TY - JOUR
T1 - Integrating Spinal Cord Injury–Quality of Life instruments into rehabilitation
T2 - Implementation science to guide adoption of patient-reported outcome measures
AU - Nitsch, Kristian P.
AU - Stipp, Kelsey
AU - Gracz, Kristen
AU - Ehrlich-Jones, Linda
AU - Graham, Ian D.
AU - Heinemann, Allen W.
N1 - Funding Information:
Funding The Craig H. Neilsen Foundation under Grant 323994 supported this research.
Publisher Copyright:
© The Academy of Spinal Cord Injury Professionals, Inc. 2020.
PY - 2021
Y1 - 2021
N2 - Context/objective: This study describes a development strategy for integrating the Spinal Cord Injury–Quality of Life (SCI-QOL) item banks into inpatient spinal cord injury (SCI) rehabilitation and recommendations for protocol implementation. Design: We adopted an implementation science approach to develop a strategy for adapting and contextualizing SCI-QOL use during SCI rehabilitation. We conducted focus groups and stakeholder meetings with clinical assessment champions to (1) identify barriers and supports to SCI-QOL adoption; (2) reduce barriers and emphasize supports; (3) evaluate and select relevant SCI-QOL domains and item banks; (4) develop administration and reporting guidelines; and (5) identify hospital roles to alert with SCI-QOL results. Setting: A regional inpatient rehabilitation hospital. This study focuses on clinicians providing inpatient rehabilitation to patients with SCI. Participants: Fifty-nine clinicians, including physicians, speech language pathologists, occupational and physical therapists, nurses, and social workers providing care to SCI inpatients. Interventions: N/A. Outcome measures: N/A. Results: Clinicians identified the SCI-QOL domains that were most relevant to inpatient care; when SCI-QOL should be administered; what hospital roles were best suited for administering SCI-QOL; how results should be displayed in the electronic medical record; and which clinical roles needed notification of SCI-QOL results. Conclusions: Clinicians acknowledge the value of patient-reported outcome measures in inpatient SCI rehabilitation, but noted barriers to adoption. Engaging clinicians in the decision-making process for developing an implementation and administration protocol can inform strategies to overcome barriers and emphasize supports.
AB - Context/objective: This study describes a development strategy for integrating the Spinal Cord Injury–Quality of Life (SCI-QOL) item banks into inpatient spinal cord injury (SCI) rehabilitation and recommendations for protocol implementation. Design: We adopted an implementation science approach to develop a strategy for adapting and contextualizing SCI-QOL use during SCI rehabilitation. We conducted focus groups and stakeholder meetings with clinical assessment champions to (1) identify barriers and supports to SCI-QOL adoption; (2) reduce barriers and emphasize supports; (3) evaluate and select relevant SCI-QOL domains and item banks; (4) develop administration and reporting guidelines; and (5) identify hospital roles to alert with SCI-QOL results. Setting: A regional inpatient rehabilitation hospital. This study focuses on clinicians providing inpatient rehabilitation to patients with SCI. Participants: Fifty-nine clinicians, including physicians, speech language pathologists, occupational and physical therapists, nurses, and social workers providing care to SCI inpatients. Interventions: N/A. Outcome measures: N/A. Results: Clinicians identified the SCI-QOL domains that were most relevant to inpatient care; when SCI-QOL should be administered; what hospital roles were best suited for administering SCI-QOL; how results should be displayed in the electronic medical record; and which clinical roles needed notification of SCI-QOL results. Conclusions: Clinicians acknowledge the value of patient-reported outcome measures in inpatient SCI rehabilitation, but noted barriers to adoption. Engaging clinicians in the decision-making process for developing an implementation and administration protocol can inform strategies to overcome barriers and emphasize supports.
KW - Assessment
KW - Implementation science
KW - Inpatient rehabilitation
KW - Knowledge translation
KW - Patient-reported outcomes measures
KW - Quality of life
KW - Spinal cord injury
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U2 - 10.1080/10790268.2020.1712893
DO - 10.1080/10790268.2020.1712893
M3 - Article
C2 - 31971479
AN - SCOPUS:85078481134
SN - 1079-0268
VL - 44
SP - 940
EP - 948
JO - Journal of Spinal Cord Medicine
JF - Journal of Spinal Cord Medicine
IS - 6
ER -