LaVela Sherri L, Pellegrini Christine, Heinemann Allen W, Ehrlich-Jones Linda S, Bartle Brian, Burkhart Lisa, Pederson Jessica
Center of Innovation for Complex Chronic Healthcare (CINCCH), Department of Veterans Affairs, Edward Hines Jr. VA Hospital, Hines, IL, USA; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Disabil Health J. 2022 Oct;15(4):101362. doi: 10.1016/j.dhjo.2022.101362. Epub 2022 Jul 12.
Spinal cord injury (SCI) healthcare providers are aware of the harmful consequences of overweight/obesity in persons with SCI, but many are unaware of available information and lack training to guide weight management care in the SCI population.
Describe the development and content of an educational curriculum for healthcare providers to help individuals with SCI prevent or manage overweight/obesity.
The biopsychoecological framework guided curriculum planning, data collection, and product development. Thematic analysis of interviews conducted with individuals with SCI, informal caregivers, and SCI healthcare providers pinpointed central educational curriculum topics. SCI healthcare providers evaluated the curriculum.
Seven comprehensive topics were developed: 1. Scope and consequences of overweight/obesity in SCI; 2. Classifying and measuring overweight/obesity in SCI; 3. Guidelines related to weight management in SCI; 4. Identifying challenges (and solutions) to weight management in SCI; 5. Strategies for providers to facilitate weight management; 6. Understanding goals, motivators, and desired feedback for weight management; and 7. Knowing how informal caregivers are affected by weight and weight management of care recipients with SCI. High ratings (>80% strong agreement) were achieved on content, word choice, organization, relevance, and actionability. Modification needs were identified and subsequently made to layout, visual aids, and provision of tangible resources. Providers described the curriculum as a scientifically rigorous resource that addresses a knowledge gap, provides population-specific content, and is useful across interdisciplinary teams.
We developed a self-directed learning educational curriculum addressing topics most salient to stakeholders involved in overweight/obesity management of persons with SCI.
脊髓损伤（SCI）医疗保健提供者意识到超重/肥胖对脊髓损伤患者的有害后果，但许多人并不了解现有信息，且缺乏指导脊髓损伤人群体重管理护理的培训。
描述针对医疗保健提供者的教育课程的开发过程和内容，以帮助脊髓损伤患者预防或管理超重/肥胖。
生物心理生态框架指导课程规划、数据收集和产品开发。对脊髓损伤患者、非正式护理人员和脊髓损伤医疗保健提供者进行的访谈的主题分析确定了核心教育课程主题。脊髓损伤医疗保健提供者对课程进行了评估。
制定了七个综合主题：1. 脊髓损伤中超重/肥胖的范围和后果；2. 脊髓损伤中超重/肥胖的分类和测量；3. 与脊髓损伤体重管理相关的指南；4. 识别脊髓损伤体重管理的挑战（及解决方案）；5. 提供者促进体重管理的策略；6. 理解体重管理的目标、动机和期望的反馈；7. 了解非正式护理人员如何受到脊髓损伤护理接受者的体重和体重管理的影响。在内容、词汇选择、组织、相关性和可操作性方面获得了较高评分（>8C%强烈同意）。确定了修改需求，随后对布局、视觉辅助工具和提供实际资源进行了修改C提供者将该课程描述为一个科学严谨的资源，它解决了知识差距，提供了针对特定人群的内容，并且在跨学科团队中很有用。
我们开发了一个自主学习教育课程，涉及与脊髓损伤患者超重/肥胖管理相关的利益相关者最突出的主题。
