Protocol for process evaluation of CIVIC randomised controlled trial: Community-based InterVentions to prevent serIous Complications following spinal cord injury in Bangladesh

BMJ Open, 2018 · DOI: 10.1136/bmjopen-2018-024226 · Published: January 1, 2018

Spinal Cord Injury Rehabilitation Research Methodology & Design

Simple Explanation

The study aims to evaluate a community-based intervention in Bangladesh for people with spinal cord injuries (SCI) after they leave the hospital. The intervention involves healthcare professionals regularly calling and visiting participants at home to provide support and monitor complications. The process evaluation will examine how the intervention was delivered, identify issues encountered, and assess the feasibility of expanding the program.

Study Duration

2 years

Participants

410 people with recent SCI who are wheelchair dependent

Evidence Level

Randomised controlled trial

Key Findings

1
The process evaluation will determine whether the intervention and control were delivered as intended.
2
The process evaluation will explore the types of issues identified during interactions between participants and healthcare professionals.
3
The process evaluation will assess the feasibility of scaling up the intervention in low-income and middle-income countries.

Research Summary

This protocol outlines a process evaluation of the CIVIC trial, which tests a community-based care model for individuals with spinal cord injuries (SCI) in Bangladesh. The evaluation employs mixed methods, including qualitative interviews and quantitative data analysis, to understand the intervention's delivery, impact, and scalability. The study aims to identify barriers and facilitators to implementing the intervention on a larger scale and inform future research in the area of SCI care.

Practical Implications

Improved SCI Care

The study can inform the development of more effective and sustainable community-based care models for people with SCI.

Scalability Insights

The findings can help determine the feasibility of expanding similar interventions to other low-income and middle-income countries.

Policy Recommendations

The results can guide policy recommendations related to healthcare service provision for individuals with SCI and other disabilities.

Study Limitations

1
The process evaluation relies on staff involved in the trial to collect some data, potentially introducing bias.
2
The process evaluation does not collect data from the early stages of the trial.
3
Not specified

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