Conception and development of Self-Management indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project
CONTEXT: Although self-management is linked to reduced secondary health complications (SHCs) and enhanced overall quality of life post-spinal cord injury or disease (SCI/D), it is poorly integrated into the current rehabilitation process. Promoting self-management and assuring equity in care deliver...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604486/ https://www.ncbi.nlm.nih.gov/pubmed/34779736 http://dx.doi.org/10.1080/10790268.2021.1961054 |
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author | Jeyathevan, Gaya Jaglal, Susan B. Hitzig, Sander L. Linassi, Gary Mills, Sandra Noonan, Vanessa K. Anzai, Karen Clarke, Teren Wolfe, Dalton Bayley, Mark Aslam, Lubna Farahani, Farnoosh Alavinia, S. Mohammad Omidvar, Maryam Craven, B. Catharine |
author_facet | Jeyathevan, Gaya Jaglal, Susan B. Hitzig, Sander L. Linassi, Gary Mills, Sandra Noonan, Vanessa K. Anzai, Karen Clarke, Teren Wolfe, Dalton Bayley, Mark Aslam, Lubna Farahani, Farnoosh Alavinia, S. Mohammad Omidvar, Maryam Craven, B. Catharine |
author_sort | Jeyathevan, Gaya |
collection | PubMed |
description | CONTEXT: Although self-management is linked to reduced secondary health complications (SHCs) and enhanced overall quality of life post-spinal cord injury or disease (SCI/D), it is poorly integrated into the current rehabilitation process. Promoting self-management and assuring equity in care delivery is critical. Herein, we describe the selection of Self-Management structure, process and outcome indicators for adults with SCI/D in the first 18 months after rehabilitation admission. METHODS: Experts in self-management across Canada completed the following tasks: (1) defined the Self-Management construct; (2) conducted a systematic search of available outcomes and their psychometric properties; and (3) created a Driver diagram summarizing available evidence related to Self-Management. Facilitated meetings allowed development and selection following rapid-cycle evaluations of proposed structure, process and outcome indicators. RESULTS: The structure indicator is the proportion of staff with appropriate education and training in self-management principles. The process indicator is the proportion of SCI/D inpatients who have received a self-management assessment related to specific patient self-management goal(s) within 30 days of admission. The outcome indicator is the Skill and Technique Acquisition, and Self-Monitoring and Insight subscores of the modified Health Education Impact Questionnaire. CONCLUSION: The structure indicator will heighten awareness among administrators and policy makers regarding the need to provide staff with ongoing training related to promoting self-management skill acquisition. Successful implementation of the Self-Management process and outcome indicators will promote self-management education and skill acquisition as a rehabilitation priority, allow for personalization of skills related to the individual’s self-management goal(s), and empower individuals with SCI/D to manage their health and daily activities while successfully integrating into the community. |
format | Online Article Text |
id | pubmed-8604486 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-86044862022-03-03 Conception and development of Self-Management indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project Jeyathevan, Gaya Jaglal, Susan B. Hitzig, Sander L. Linassi, Gary Mills, Sandra Noonan, Vanessa K. Anzai, Karen Clarke, Teren Wolfe, Dalton Bayley, Mark Aslam, Lubna Farahani, Farnoosh Alavinia, S. Mohammad Omidvar, Maryam Craven, B. Catharine J Spinal Cord Med Research Articles CONTEXT: Although self-management is linked to reduced secondary health complications (SHCs) and enhanced overall quality of life post-spinal cord injury or disease (SCI/D), it is poorly integrated into the current rehabilitation process. Promoting self-management and assuring equity in care delivery is critical. Herein, we describe the selection of Self-Management structure, process and outcome indicators for adults with SCI/D in the first 18 months after rehabilitation admission. METHODS: Experts in self-management across Canada completed the following tasks: (1) defined the Self-Management construct; (2) conducted a systematic search of available outcomes and their psychometric properties; and (3) created a Driver diagram summarizing available evidence related to Self-Management. Facilitated meetings allowed development and selection following rapid-cycle evaluations of proposed structure, process and outcome indicators. RESULTS: The structure indicator is the proportion of staff with appropriate education and training in self-management principles. The process indicator is the proportion of SCI/D inpatients who have received a self-management assessment related to specific patient self-management goal(s) within 30 days of admission. The outcome indicator is the Skill and Technique Acquisition, and Self-Monitoring and Insight subscores of the modified Health Education Impact Questionnaire. CONCLUSION: The structure indicator will heighten awareness among administrators and policy makers regarding the need to provide staff with ongoing training related to promoting self-management skill acquisition. Successful implementation of the Self-Management process and outcome indicators will promote self-management education and skill acquisition as a rehabilitation priority, allow for personalization of skills related to the individual’s self-management goal(s), and empower individuals with SCI/D to manage their health and daily activities while successfully integrating into the community. Taylor & Francis 2021-11-15 /pmc/articles/PMC8604486/ /pubmed/34779736 http://dx.doi.org/10.1080/10790268.2021.1961054 Text en © 2021 The Author(s). Published with license by Taylor & Francis Group, LLC https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. |
spellingShingle | Research Articles Jeyathevan, Gaya Jaglal, Susan B. Hitzig, Sander L. Linassi, Gary Mills, Sandra Noonan, Vanessa K. Anzai, Karen Clarke, Teren Wolfe, Dalton Bayley, Mark Aslam, Lubna Farahani, Farnoosh Alavinia, S. Mohammad Omidvar, Maryam Craven, B. Catharine Conception and development of Self-Management indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project |
title | Conception and development of Self-Management indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project |
title_full | Conception and development of Self-Management indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project |
title_fullStr | Conception and development of Self-Management indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project |
title_full_unstemmed | Conception and development of Self-Management indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project |
title_short | Conception and development of Self-Management indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project |
title_sort | conception and development of self-management indicators to advance the quality of spinal cord injury rehabilitation: sci-high project |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604486/ https://www.ncbi.nlm.nih.gov/pubmed/34779736 http://dx.doi.org/10.1080/10790268.2021.1961054 |
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