Implementing psychosocial guidelines into specialized spinal cord injury rehabilitation services to strengthen person-centred health care: protocol for a mixed methods study.

IF 1.3 Q3 REHABILITATION
Frontiers in rehabilitation sciences Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI:10.3389/fresc.2025.1537890
Candice McBain, Anne Marie Sarandrea, Ilaria Pozzato, Mohit Arora, Daniel Myles, John Bourke, Yvonne Tran, Ian D Cameron, James W Middleton, Ashley Craig
{"title":"Implementing psychosocial guidelines into specialized spinal cord injury rehabilitation services to strengthen person-centred health care: protocol for a mixed methods study.","authors":"Candice McBain, Anne Marie Sarandrea, Ilaria Pozzato, Mohit Arora, Daniel Myles, John Bourke, Yvonne Tran, Ian D Cameron, James W Middleton, Ashley Craig","doi":"10.3389/fresc.2025.1537890","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Spinal cord injury (SCI) is a severe neurological disorder resulting in loss of movement and altered sensation with lifelong impacts on health, function, and social integration. Multidisciplinary SCI rehabilitation primarily focuses on enhancing function and independence while simultaneously managing secondary health conditions and providing psychosocial support. Therefore, a major goal in SCI rehabilitation should be strengthening patients' capacity to cope with and adjust to challenges they encounter. Using a mixed methods design, the primary aim of this study is to integrate psychosocial guidelines that promote psychological adjustment into SCI rehabilitation, and second, to evaluate facilitators and barriers to their successful implementation.</p><p><strong>Methods: </strong>To determine perceived depth of knowledge, beliefs, and attitudes about psychosocial care, and usage of psychosocial guidelines, healthcare professionals in the three specialist SCI services in New South Wales, Australia will be invited to complete a baseline survey. Following the survey, semi-structured one-to-one interviews and focus groups will be conducted with healthcare professionals representing different health disciplines to understand the context and generate ideas about how best to integrate these guidelines into clinical practice. Based on the surveys, interviews, and focus groups, an implementation intervention employing educational strategies, structural, and nudge (behavioural change) approaches will be designed and implemented over a period of 18-months to facilitate integration of the guidelines into the SCI services. A post-intervention survey with healthcare workers will then be conducted. Focus groups from each SCI service, with representation across the different healthcare professions, will also be conducted to identify facilitators and barriers to implementing the guidelines. Success of implementation will be determined by analyzing any shifts in perceived knowledge, attitudes, and behaviour of staff and cultural/structural processes observed through comparing baseline and post-intervention qualitative and quantitative data. To capture lived experience insight, 10 patients with SCI currently undergoing rehabilitation will be interviewed.</p><p><strong>Discussion: </strong>This study will establish the success of implementing psychosocial guidelines into three specialist SCI services. It is hypothesized that constructive changes will occur in the knowledge, attitudes, and behaviour of the SCI Unit healthcare professionals, leading to improved psychosocial practices and patient outcomes that will strengthen person-centred healthcare in SCI rehabilitation. This study has been retrospectively registered with the Australian New Zealand Clinical Trials Registry on the 7th of May 2024. The registration number is: ACTRN12624000581561.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1537890"},"PeriodicalIF":1.3000,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009950/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in rehabilitation sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/fresc.2025.1537890","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Spinal cord injury (SCI) is a severe neurological disorder resulting in loss of movement and altered sensation with lifelong impacts on health, function, and social integration. Multidisciplinary SCI rehabilitation primarily focuses on enhancing function and independence while simultaneously managing secondary health conditions and providing psychosocial support. Therefore, a major goal in SCI rehabilitation should be strengthening patients' capacity to cope with and adjust to challenges they encounter. Using a mixed methods design, the primary aim of this study is to integrate psychosocial guidelines that promote psychological adjustment into SCI rehabilitation, and second, to evaluate facilitators and barriers to their successful implementation.

Methods: To determine perceived depth of knowledge, beliefs, and attitudes about psychosocial care, and usage of psychosocial guidelines, healthcare professionals in the three specialist SCI services in New South Wales, Australia will be invited to complete a baseline survey. Following the survey, semi-structured one-to-one interviews and focus groups will be conducted with healthcare professionals representing different health disciplines to understand the context and generate ideas about how best to integrate these guidelines into clinical practice. Based on the surveys, interviews, and focus groups, an implementation intervention employing educational strategies, structural, and nudge (behavioural change) approaches will be designed and implemented over a period of 18-months to facilitate integration of the guidelines into the SCI services. A post-intervention survey with healthcare workers will then be conducted. Focus groups from each SCI service, with representation across the different healthcare professions, will also be conducted to identify facilitators and barriers to implementing the guidelines. Success of implementation will be determined by analyzing any shifts in perceived knowledge, attitudes, and behaviour of staff and cultural/structural processes observed through comparing baseline and post-intervention qualitative and quantitative data. To capture lived experience insight, 10 patients with SCI currently undergoing rehabilitation will be interviewed.

Discussion: This study will establish the success of implementing psychosocial guidelines into three specialist SCI services. It is hypothesized that constructive changes will occur in the knowledge, attitudes, and behaviour of the SCI Unit healthcare professionals, leading to improved psychosocial practices and patient outcomes that will strengthen person-centred healthcare in SCI rehabilitation. This study has been retrospectively registered with the Australian New Zealand Clinical Trials Registry on the 7th of May 2024. The registration number is: ACTRN12624000581561.

在专门的脊髓损伤康复服务中实施社会心理准则,以加强以人为本的保健:混合方法研究方案。
背景:脊髓损伤(SCI)是一种严重的神经系统疾病,导致运动丧失和感觉改变,对健康、功能和社会融合产生终身影响。多学科脊髓损伤康复主要侧重于增强功能和独立性,同时管理继发健康状况和提供社会心理支持。因此,增强患者应对和适应挑战的能力是脊髓损伤康复的主要目标。采用混合方法设计,本研究的主要目的是将促进心理适应的社会心理指南整合到脊髓损伤康复中,其次,评估其成功实施的促进因素和障碍。方法:为了确定对心理社会护理的认知深度、信念和态度,以及心理社会指南的使用情况,将邀请澳大利亚新南威尔士州三家脊髓损伤专科医院的医疗保健专业人员完成一项基线调查。调查结束后,将与代表不同卫生学科的卫生保健专业人员进行半结构化的一对一访谈和焦点小组,以了解背景,并就如何最好地将这些指南整合到临床实践中产生想法。在调查、访谈和焦点小组的基础上,将在18个月的时间里设计和实施一项实施干预措施,采用教育策略、结构和推动(行为改变)方法,以促进将指南融入SCI服务。随后将对医护人员进行干预后调查。来自每个SCI服务的焦点小组,代表不同的医疗保健专业,也将进行讨论,以确定实施指南的促进因素和障碍。将通过分析工作人员感知到的知识、态度和行为方面的任何变化,以及通过比较基线和干预后的定性和定量数据观察到的文化/结构过程,来决定执行是否成功。为了获得生活经验,我们将采访10名正在接受康复治疗的脊髓损伤患者。讨论:本研究将建立在三种脊髓损伤专科服务中实施社会心理指导的成功案例。假设脊髓损伤单元医疗保健专业人员的知识、态度和行为将发生建设性的变化,从而改善心理社会实践和患者结果,从而加强脊髓损伤康复中以人为本的医疗保健。该研究已于2024年5月7日在澳大利亚新西兰临床试验登记处回顾性注册。注册号码为:ACTRN12624000581561。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.10
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信