Liang Qin Liu, Evangeline Martinez, Jacinta Kelly, Helen Allan, Sarah Knight
This protocol outlines a methodologically rigorous evaluation of a novel privacy-preserving AI monitoring and feedback system. The RMBD utilizes continuous within-patient data to yield stronger causal inference than conventional designs while remaining feasible in a single-site setting. If effective, DREAMT could shift rehabilitation monitoring from episodic, subjective observation to continuous, personalized, data-driven care.
To examine how self-management attitudes, illness perceptions and preventive behaviours relate to adherence to pressure injury prevention in people with spinal cord injury (PwSCI) using a theory-informed framework. A cross-sectional survey of 184 wheelchair-users with a SCI within community and specialist SCI centres. Preventive behaviours (pressure relief, skin inspection), self-management domains (concordance, perceived benefits, perceived negatives, practical barriers) and illness perceptions (mBIPQ) were assessed. Associations and subgroup differences by pressure injury history and education were analysed. Participants reported high perceived benefit of pressure-relief activities (4.02 ± 0.62) but only moderate concordance (3.05 ± 0.79) and persistent practical barriers (3.22 ± 0.75), indicating a gap between awareness and routine behaviour. Concordance was positively associated with pressure-relief activity (r = 0.49, p < 0.001) and negatively with barriers (r = -0.56, p < 0.001). Prior pressure injury education and experience were associated with more positive attitudes and greater engagement. Older age (≥ 55 years), but not injury duration, was associated with higher adherence. Despite high awareness, adherence to preventive routines remains constrained by perceptual and practical barriers. This study provides quantitative evidence explaining why awareness does not consistently translate into preventive behaviour, highlighting the need to address real-world barriers beyond education alone.