Evidence map›Paper›PMID 34779736›Full record

ArticleThe journal of spinal cord medicine2021

Conception and development of Self-Management indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project.

Gaya Jeyathevan, Susan B Jaglal, Sander L Hitzig, Gary Linassi, Sandra Mills, Vanessa K Noonan, Karen Anzai, Teren Clarke, Dalton Wolfe, Mark Bayley and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of spinal cord medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Peer-supported interventions for people with spinal cord injury.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Gaya JeyathevanKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID 0000-0001-5525-3214
Susan B JaglalKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-2930-1443
Sander L HitzigSt. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID 0000-0002-9139-9250
Gary LinassiDepartment of Physical Medicine and Rehabilitation, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.ORCID 0000-0003-3343-4262
Sandra MillsBrain and Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-8525-555X
Vanessa K NoonanPraxis Spinal Cord Institute, Vancouver, British Columbia, Canada.ORCID 0000-0003-3226-9218
Karen AnzaiGF Strong Rehab Centre, Vancouver, British Columbia, Canada.
Teren ClarkeSpinal Cord Injury Alberta, Edmonton, Canada.ORCID 0000-0002-2598-6326
Dalton WolfeParkwood Institute Research, Lawson Health Research Institute, London, Ontario, Canada.ORCID 0000-0002-8680-7360
Mark BayleyKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID 0000-0001-7860-9463
Lubna AslamSpinal Cord Injury Ontario, Toronto, Ontario, Canada.ORCID 0000-0002-6612-0289
Farnoosh FarahaniKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-3937-7708
S Mohammad AlaviniaKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-5503-9362
Maryam OmidvarKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID 0000-0003-2415-8921
B Catharine CravenKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID 0000-0001-8234-6803

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAlthough self-management is linked to reduced secondary health complications (SHCs) and enhanced overall quality of life post-spinal cord injury or disease (SCI/D), it is poorly integrated into the current rehabilitation process. Promoting self-management and assuring equity in care delivery is critical. Herein, we describe the selection of Self-Management structure, process and outcome indicators for adults with SCI/D in the first 18 months after rehabilitation admission.

methodsExperts in self-management across Canada completed the following tasks: (1) defined the Self-Management construct; (2) conducted a systematic search of available outcomes and their psychometric properties; and (3) created a Driver diagram summarizing available evidence related to Self-Management. Facilitated meetings allowed development and selection following rapid-cycle evaluations of proposed structure, process and outcome indicators.

resultsThe structure indicator is the proportion of staff with appropriate education and training in self-management principles. The process indicator is the proportion of SCI/D inpatients who have received a self-management assessment related to specific patient self-management goal(s) within 30 days of admission. The outcome indicator is the Skill and Technique Acquisition, and Self-Monitoring and Insight subscores of the modified Health Education Impact Questionnaire.

conclusionThe structure indicator will heighten awareness among administrators and policy makers regarding the need to provide staff with ongoing training related to promoting self-management skill acquisition. Successful implementation of the Self-Management process and outcome indicators will promote self-management education and skill acquisition as a rehabilitation priority, allow for personalization of skills related to the individual's self-management goal(s), and empower individuals with SCI/D to manage their health and daily activities while successfully integrating into the community.

Indexed as

Neurological RehabilitationSelf-ManagementSpinal Cord InjuriesHumansQuality Indicators, Health CareQuality of LifeHealthcare quality indicatorHealth service deliveryRehabilitationSelf-managementSpinal cord injuries

Identifiers

PMID34779736
PMCPMC8604486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.