Living Longer and Stronger With Spinal Cord Injury: An Online Program for Promoting Healthy Aging

Change in psychological health and wellbeing as assessed by the Generalized Anxiety Disorder (GAD-2) scale

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This is a 2 item questionnaire and each is scored from 0(not at all) to 3(nearly every day), for a maximum score of 6 higher score indicating worse outcome

Change in psychological health and wellbeing as assessed by the SCI-Qol Positive Affect and Well-being Scale

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This is a 10 item questionnaire, and each is scored from from 1 (never) to 5 (always). Items are summed to create a raw score. Raw scores are then converted to an IRT-based T-score using provided look-up tables. T-scores range from 26.7 to 68.6 with higher scores representing more positive affect and well-being.

Change in physical health as assessed by the SF-36 General Health Subscale

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

a 5-item scale of self-perceived health. The subscale consists of a single-item rating of health and four additional items reflecting perceived current health, resistance to illness and health outlook. Individual item responses range from 1-5. To score, select items (1, 3, and 5) are recoded so that higher scores indicate better health. The 5 items are then summed and transformed to a 0-100 scale with higher scores reflecting better health.

Change in physical health as assessed by the Pain Intensity scale

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This consists of one item assessing pain intensity/severity rated on a 11-point scale ranging from 0 (no pain) to 10 (pain so severe you couldn't stand it), higher score indicting worse pain

Change in physical health as assessed by the SCI Secondary Conditions Scale (SCI-SCS)

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This is a 16 item questionnaire and each item scores range from 0 (not experienced or insignificant problem) to 3 (significant or chronic problem). Items are summed with a potential score range of 0-48 with higher scores reflecting more severe secondary health conditions.

Change in psychological health and wellbeing as assessed by the Patient Health Questionaire-8 (PHQ-8)

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This is an 8 item questionnaire and each is scored from 0(not at all) to 3(nearly every day), for a maximum score of 24 higher score indicating worse outcome

Change in physical health as assessed by the Interference scale

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This is a 1 item questionnaire that is scored on a linear scale from 0 (no interference)-10 (extreme interference), higher score indicting worse outcome

Change in psychological health and wellbeing as assessed by the Diener Satisfaction with Life Scale (SWLS)

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This is a 4 item questionnaire and each is scored on a 7-point scale ranging from 1 (strongly disagree) to 7 (strongly agree). Scores are summed resulting in a scale score ranging from 4 to 28 with higher scores representing greater life satisfaction.

Change in psychological health and wellbeing as assessed by the 4-itemPerceived Stress Scale (PSS)

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This is a 4 item questionnaire and questions 1 and 4 are scored from 0(never) to 4(very often) , and questions 2 and 3 are scored from 0(very often) to 4 (never) for a maximum score of 16 higher score indicating worse outcome

Change in social health as assessed by the UCLA Loneliness scale

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This is a 3 item questionnaire and each is scored from 1(hardly ever) to 3(often) for a maximum score of 9 higher score indicating worse outcome

Change in social health as assessed by the Spinal Cord Injury - Quality of Life Scale (SCI-QOL) Satisfaction with Participation Scale

Time Frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )

This is a 10 item questionnaire and each is scored from 1(not at all) to 5(very much ) with the scale direction depending on whether the item is positively or negatively worded. Item scores are summed to create a raw score which is then converted to an IRT-based T-score using look-up tables. T-scores range from 28.3 to 60.5 with higher scores representing more satisfaction with social roles and activities.