Development of community participation indicators to advance the quality of spinal cord injury rehabilitation: SCI-High Project

被引：7
|
作者：
Hitzig, Sander L. [1 ,2 ,3 ]
Jeyathevan, Gaya [4 ]
Farahani, Farnoosh [4 ]
Noonan, Vanessa K. [5 ]
Linassi, Gary [6 ]
Routhier, Francois [7 ,8 ]
Jetha, Arif [9 ,10 ]
McCauley, Diana [11 ]
Alavinia, S. Mohammad [4 ]
Omidvar, Maryam [4 ]
Craven, B. Catharine [4 ,12 ,13 ]
机构：
[1] Sunnybrook Hlth Sci Ctr, Sunnybrook Res Inst, St Johns Rehab Res Program, Toronto, ON, Canada
[2] Univ Toronto, Temerty Fac Med, Dept Occupat Sci & Occupat Therapy, Toronto, ON, Canada
[3] Univ Toronto, Temerty Fac Med, Rehabil Sci Inst, Dept Med, Toronto, ON, Canada
[4] Univ Hlth Network, KITE Res Inst, Toronto Rehabil Inst, Toronto, ON, Canada
[5] Praxis Spinal Cord Inst, Vancouver, BC, Canada
[6] Univ Saskatchewan, Coll Med, Dept Phys Med & Rehabil, Saskatoon, SK, Canada
[7] Univ Laval, Fac Med, Dept Rehabil, Quebec City, PQ, Canada
[8] Ctr Integre Univ Sante & Serv Sociaux Capitale Na, Ctr Interdisciplinary Res Rehabil & Social Integr, Quebec City, PQ, Canada
[9] Inst Work & Hlth, Toronto, ON, Canada
[10] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[11] Spinal Cord Injury Ontario, Toronto, ON, Canada
[12] Univ Toronto, Temerty Fac Med, Dept Med, Div Phys Med & Rehabil, Toronto, ON, Canada
[13] Univ Hlth Network, Brain & Spinal Cord Rehabil Program, Toronto Rehabil Inst, Toronto, ON, Canada
来源：
JOURNAL OF SPINAL CORD MEDICINE | 2021年 / 44卷
关键词：
Spinal cord injuries; Community participation; Self-efficacy; Healthcare quality indicator; Community integration; Health service delivery; Rehabilitation; TIME PHYSICAL-ACTIVITY; SELF-EFFICACY; INTERNATIONAL-CLASSIFICATION; LIFE SATISFACTION; PEOPLE; DISABILITY; QUESTIONNAIRE; REINTEGRATION; VALIDATION; POSTDISCHARGE;
D O I：
10.1080/10790268.2021.1955204
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Context 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. Methods 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. Results 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. Conclusion 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.
引用
收藏
页码：S79 / S93
页数：15
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