Introduction: The change in environmental and social context measures during the COVID-19 pandemic affected daily activities of people with spinal cord injury (SCI), their inter-actions within the community, and consequently their social participation during the first wave of the pandemic. However, there is little information about the changes in social participation as the pandemic evolved in Canada. Objective: To describe the change in social participation of adults with SCI after the first two years of the COVID-19 pandemic in Canada. Methods: A follow-up from a previous study exploring the social participation of adults with SCI living during the first wave was conducted eight months later (second wave). Social participation was measured using the Assessment of Life Habits (LIFE-H 4.0) and Measure of Quality of the Environment (MQE)) among 18 adults with SCI. Results: Participants reported increases between both waves of COVID-19 in life habits categories, including mobility, personal care and health, nutrition, and recreation. New environmental factors were identified as facilitators, including the increased availability of businesses in the community. Conclusion: These findings suggest that people with SCI increased fulfillment and satisfaction of certain life habits. Reduced environmental barriers and increased facilitators improved social participation as the pandemic evolved.

The authors have declared no competing interest.

This study was funded by the Craig H Neilsen Foundation Psychosocial Research program.

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The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Ethics Committee of the Centre integre universitaire de sante et de services sociaux (CIUSSS) de la Capitale-Nationale gave ethical approval (MP-13-2018-415) for this work.

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All data produced in the present study are available upon reasonable request to the authors.