| Phase 1 | Phase 2 | Phase 3 | Phase 4 | Phase 5 |
---|---|---|---|---|---|
Objectives | To identify the prevalence of secondary health conditions (SHC) and associated factors | To identify the range of prevention strategies for secondary health conditions experienced by people living with spinal cord injuries (PLSCI) | To explore experiences of SHC and strategies used to prevent SHC | To explore contextual factors influencing prevention of SHC among PLSCI | To develop a prevention model of care for SHC |
Data needed | SHC and associated factors (types, frequency) | Prevention strategies for SHC | Experiences of SHC and prevention strategies | Personal factors Environmental factors influencing prevention | Components for the model of care |
Study design | Record review | Scoping review | Semi-structured interviews | Semi-structured interviews | Nominal group discussion |
Location | Tertiary hospital and rehabilitation hospitals | Â | Rehabilitation hospital | Rehabilitation hospital | Rehabilitation hospital |
Source of data | Patient records | Relevant literature (published and unpublished) All study designs | People living with spinal cord injuries (PLSCI) | PLSCI, caregivers Health professionals (occupational therapists, physiotherapists, dieticians, speech therapist, social worker, psychologist) | Group 1: Care users—PLSCI and caregivers Group 2: Experts in SCI rehabilitation therapists, lecturers Group 3: Rehabilitation managers and policy makers |
Sample size | 323 patients records | Â | Minimum 15 people with spinal cord injuries | Minimum 15 people with spinal cord injuries Minimum 15 caregivers Minimum 15 health professionals | 5 to 9 participants per group |
Inclusion criteria | PLSCI records admitted at a tertiary hospital (Jan 2016–September 2017) PLSCI using OPD clinic at a rehabilitation hospital (Jan 2016–September 2017) | Population: People living with spinal cord injuries female and male, 18 years and above Concept: Prevention strategies for secondary health conditions in terms of rehabilitation, health promotion, assistive technology and policy Context: community, home setting and clinical based studies (hospital and primary health care centres) | PLSCI attending OPD clinic | PLSCI at the OPD clinic Caregivers of PLSCI Health professionals at the rehabilitation hospital | PLSCI and caregivers from phase three Therapists, Lecturers who teach spinal cord injury; Rehabilitation managers; Policy makers |
Procedure and instrumentation | Questionnaire | Joanna Briggs Institute Reviewers Manual 2015: Methodology for JBI scoping reviews | Interviews Interview guide | Interviews Interview guide | Nominal group technique |
Data analysis | Descriptive statistics Frequencies and percentages Logistic regression analysis | Narrative summary on the number of studies found addressing the study question, study designs, the range of prevention strategies for secondary health conditions | Thematic content analysis | Thematic content analysis | Qualitative data: thematic content analysis Quantitative data: descriptive statistics |