Browsing by Author "Pattanakuhar S."

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    Association Between Health Service Systems and Pressure Injury Problems of Individuals With Chronic Spinal Cord Injury in Malaysia, Indonesia, and Thailand: A Cross-sectional Study
    (2024-10-01) Kammuang-Lue P.; Pattanakuhar S.; Engkasan J.P.; Wahyuni L.K.; Fauzi A.A.; Chotiyarnwong C.; Kovindha A.; Kammuang-Lue P.; Mahidol University
    Objective: The aim of the study is to determine whether a health service system is an independent influencing factor of having pressure injury problems in individuals with chronic spinal cord injury living in three countries Design: This is a cross-sectional study. Methods: Data from the International Spinal Cord Injury Community Survey were analyzed. The pressure injury problems were assessed using the Spinal Cord Injury Secondary Condition Scales (dichotomized to “having problem” and “not having problem”). Health service systems were categorized as an inpatient-oriented spinal cord injury–specialized system and a primary care–oriented system. A directed acyclic graph was applied to create a multivariable logistic regression model to determine the independent influencing factors of pressure injury problems. Results: Of 790 included participants, 277 (35%) had pressure injury problems. Being recruited from countries with inpatient-oriented spinal cord injury–specialized systems (model 1) and visiting rehabilitation medicine/spinal cord injury physicians at least once a year (model 2) is an independent negative correlating factor of pressure injury problems (odds ratio = 0.569 [95% confidence interval = 0.374–0.866] and 0.591 [95% confidence interval = 0.405–0.864], respectively). Conclusions: Spinal cord injury–specialized health service systems might be a protective factor of pressure injury problems in middle-income country contexts. This result suggests the importance of having spinal cord injury–specialized services in middle-income countries to reduce the prevalence of pressure injury problems.
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    COVID-19 vaccination status in people with spinal cord injury: Results from a cross-sectional study in Thailand
    (2023-01-01) Chotiyarnwong C.; Pattanakuhar S.; Srisuppaphon D.; Komaratat N.; Insook S.; Tunwattanapong P.; Kammuang-lue P.; Laohasinnarong P.; Potiart T.; Kaewma A.; Thoowadaratrakool T.; Potiruk P.; Mahisanan T.; Wangchumthong A.; Kaewtong A.; Kittiwarawut J.; Dissaneewate T.; Kovindha A.; Mahidol University
    Objective: To assess COVID-19 vaccination status among individuals with spinal cord injury (SCI). Design: A cross-sectional study. Setting: Twelve hospitals from all regions of Thailand. Participants: One hundred and eighty people with SCI were randomly selected from the Thai SCI registry database. Intervention: Not applicable. Outcome measures: The primary outcome, which was the COVID-19 vaccination status, and the secondary outcomes, which were the number of vaccination doses, satisfaction and dissatisfaction aspects, and barriers to vaccination, were recorded using a specifically developed questionnaire over the telephone during February to March 2022. Data were analyzed using descriptive analyses, bivariate, and multivariable analyses. Results: Of the 96 people with SCI who were able to respond, the prevalence of receiving at least one dose was 77% but the prevalence of receiving a booster dose was 20%. Being non-traumatic SCI correlated negatively with having received any vaccination doses when compared to traumatic SCI. Most of the participants were satisfied with the government provision of COVID-19 vaccines. The major barriers to vaccination were problems related to a negative attitude toward the vaccination, followed by transportation difficulties and wheelchair-inaccessible vaccination sites. Conclusions: Seventy-seven percent of people with SCI participating in this study received at least one dose of the COVID-19 vaccine, whereas only 20% of them received a booster dose of the COVID-19 vaccination. To increase the prevalence of vaccination, healthcare providers should deliver the fact regarding COVID-19 vaccination to reduce negative attitudes, as well as remove physical barriers to vaccination places for people with SCI.
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    Cross-cultural adaptation and psychometric evaluation of Spinal Cord Injury Secondary Conditions Scale (SCI-SCS) Thai version
    (2025-01-01) Techaworarak P.; Khobkhun F.; Pattanakuhar S.; Suttiwong J.; Techaworarak P.; Mahidol University
    Purpose: To translate and cross-culturally adapt the English version of the SCI-SCS into Thai and assess its psychometric properties (validity and reliability). Methods: A cross-cultural adaptation of the preliminary SCI-SCS was performed using guidelines by Beaton et al. to create a Thai version of the SCI-SCS. Exploratory factor analysis (EFA) was used to analyze construct validity. Pearson’s correlation coefficient was used to analyze the convergent and discriminant validity against the Thai version of the World Health Organization Quality of Life-BREF scale (WHOQOL-BREF-Thai). Cronbach’s alpha was used to analyze the internal consistency of the total score and each domain. Intraclass correlation (ICC) was used to analyze the test-retest reliability. Results: A total of 160 participants were recruited from December 2023 to February 2024. The EFA suggested four components, with total variance accounting for 49.90%. The SCI-SCS Thai version was categorized into four domains and contained 16 items. There were significant moderate correlations, ranging from −0.32 to −0.46 between the SCI-SCS Thai version and WHOQOL-BREF-Thai. The ICC for the test-retest reliability was 0.94. Cronbach’s α was 0.79 for the total score ranged from 0.47 to 0.66 for each domain. Conclusion: The SCI-SCS Thai version was cross-culturally developed with acceptable validity and reliability.
