A bellweather for climate change and disability: educational needs of rehabilitation professionals regarding disaster management and spinal cord injuries.,Spinal Cord Series and Cases

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A bellweather for climate change and disability: educational needs of rehabilitation professionals regarding disaster management and spinal cord injuries.
Spinal Cord Series and Cases ( IF 0.7 ) Pub Date : 2019-11-15 , DOI: 10.1038/s41394-019-0239-z
Marcalee Alexander _{1,

2,

3} , Jagger Alexander ₄ , Mohit Arora ₅ , Chloe Slocum ₂ , James Middleton _{5,

6,

7}

Affiliation

Study design

Cross-sectional survey.

Objective

Persons with disabilities are disproportionately impacted by extreme weather disasters and climate change. Individuals with spinal cord injury (SCI) are especially at risk due to inability to control their body temperature and mobility concerns. We surveyed rehabilitation professionals in the field of SCI to determine their experiences, concerns and educational needs regarding natural disasters, climate change and sustainability and the effects on their clientele.

Setting

Online survey available to an international cohort.

Methods

The survey was developed by the authors and conducted in 2019. It was distributed amongst various international health care organizations whose members care for persons with SCI. Descriptive statistics and chi-square test for association were performed using Microsoft Excel 2016.

Results

Of 125 respondents, 50% were from Europe, 18% from North America, and 18% from Asia; 74% were physicians and 13% physical therapists. In total 57.6% believed climate change had impacted their client’s health and well-being. Respondents from North America were significantly less likely to report climate change had an impact on their patient’s health than those from Asia or Europe (p < 0.01). In total 82.5% of respondents thought professionals should be concerned with sustainability and 85.5% were interested in further education.

Conclusions

Most respondents acknowledged a need for more information related to the disasters, climate change, and disability. Results underscore the need for further research, professional, and consumer education.

中文翻译：

气候变化和残疾的风向标：康复专业人员有关灾害管理和脊髓损伤的教育需求。

研究设计

横断面调查。

客观的

残疾人受到极端天气灾害和气候变化的影响尤为严重。脊髓损伤 (SCI) 患者由于无法控制体温和行动不便而面临特别高的风险。我们对 SCI 领域的康复专业人士进行了调查，以确定他们在自然灾害、气候变化和可持续性方面的经验、担忧和教育需求以及对其客户的影响。

环境

面向国际群体的在线调查。

方法

该调查由作者制定并于 2019 年进行。调查分发给其成员照顾 SCI 患者的各个国际医疗保健组织。使用 Microsoft Excel 2016 进行描述性统计和关联卡方检验。

结果

125 名受访者中，50% 来自欧洲，18% 来自北美，18% 来自亚洲； 74% 是医生，13% 是物理治疗师。总共 57.6% 的人认为气候变化已经影响了客户的健康和福祉。来自北美的受访者报告气候变化对其患者健康产生影响的可能性明显低于来自亚洲或欧洲的受访者 ( p < 0.01)。总共 82.5% 的受访者认为专业人士应该关注可持续性，85.5% 的受访者对继续教育感兴趣。