Theory of planned behaviour, skin care & pressure sores following spinal cord injury
Objectives: To use the theory of plannedb ehaviourt o explore factors associatedw ith
performing skin care behaviours and the occurrence of pressure sores in people with
spinal cord injury.
Design: A within-group cross-sectional design was used to assess 59 people with spinal
cord injury living in the community. A sample returned a repeat assessment allowing a
longitudinal examination of the relationship between intention and actual behaviour.
Methods: A measure was developed in accordance with the theory of planned
behaviour guidelines through interviews with people with spinal cord injury. Measures
of mood and knowledge of skin-care behaviours were also included.
Results: The theory of planned behaviour components, mood and knowledge of skincare
behaviours were helpful in predicting intention, skin care behaviour and occurrence
of pressure sores. Demographic and disease factors also helped to identify people at
increased risk of performing less skin-care behaviour or developing a pressure sore.
Overall, past behaviour and indirect perceived control and past behaviour and age were
particularly important predictors of pressure relief and skin checking intention
Conclusions: Psychosocial factors, including the theory of planned behaviour
components, were useful in understanding adherence to skin care behaviours and the
occurrence of pressure sores. Overall the combination of past behaviour and indirect
perceived control, and past behaviour and age were particularly important predictors of
pressure relief intention and skin checking intention respectively. The clinical and
theoretical implications of these findings are considered and suggestions for future
research are outlined.