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  4. Using the theoretical domains framework to guide the development of a self-management program for individuals with spinal cord injury: Results from a national stakeholder advisory group

Using the theoretical domains framework to guide the development of a self-management program for individuals with spinal cord injury: Results from a national stakeholder advisory group

The Journal of Spinal Cord Medicine, 2017 · DOI: 10.1080/10790268.2017.1356437 · Published: November 2, 2017

Spinal Cord InjuryPatient ExperienceHealthcare

Simple Explanation

This study explores how to create a self-management program for people with spinal cord injuries (SCI). It uses a framework called the Theoretical Domains Framework (TDF) to understand what needs to be considered when implementing such a program. The researchers gathered input from a group of stakeholders, including clinicians, researchers, policy makers, and individuals with SCI, to identify important factors for the program's success. The study found that all 14 areas of the TDF are relevant, including knowledge, skills, environment, and social influences, highlighting the complexity of designing effective self-management programs for individuals with SCI.

Study Duration
Not specified
Participants
25 stakeholders (5 clinicians, 14 researchers, 3 policy makers, and 3 individuals with SCI)
Evidence Level
Qualitative descriptive approach

Key Findings

  • 1
    All 14 theoretical domains of the TDF were identified as important considerations for a self-management program for individuals with SCI.
  • 2
    The study emphasized the need to consider the individual's readiness for self-management, the importance of peer and caregiver involvement, and the potential for internet-based program delivery.
  • 3
    The researchers highlighted the importance of program delivery and environmental considerations, such as training for program facilitators, governance, sustainability, and privacy/security for online delivery.

Research Summary

This study used the Theoretical Domains Framework (TDF) to determine the implementation considerations for a targeted self-management program for individuals with spinal cord injury (SCI) from the perspective of a national stakeholder advisory group. The study found that all 14 domains of the TDF were identified as important implementation considerations for a targeted self-management program in SCI. The study emphasizes the need to consider individual readiness, caregiver involvement, peer support, and environmental considerations, such as training, governance, and privacy, in the design and implementation of self-management programs for individuals with SCI.

Practical Implications

Program Development

The TDF can be used to systematically design self-management programs for individuals with SCI, ensuring that all relevant factors are considered.

Policy and Practice

Findings emphasize the importance of addressing health care professional and policy maker perspectives in program delivery and environmental considerations.

Further Research

The study provides a foundation for future research to determine the implementation challenges once the proposed SCI self-management program is implemented.

Study Limitations

  • 1
    Selection bias may have influenced participant responses.
  • 2
    The minority of participants were individuals with SCI.
  • 3
    The focus group sessions were not audio-recorded, potentially leading to missing data and bias.

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