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  4. Peer-led, transformative learning approaches increase classroom engagement in care self-management classes during inpatient rehabilitation of individuals with spinal cord injury

Peer-led, transformative learning approaches increase classroom engagement in care self-management classes during inpatient rehabilitation of individuals with spinal cord injury

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2017.1385992 · Published: May 1, 2019

Patient ExperienceNeurorehabilitationSocial Support

Simple Explanation

The study aimed to improve how individuals with spinal cord injuries (SCI) learn to manage their care during inpatient rehabilitation. They compared traditional nurse-led classes to peer-led classes that used transformative learning techniques. Transformative learning involves helping patients understand why new information is important by relating it to their own experiences and challenges after a traumatic injury. The revised classes incorporated peer support, blended learning, and a flipped classroom approach. The researchers measured patient engagement by observing behaviors such as asking questions, participating in discussions, and showing agreement or disagreement. They found that patients were significantly more engaged in the peer-led classes.

Study Duration
15 weeks
Participants
81 patients (72% male, 73% white, mean age 36 SD 15.6) admitted for SCI/D inpatient rehabilitation
Evidence Level
Quasi-experimental design

Key Findings

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    Significantly higher average positive engagement responses were observed in the revised peer-led classes compared to conventional nurse-led classes.
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    87% of patients who experienced both class formats believed the revised peer-led classes better strengthened their understanding of the topic and ability to solve problems related to their care needs.
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    Patients found class topics delivered by peers to be more informative and more engaging than the conventional approach.

Research Summary

This study evaluated the impact of redesigned self-management education classes on patient engagement during inpatient rehabilitation for individuals with spinal cord injury (SCI). Conventional nurse-led classes were replaced with revised peer-led classes incorporating transformative learning approaches. The study found significantly higher positive engagement responses in the revised peer-led classes compared to the conventional classes. These improvements were observed across three subject areas: skin care, bladder management, and special concerns. The study concludes that redesigning SCI inpatient rehabilitation self-management classes to promote transformative learning increased patient engagement. The findings suggest that peer-led education can be effective, and clinicians have become strong advocates for this approach.

Practical Implications

Enhanced Patient Engagement

Implementing peer-led, transformative learning approaches can significantly improve patient engagement in self-management education for individuals with SCI.

Improved Learning and Problem-Solving

Peer-led classes can strengthen patients' understanding of care topics and improve their ability to solve problems related to their care needs.

Potential for Better Long-Term Outcomes

Increased patient engagement may contribute to better self-management, reduced hospital readmissions, and improved longer-term health outcomes.

Study Limitations

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