A Study of Factors Affecting Moving-Forward Behavior Among People with Spinal Cord Injury


  • Hsiao-Yu Chen PhD MSc BSc RN,

    Associate Professor of Nursing, Corresponding authorSearch for more papers by this author
    • Hsiao-Yu Chen, PhD MSc BSc RN, is an associate professor of nursing in the department of nursing at the National Taichung Nursing College in Taiwan.

  • Chia-Hsiang Lai PhD,

    Assistant Professor of NursingSearch for more papers by this author
    • Chia-Hsiang Lai, PhD, is an assistant professor of nursing at Central Taiwan University of Science and Technology in Taiwan.

  • Tzu-Jung Wu MS RN

    Nurse SupervisorSearch for more papers by this author
    • Tzu-Jung Wu, MS RN, is a nurse supervisor at Chung Shan Medical University Hospital in Taiwan.



Enhancing self-efficacy, self-perception, and social support can be an effective way for people with spinal cord injury (SCI) to move forward. The purpose of this study was to explore relationships between “moving-forward behavior” and demographic and disease characteristics, self-efficacy, self-perception, and social support among people with SCI. The study was designed as a descriptive-correlation, cross-sectional study. The participants were selected using cluster random sampling (n = 210) through the Spinal Injury Association in Taiwan. A statistically significant relationship was found between moving-forward behavior and age (t = −2.30, p < .05), self-efficacy (γ = −0.25, p < .01), and self-perception (γ = −0.39, p < .01). Age (odds ratio [OR] = 0.964, p < .05) and self-perception (OR = 0.824, p < .05) were both significant predictors of moving-forward behavior