Clarissa Saunders-Newton PhD, OTR/L
Assistant Professor of Clinical Occupational Therapy
Room: CHP 133
Doctor of Philosophy (PhD)
in Occupational Science
2009 | University of Southern California
Master of Science (MS)
1994 | University of Southern California
Bachelor of Science (BS)
in Occupational Therapy
1983 | Loma Linda University
Jackson, J. M., Carlson, M. E., Rubayi, S., Scott, M. D., Atkins, M. S., Blanche, E. I., Saunders-Newton, C. D., Mielke, S. E., Wolfe, M. K., & Clark, F. A. (2010). Qualitative study of principles pertaining to lifestyle and pressure ulcer risk in adults with spinal cord injury. Disability and Rehabilitation, 32(7), 567-578. https://doi.org/10.3109/09638280903183829 Show abstract
PURPOSE: The aim of this article is to identify overarching principles that explain how daily lifestyle considerations affect pressure ulcer development as perceived by adults with spinal cord injury (SCI).
METHOD: Qualitative in-depth interviews over an 18-month period with 20 adults with spinal injury and a history of pressure ulcers were conducted using narrative and thematic analyses.
RESULTS: Eight complexly interrelated daily lifestyle principles that explain pressure ulcer development were identified: perpetual danger; change/disruption of routine; decay of prevention behaviors; lifestyle risk ratio; individualization; simultaneous presence of prevention awareness and motivation; lifestyle trade-off; and access to needed care, services and supports.
CONCLUSIONS: Principles pertaining to the relationship between in-context lifestyle and pressure ulcer risk underscore previous quantitative findings, but also lead to new understandings of how risk unfolds in everyday life situations. Pressure ulcer prevention for community-dwelling adults with SCI can potentially be enhanced by incorporating principles, such as the decay of prevention behaviors or lifestyle trade-off, that highlight special patterns indicative of elevated risk. The identified principles can be used to theoretically drive future research or to guide innovative lifestyle-focused intervention approaches. Public policies that promote short-term preventive interventions at critical junctures throughout a person's life should be considered.