Does attendance in SCI education courses impact health outcomes in acute rehabilitation?

Evardone, Milagros; Wilson, Catherine S.; Weinel, Diana; Soble, Jason R.; Kang, Younghee

doi:10.1080/10790268.2016.1177269

Cited by 6 publications

(4 citation statements)

References 37 publications

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“…Consistent with other studies, rehabilitation following SCI was perceived as a phase in which every single activity, combined with medical management, is exhausting and has an effect on individuals' readiness to learn [15]. Physical and psychological stressors experienced by SCI survivors during early rehabilitation represent barriers to their participation in educational programmes [13].…”

Section: Discussionmentioning

confidence: 69%

“…Thus, practical, and cost-effective strategies that can be implemented in educational programmes early in the rehabilitation process need to be identified [ 13 ]. Recent studies showed conflicting evidence on the effectiveness of available educational programmes in improving patients’ problem-solving skills, their knowledge of the injury, self-management skills, and QoL [ 14 , 15 ]. Several clinical and environmental factors have been associated with successful educational programmes in early rehabilitation; most are related to the perspectives that those with SCI have towards health, their access to such programmes and their engagement in the rehabilitation process [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies showed conflicting evidence on the effectiveness of available educational programmes in improving patients’ problem-solving skills, their knowledge of the injury, self-management skills, and QoL [ 14 , 15 ]. Several clinical and environmental factors have been associated with successful educational programmes in early rehabilitation; most are related to the perspectives that those with SCI have towards health, their access to such programmes and their engagement in the rehabilitation process [ 15 ]. In light of this, we must deepen our understanding of the educational experiences of individuals during the rehabilitation process to identify perceived barriers and facilitators of educational programmes.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators of education provided during rehabilitation of people with spinal cord injuries: A qualitative description

Conti¹,

Dimonte²,

Rizzi³

et al. 2020

PLoS ONE

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Background After a spinal cord injury (SCI), individuals must acquire their maximum level of independence before returning to their previous social and working conditions. The education provided during rehabilitation is one of the basic but complex aspects that influence the health perspectives of people with SCI. Gaining the perspective of SCI survivors experienced barriers and resources to enhance the education process may assist healthcare professionals in understanding this complex aspect of their practice. Through a qualitative descriptive analysis, this study aimed to identify the perceived barriers and facilitators of education provided during the rehabilitation of individuals with SCI. Methods A purposive sample of 22 adults with SCI and at least six months of home experience was recruited. Participants were assigned into four mini focus groups according to their level of independence. The focus groups were audio-recorded, transcribed verbatim, and analysed using a thematic analysis. Results Three themes were identified: the readiness to education, the individual characteristics, and the environmental and social characteristics influencing education. Participants perceived education to be an ongoing process made up of consecutive phases, each of which had to be overcome before participants felt ready to reappraise their health and well-being. This process was affected by individual, environmental, and social factors. Conclusions Education is constantly provided by all members of the rehabilitation team. These must stress the relevance of the contents presented, increase SCI survivors’ motivation to set achievable goals, and consider filling the gap that the patients perceive between rehabilitation centres and available community resources. The findings of this study promote the design of structured educational programmes, increasing knowledge, and improve the health perspective of SCI survivors, their families, and providers.

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Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Barriers and facilitators of education provided during rehabilitation of people with spinal cord injuries: A qualitative description

Conti¹,

Dimonte²,

Rizzi³

et al. 2020

PLoS ONE

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“…Lack of knowledge on SHCs is a concern because education on SHCs is fundamental to the prevention of diseases and a key focus area in achieving Sustainable Developmental Goal 3 through strengthening health literacy (World Health Organization 2017 ). Although knowledge on SHC does not necessarily mean positive behaviour change (Evardone et al 2018 ), efforts to educate patients on health and secondary complications throughout their journey are essential. On the contrary, patients can forget what they were taught.…”

Section: Discussionmentioning

confidence: 99%

‘I forget to do pressure relief’: Personal factors influencing the prevention of secondary health conditions in people with spinal cord injury, South Africa

Pilusa

Myezwa

Potterton

2021

S. Afr. j. physiother.

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Background: Across the lifespan, people with spinal cord injury (SCI) may experience preventable secondary health conditions (SHCs) such as pressures sores, muscle spasms and urinary tract infections (UTIs). Some factors influencing prevention of SHCs include social support, poor access to care and the prevention style of individuals. There is limited research on these factors.Objective: To explore personal factors influencing the prevention of SHCs in people with SCI.Method: An explorative qualitative study included participants recruited in an outpatient department at a rehabilitation hospital. Semi-structured interviews were conducted with patients with SCI. Interviews were transcribed verbatim. Data analysis was conducted using content analysis.Results: Seventeen individuals with SCI were interviewed. From the interview analysis, six personal factors were identified, namely, socio-economic status; mental well-being (forgetfulness, beliefs, attitude); lack of knowledge of SHCs and prevention; lifestyle choices and practising prevention care; patient activation (self-management, problem-solving, resilience, self-awareness, help-seeking behaviour) and owning an appropriate assistive device.Conclusion: Socio-economic status, mental well-being, knowledge of SHCs and prevention care, behaviour patterns, patient activation and owning an appropriate assistive device can influence prevention of SHCs. To enhance patient-oriented care, a model of care for people with SCI should consider these factors when developing prevention strategies. Future research could look into identifying environmental factors that influence the prevention of SHCs in people with SCI.Clinical implications: Tailored prevention strategies need to be developed, health professionals must ask patients about individual factors that may be barriers or facilitators to preventing secondary health conditions.

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Early urological care of patients with spinal cord injury

et al. 2018

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Does attendance in SCI education courses impact health outcomes in acute rehabilitation?

Abstract: Results of the study are mixed. Multiple factors appear to impact the success of education interventions. Future research is needed to clarify the best approach.

Cited by 6 publications

References 37 publications

Barriers and facilitators of education provided during rehabilitation of people with spinal cord injuries: A qualitative description

Barriers and facilitators of education provided during rehabilitation of people with spinal cord injuries: A qualitative description

‘I forget to do pressure relief’: Personal factors influencing the prevention of secondary health conditions in people with spinal cord injury, South Africa

Early urological care of patients with spinal cord injury

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