Development of community participation indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project.
Community integration
Community participation
Health service delivery
Healthcare quality indicator
Rehabilitation
Self-efficacy
Spinal cord injuries
Journal
The journal of spinal cord medicine
ISSN: 2045-7723
Titre abrégé: J Spinal Cord Med
Pays: England
ID NLM: 9504452
Informations de publication
Date de publication:
2021
2021
Historique:
entrez:
15
11
2021
pubmed:
16
11
2021
medline:
15
12
2021
Statut:
ppublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 34779731
doi: 10.1080/10790268.2021.1955204
pmc: PMC8604477
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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