouie, Rahimi-Movaghar), Tehran University of Medical Sciences, from the Faculty of World Studies (Salehi-Nejad), University of Tehran, from Health Education Department (Zarei), Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, and from the Rothman Institute (Vaccaro), Thomas Jefferson University Hospital, Philadelphia, PA, United States of America
MD
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Article Figures & Data

Tables

    • View popup
    Table 1

    The demographic and injury characteristics.

    Variablesn (%)
    Age in years (range)37.6±11.5 (18-62)
    Duration of injury in years (range)10.6±6.2 (1-20)
    Gender
     Female14 (23)
     Male47 (77)
    Marital status
     Single25 (41)
     Married36 (59)
    Level of injury
     Paraplegic46 (75)
     Tetraplegic15 (25)
    Cause of injury
     Car accident40 (65.5)
     Falling9 (14.7)
     Gunshot injury8 (13.3)
     Others4 (6.5)
    Education level
     High school9 (14.8)
     Diploma18 (29.5)
     University34 (55.7)
    Occupation
     Unemployed24 (39.4)
     Employed20 (32.8)
     Retired6 (9.8)
     Student3 (4.9)
     Unanswered8 (13.1)
    • View popup
    Table 2

    Perceived educational needs from individuals with SCI perspective.

    Perceived educational needsPerspective
    Personal educational needs
    Personal independence and transportation“..I need knowing about hydrotherapy because it helps me to prevent pressure ulcer, and spasticity.” (A 36-year-old bachelorette man with complete paraplegia).
    Financial independence“…I wonder to know how to prevent my muscular atrophy”(A 36-year-old female with complete paraplegia).
    Life skills modifications“… I really need to know how to have an enjoyable sex….”(A25-year-old graduated man with incomplete tetraplegia).
    Prevention of SCI complications“… I am so interested to be trained in art or music to have an independent financial life… “(A 30-year-old graduated man with incomplete paraplegia).
    Knowledge about SCI“… I wonder if I can learn computing and information technology (IT), to facility my life style more (a 45-year-old bachelorette man with incomplete paraplegia).
    Relationships and Sexual function“.. Well I really need to know about how can be adjusting on transportation vehicles such as wheelchair …”(A 30- year-old bachelorette woman with complete tetraplegia).
    Psychological adjustment“…I am interested in knowing about how SCI effect on reproductive organs and digestive system…”(A 45-year-old bachelorette man with incomplete paraplegia).
    “…I think it is very important to know about how I can accept my current state…” (A 33 year old graduated man with complete paraplegia).
    Family educational needs
    Caregiver skills and communication“…I truly need my family to understand my distraught and respect my mental privacy and independence…” (A 30-year-old post graduate women with complete paraplegia).
    First Aid and Emergency skills“…I believed that family and caretakers need to receive proper briefings and training even prior to us…” (A 29-year old associated degree man with complete paraplegia)
    Emotional and psychological support“… even though my family are very cooperative and have learned a lot in the past decade there are still many ways to ease the tasks…” (A 30-year-old graduate women with incomplete tetraplegia).
    Societal educational needs
    Social integration“…I stated that the society should learn to embrace a person with SCI without discrimination and bias, and most importantly provide a convenient social environment where those with SCI and disabilities can continue their education and enter the job market…”(An 18-year-old graduate man with complete paraplegia).
    Interpersonal communication skills“…Member of the society must learn about social dignity and cease pitying or staring at parson with SCI in an unpleasant way…”(A 42-year-old man with Primary education and complete paraplegia).
    SCI awareness and injury prevention“…general public are truly unaware of the significance of the nervous system, how it operates, and how the possible injuries can be prevented…”(a retired 53-year-old associate degree man with incomplete paraplegia).
    Sympathize while avoiding pity“…the society should have a more realistic understanding of the shortcomings that a spinal cord injured person struggles with, particularly about marriage and sex-life…” (A 36-year-old woman with incomplete paraplegia).
    • SCI - spinal cord injury

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Neurosciences Journal: 23 (3)
Neurosciences Journal
Vol. 23, Issue 3
1 Jul 2018
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Personal, family and societal educational needs assessment of individuals with spinal cord injury in Iran
Zahra Khazaeipour, Abolfazl Abouie, Fatemeh Zarei, Hamid Mirzaaghaie, Afsaneh Abd-Mousavi, Alireza Salehi-Nejad, Alexander R Vaccaro, Vafa Rahimi-Movaghar
Neurosciences Journal Jul 2018, 23 (3) 216-222; DOI: 10.17712/nsj.2018.3.20180023

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Personal, family and societal educational needs assessment of individuals with spinal cord injury in Iran
Zahra Khazaeipour, Abolfazl Abouie, Fatemeh Zarei, Hamid Mirzaaghaie, Afsaneh Abd-Mousavi, Alireza Salehi-Nejad, Alexander R Vaccaro, Vafa Rahimi-Movaghar
Neurosciences Journal Jul 2018, 23 (3) 216-222; DOI: 10.17712/nsj.2018.3.20180023
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