The value of the whole picture: rehabilitation outcome measurement using patient self-report and clinician-based assessments after spinal cord injury

Building and Sustaining Inpatient-Clinician Collaboration in Spinal Cord Injury Rehabilitation: A Case Example Using the Stoke Mandeville Spinal Needs Assessment Checklist (SMS-NAC) and Goal Planning Programme

“…In particular, a review of the summary graph at the goal planning meeting (Figure 5), which takes place after the second SMS-NAC, makes explicit the progress made as the SMS-NAC's weighting gives parity for all levels of SCI. Eaton et al (2022) found this to be a particular asset with an effect of improvement over time for the SMS-NAC of physical health, skin and posture management, bladder management and bowel management domains for inpatients with cervical injuries, with the smallest SCIM showing the smallest improvement for these inpatients [17]. These domains have the greatest impact with regard to PwSCI's long-term health, with skills and knowledge in these areas preventing the development of secondary health conditions and rehospitalisation.…”

“…In a systematic review of SCI outcome measures, Dawson, Shamley and Jamous (2008) commented "as the NAC and the SCIM each reflect somewhat different (although likely related) constructs, and are each applied in different ways, choosing between these instruments depends crucially on the purpose that any potential user has in mind" [16] (p. 778). The SCIM is used at the NSIC to benchmark and compare functional outcome on a national and international basis, and the NAC to understand the inpatient's knowledge, skills and functional outcome as well as providing a direct relationship with goal and targets for rehabilitation [15], with the relative contribution of both in rehabilitation recently compared [17]. The 1999 version of the NAC underwent a major review in 2008, with clinicians who used the NAC in UK spinal centres contributing to the updated version.…”