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    Do individuals from an SCI-specialized rehabilitation facility have fewer secondary health conditions than those from a non-SCI-specialized rehabilitation facility? Analysis of the InSCI database from a middle-income country
    (2024-01-01) Pattanakuhar S.; Kammuang-lue P.; Komaratat N.; Chotiyarnwong C.; Kovindha A.; Gemperli A.; Pattanakuhar S.; Mahidol University
    Objectives: To determine whether attending an SCI-specialized rehabilitation facility (SSRF) is independently associated with having fewer secondary health conditions (SHCs) in middle-income country contexts. Study Design: Cross-sectional observational study. Setting: Four rehabilitation facilities in Thailand (one SSRF and three non-SSRF). Methods: Data from a Thai arm of the International Spinal Cord Injury Community Survey (InSCI) were analyzed. SHCs occurring within the last three months were evaluated using the Spinal Cord Injury Secondary Condition Scale. A causal diagram was applied to create a multivariable regression model to determine the independent effect of attending in the SSRF on having SHC as a single condition and as a sum score. Results: Three hundred and thirteen individuals with chronic SCI were included in this study. Two hundred and nineteen participants (70%) were recruited from the SSRF. Being recruited from the SSRF was an independent negative correlating factor of the SHC sum score with an unstandardized coefficient of −1.12 (95% CI: −2.00–0.24). Being recruited from the SSRF was also an independent negative correlating factor of having bladder dysfunction, sexual dysfunction, and pressure ulcer SHC with an odds ratio of 0.32 (95% CI: 0.16–0.59), 0.43 (95% CI: 0.22–0.84), and 0.46 (95% CI: 0.24–0.89), respectively. Conclusion: Attending an SSRF was significantly associated with having fewer SHCs, specifically, bladder dysfunctions, sexual dysfunctions, and pressure ulcers. These results suggest the importance of having SSRF in middle-income countries for delivering effective care to people with SCI and standardized education to health care providers.
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    Health care and rehabilitation services utilization, benefits and satisfaction: a community survey of individuals with spinal cord injury in Thailand
    (2022-08-01) Pattanakuhar S.; Mahidol University
    Study design: Cross-sectional study. Objectives: This study aimed to explore and report on health care and rehabilitation service utilization, rehabilitation service benefits, and levels of satisfaction of individuals with spinal cord injury (SCI) living in communities in Thailand. Setting: Four rehabilitation facilities in Thailand, two university hospitals (Maharaj Nakorn Chiang Mai Hospital in Chiang Mai Province and Siriraj Hospital in Bangkok), one large provincial hospital (Ratchaburi Hospital in Ratchaburi Province), and one national rehabilitation institute (Sirindhorn National Medical Rehabilitation Institute in Nonthaburi Province). Methods: This study was part of the International Spinal Cord Injury Community Survey (InSCI). Individuals with SCI completed a set of questionnaires, then data related to their health care and rehabilitation services were extracted and analyzed. Results: Of the 320 participants, most were male (71%), and the majority were living with paraplegia (73%). In cases of mild illnesses where hospitalization was not required, 46% went to a nearby health service hospital. In cases of serious illnesses where hospitalization was required, 39% went to a higher-level hospital. The majority (80%) were satisfied with their experience with health care services. The three top preferred products and services in descending order were wheelchairs and cushions, increased disability pension, medication and medical equipment including bladder relaxants, urinary catheters and urine bags. Conclusions: Individuals with SCI living in communities in Thailand preferred treatment at a nearby district hospital for mild illnesses with one-third transferring to a higher-level hospital for serious illnesses. The majority were satisfied with the health care services and rehabilitation services.
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    The prevalence and influencing factors of remunerative employment in people with chronic spinal cord injury in a middle-income country: Analysis of the Thai International Spinal Cord Injury Community Survey database
    (2024-09-16) Pattanakuhar S.; Kammuang-Lue P.; Srisuppaphon D.; Chotiyarnwong C.; Kovindha A.; Schwegler U.; Pattanakuhar S.; Mahidol University
    BACKGROUND: Remunerative employment (RE) is one of the optimal rehabilitation goals for people with spinal cord injury (SCI). However, there has been no study systematically determine the RE status and its related factors in Thais with chronic SCI. OBJECTIVE: To cross-sectionally determine RE statuses and their influencing factors in Thais with chronic SCI. METHODS: Data from a Thai arm of the International Spinal Cord Injury Community Survey (InSCI) were analyzed. The prevalence of RE and related work status were described. RESULTS: Of 223 individuals with chronic SCI whose age was less than 60 years included in this study, 79 (35%) were remunerative employed. Most of them (41, 54%) were self-employed. The most common reason for unemployment was related to health conditions or disabilities. Education year, attending vocational rehabilitation service, and admission≥2 times per year were independent influencing factors of RE with an odds ratio of 1.090, 2.534, and 0.418, respectively. CONCLUSION: Since education and vocational rehabilitation were the modifiable positive influencing factor of employment, educational and vocational rehabilitation programs should be formally established and universally applied together with medical rehabilitation to increase the prevalence of RE in people with SCI in Thailand.