Secondary Conditions and their Effects on Community Participation

Secondary Conditions and their Effects on Community Participation: A Preliminary Review of the Literature

Chiaki Gonda, Glen W. White, Jana Peterson and Charles Drum


Secondary conditions can have very serious outcomes for people with physical disabilities. Such consequences can range from immobility due to pressure sores to withdrawal and isolation due to depression. To further investigate these assumptions we conducted a systematic literature search of the literature on community-based health promotion interventions for adults with disabilities. As part of our inclusion criteria, we were interested in any health promotion interventions to help people with various physical disabilities reduce risk and or prevent potential secondary conditions. Additionally, we were especially interested in those articles that not only identified proximal outcomes (i.e., whether the intervention reduced risk factors to secondary conditions occurring), but also more distal factors (i.e., did the intervention have any effect on increasing community participation for the participants?) The purpose of this formative study was to provide an initial review and impressions on the topic of the effects of secondary conditions on full participation in the community by people with mobility impairments.