Physical activity promotion in Spanish adults with spinal cord injury: community guidelines, supporting resources and messaging strategies.

Purpose: The purpose of this study was threefold: (1) to develop spinal cord injury (SCI) physical activity (PA) community guidelines suitable for a Spanish context; (2) to generate seminal resources for supporting PA participation in Spain and, potentially, other Spanish speaking countries; and (3)...

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Published in:Disability & Rehabilitation Vol. 48; no. 12; pp. 3748 - 3760
Main Authors: Monforte, Javier, Castan, Alex, Smith, Brett, Hoekstra, Femke, Úbeda-Colomer, Joan
Format: pictorial research tables/charts Journal Article
Published: Taylor & Francis Ltd Jun2026
Online Access:View this record in EBSCOhost
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      jtl: Disability & Rehabilitation
      issn: 09638288
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      dt: Jun2026
      vid: 48
      iid: 12
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        195034197
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        10.1080/09638288.2025.2595238
        195034197
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        atl: Physical activity promotion in Spanish adults with spinal cord injury: community guidelines, supporting resources and messaging strategies.
      aug:
        au:
          Monforte, Javier
          Castan, Alex
          Smith, Brett
          Hoekstra, Femke
          Úbeda-Colomer, Joan
        affil: Department of Physical Education and Sports, University of Valencia, Valencia, Spain
      sug:
        subj:
          Physical Activity
          Health Promotion
          Spinal Cord Injuries In Adulthood
          Implementation Science
          Practice Guidelines
          Community Resources
          Support, Psychosocial
          Text Messaging Methods
          Human
          Spain
          Health Services Research
          Focus Groups
          Purposive Sample
          Adult
          Funding Source
          Adult: 19-44 years
      ab: Purpose: The purpose of this study was threefold: (1) to develop spinal cord injury (SCI) physical activity (PA) community guidelines suitable for a Spanish context; (2) to generate seminal resources for supporting PA participation in Spain and, potentially, other Spanish speaking countries; and (3) to identify potential communication strategies for delivering the guidelines and resources. Materials and methods: 19 people with SCI, 4 healthcare professionals, a partnership champion, two critical friends, and two SCI experts participated in a co-designed process of knowledge translation (KT). Available international resources were used as initial prototypes. Focus group discussions, qualitative surveys and member reflections were used to gather relevant insights and action a process of iterative prototyping of the KT products. Results: One infographic, one booklet and two videos were produced. The participants of this research support a model of PA messaging focused on short conversations with a variety of PA messengers, including social workers and occupational therapists. A formal partnership with a neurorehabilitation hospital was established and informed this work throughout. Conclusions: The research has resulted in new resources tailored to Spanish SCI population to promote and support physically active lifestyles. IMPLICATIONS FOR REHABILITATION: Professionals within and beyond rehabilitation should support Spanish-speaking adults with spinal cord injury to be, and stay, active. We encourage them to use and combine each of the Spanish resources presented in this article, which were co-designed with people with spinal cord injury lived experience. The unique co-design process we describe in the article, based on iterative prototyping, shows that rehabilitation services can play a key role in translating knowledge into practice and benefit from doing so. When communicating the physical activity guidelines for adults with spinal cord injury in Spain, it is important to acknowledge that becoming active is not an immediate, linear process, as well as to foreground notions of quality of life, community, and enjoyment.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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