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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
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.
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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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