4.0 Article

Development of community participation indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project

Journal

JOURNAL OF SPINAL CORD MEDICINE
Volume 44, Issue -, Pages S79-S93

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/10790268.2021.1955204

Keywords

Spinal cord injuries; Community participation; Self-efficacy; Healthcare quality indicator; Community integration; Health service delivery; Rehabilitation

Ask authors/readers for more resources

The SCI-High Project developed a set of indicators to optimize community participation for individuals with spinal cord injury/disease (SCI/D) post-rehabilitation discharge. These indicators cover structural, process, and outcome aspects, aiming to assess the impact of rehabilitation programs on patients' self-efficacy and community participation levels.
Context Community participation following spinal cord injury/disease (SCI/D) can be challenging due to associated primary impairments and secondary health conditions as well as difficulties navigating both the built and social-emotional environment. To improve the quality of SCI/D rehabilitation care to optimize community participation, the SCI-High Project developed a set of structure, process and outcome indicators for adults with SCI/D in the first 18 months after rehabilitation admission. Methods A pan-Canadian Working Group of diverse stakeholders: (1) defined the community participation construct; (2) conducted a systematic review of available outcomes and their psychometric properties; (3) constructed a Driver diagram summarizing available evidence associated with community participation; and (4) prepared a process map. Facilitated meetings allowed selection and review of a set of structure, process and outcome indicators. Results The structure indicator is the proportion of SCI/D rehabilitation programs with availability of transition living setting/independent living unit. The process indicators are the proportion of SCI/D rehabilitation inpatients who experienced: (a) a therapeutic community outing prior to rehabilitation discharge; and, (b) those who received a pass to go home for the weekend. The intermediary and final outcome measures are the Moorong Self-Efficacy Scale and the Reintegration to Normal Living Index. Conclusion The proposed indicators have the potential to inform whether inpatient rehabilitation for persons with SCI/D can improve self-efficacy and lead to high levels of community participation post-rehabilitation discharge.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.0
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available