Evidence map›Paper›PMID 41124155›Full record

ArticlePLOS digital health2025

A qualitative study to refine and finalize the MedManageSCI prototype: A web-based toolkit to support medication self-management in adults with spinal cord injury/dysfunction.

Lauren Cadel, Rasha El-Kotob, Sander L Hitzig, Lisa M McCarthy, Shoshana Hahn-Goldberg, Tanya L Packer, Tejal Patel, Chester H Ho, Stephanie R Cimino, Aisha K Lofters and 1 more

Abstract read
In one paragraph

Article in PLOS digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

11 authors.

Lauren CadelLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0001-6925-8163
Rasha El-KotobLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.
Sander L HitzigSt. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Canada.
Lisa M McCarthyLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.
Shoshana Hahn-GoldbergLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.
Tanya L PackerSchool of Health Administration, Dalhousie University, Halifax, Canada.
Tejal PatelSchlegel-UW Research Institute of Aging, Waterloo, Canada.
Chester H HoDivision of Physical Medicine & Rehabilitation, Department of Clinical Neurosciences, Foothills Medical Centre, Calgary, Canada.
Stephanie R CiminoLawson Research Institute, St. Joseph's Health Care London, London, Canada.
Aisha K LoftersDepartment of Family and Community Medicine, University of Toronto, Toronto, Canada.
Sara J T GuilcherLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0002-9552-9139

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adults with spinal cord injury/ dysfunction (SCI/D) commonly take multiple medications for a variety of secondary conditions, and have described challenges with medication self-management. To help support medication self-management, a web-based toolkit, MedManageSCI, was co-designed by our team of researchers and adults with SCI/D, caregivers, and healthcare providers (www.medmanagesci.ca). Together, we co-developed the content areas to include in MedManageSCI, along with the design and brand considerations, to create an initial prototype of the toolkit. To finalize the prototype prior to implementation, the primary objective of this qualitative study was to further refine MedManageSCI by examining the clarity, comprehensiveness, relevance, and delivery of the toolkit modules. Cognitive interviews were conducted virtually between July 2024 and September 2024 with adults with SCI/D (N = 16). A concurrent verbal probing approach using scripted and spontaneous probes was followed. Data were coded using a pre-established coding matrix that aligned with the scripted probes. Participants provided 193 specific modifications to improve the clarity, comprehensiveness, relevance, or delivery of the MedManageSCI toolkit, which were categorized as: Comprehension, Design, and Web-based Delivery. The Comprehension category contained three subcategories: Written Refinements, Ensuring Accessibility, and Revamping Resources. The Design category contained three subcategories: Formatting Content, Streamlining Function, and Enhancing Visuals. Participants perceived the website as an ideal way to deliver the toolkit, noting several benefits of a web-based delivery in comparison to a paper-based toolkit. Overall, participants found the modules to be comprehensive and highly relevant. Further, we discuss the application of cognitive interviews for further refining the MedManageSCI prototype, recommendations to improve the comprehensibility, and the advantages of a web-based toolkit for the SCI/D population. Involving individuals with SCI/D in the development and refinement of self-management materials will help ensure that the content and resources are tailored and appropriate; thereby elevating its likelihood of uptake and dissemination during implementation.

Identifiers

PMID41124155
PMCPMC12543128

What OpenQuestion holds

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LicenceCC BY
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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.