Document Type

Research Report


The University of Montana Rural Institute

Publication Date



Demography, Population, and Ecology | Social and Behavioral Sciences | Sociology


Objective: To examine a measure of meaningful activity and purpose attributions for predicting disability outcome in adults with spinal cord injury (SCI). Study Design: Cross-sectional survey correlational design using multiple regression to examine the relationship between the meaningful activity scale and other disability outcome measures. Participants: Adults with spinal cord injury living independently in a community setting (n = 73). Main Outcome Measures: Sense of Coherence, the Centers for Epidemiological Studies of Depression Scale, the Hope Scale, the Health Promoting Lifestyle Inventory and the Life Satisfaction Scale. Results: Significant and substantial variation in each of the outcome measures was attributable to the purpose attribution subscale of the meaningful activity scale. Concurrent validity with both the Sense of Coherence Meaningfulness subscale and the Health Promoting Lifestyle Inventory Personal Growth Orientation subscale was good. Conclusions: The Meaningful Activity Scale provides an alternative approach to assessing disability outcome and quality of life. The cognitive existential conceptual model for the measurement instrument may be useful for developing interventions to help adults with SCI improve their long-term adaptation and outcome following injury.


independent living and community participation, rural


© 2018 RTC:Rural

Granting Agency

National Institute on Disability and Rehabilitation Research


Our research is supported by grant #90RT5025 from the National Institute on Disability and Rehabilitation Research, U.S. Dept. of Education

Project Number