Self-management interventions for skin care in people with a spinal cord injury: part 2—a systematic review of use of theory and quality of intervention reporting

Spinal Cord, 2018 · DOI: https://doi.org/10.1038/s41393-018-0136-5 · Published: May 25, 2018

Spinal Cord Injury Patient Experience Dermatology

Simple Explanation

Pressure ulcers are a significant health concern for individuals with spinal cord injuries (SCI), often leading to hospitalizations and surgeries. Self-management interventions aim to provide SCI patients with the skills and knowledge needed for preventative skin care. This study reviews how theory is used and the quality of reporting in self-management interventions for skin care in people with SCI.

Study Duration

Not specified

Participants

17 interventions

Evidence Level

Systematic Review

Key Findings

1
Only 35% of the reviewed interventions reported using a theoretical basis for their design.
2
Reporting quality varied across TIDieR items, with some information frequently missing or incomplete.
3
Interventions often lacked detailed descriptions of intervention providers, tailoring, and fidelity assessment methods.

Research Summary

This systematic review examined the use of theory and the quality of reporting in self-management interventions for skin care in people with spinal cord injuries (SCI). The review found that the use of theory in designing and evaluating these interventions was suboptimal, with only a small percentage explicitly reporting a theoretical basis. The reporting quality of interventions was also found to be variable, with incomplete information on essential elements such as intervention materials, providers, and fidelity.

Practical Implications

Improve Theory Use

Rehabilitation researchers should increase their reliance on theory in designing and evaluating SCI self-management interventions.

Enhance Reporting Quality

Researchers should improve the reporting of intervention details to ensure reproducibility and cumulative scientific progress.

Focus on Key Elements

Efforts should be directed toward providing comprehensive information on intervention providers, tailoring, and fidelity assessment methods.

Study Limitations

1
The review only included published papers, potentially missing intervention design and development descriptions.
2
Materials used during intervention delivery were not used in data extraction.
3
Control group treatment descriptions were not assessed using the TIDieR tool.

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