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  4. Strategies used by providers to support individuals with spinal cord injury in weight management: a qualitative study of provider perspectives

Strategies used by providers to support individuals with spinal cord injury in weight management: a qualitative study of provider perspectives

Spinal Cord Series and Cases, 2021 · DOI: https://doi.org/10.1038/s41394-021-00426-1 · Published: July 12, 2021

Spinal Cord InjuryHealthcareNutrition & Dietetics

Simple Explanation

This study explores the strategies healthcare providers use to help individuals with spinal cord injury (SCI) manage their weight. It focuses on the perspectives of these providers regarding effective weight management techniques for SCI patients. The research involved interviewing 25 SCI providers from various disciplines across multiple hospitals. The interviews aimed to identify common strategies and approaches used in weight management for individuals with SCI. The study highlights the importance of personalized care, a collaborative team approach, and the integration of patient preferences and goals in weight management plans for individuals with SCI.

Study Duration
Not specified
Participants
25 interprofessional providers
Evidence Level
Qualitative study

Key Findings

  • 1
    Providers use clinical expertise by monitoring weight, educating patients, and providing resources. Checking progress, tracking health indicators, stressing risks, educating, encouraging healthy behaviors, and helping access resources were key strategies.
  • 2
    Fostering a strong provider-patient relationship through rapport and individualized treatment is crucial. Building rapport, open communication, and tailoring strategies to patient preferences were important.
  • 3
    A coordinated team approach involving dietitians, consistent messaging, and family/caregiver support is essential for successful weight management. This ensures comprehensive care and addresses lifestyle integration.

Research Summary

This qualitative study explored weight management strategies for individuals with SCI from the perspective of healthcare providers. The study identified key areas including providing clinical expertise, fostering provider-patient relationships, and coordinating a team approach. Providers emphasize the importance of moving beyond data collection to intentionally integrating weight management strategies within clinical practice. They should address weight management goals consistently by incorporating patient preferences and available resources. The study highlights the necessity of interprofessional teams, family involvement, and tailored strategies to meet patient weight management goals. Consistent communication and clear roles among team members are crucial for success.

Practical Implications

Enhanced Clinical Practice

Healthcare providers should intentionally integrate weight management strategies into clinical practice, consistently addressing goals and incorporating patient preferences.

Improved Patient Relationships

Building rapport and tailoring treatment plans can significantly improve patient adherence and success in weight management programs.

Effective Team Collaboration

Healthcare teams should ensure consistent messaging and actively involve dietitians, caregivers, and family members to create a supportive environment for weight management.

Study Limitations

  • 1
    Convenience sampling may limit the generalizability of findings.
  • 2
    The study relies on self-reported data from healthcare providers.
  • 3
    The perspectives of patients with SCI are not directly included.

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