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 - skin care instrument

Review of Research Design System.
Objective to study the use and quality of skin care self-reporting theory
Management interventions for SCI patients.
SettingInternational.
Method theory coding scheme (TCS)
Template for intervention description and replication (TIDieR)
Two independent researchers applied the checklist to 17 interventions identified in the self-system review
Management intervention of skin care for SCI patients. ResultsSix (35%)
It is reported that there is a theoretical basis for the 17 interventions under review.
The theories used include the three most common in health behavior research (
Health belief model, social cognitive theory and cross-theoretical model).
In these six interventions, the theory is used to design the content, not to select the participant or to customize the strategy.
None of these interventions were used to test the theory in the SCI population or to propose theoretical improvements.
The quality of the report was found to vary by TIDieR program, with interventions including recommended information ranging from 6 to 100%.
Information about two interventions in loyalty programs is missing from descriptions of 53 and 82%.
Research on the application of SCI self-evaluation theory and report quality
Management research is still sub-optimal, which may slow the progress in this research area.
Rehabilitation researchers should strive to improve these practices to help establish self-Science in SCI
Managed by the accumulation and reproduction of clinicians, scientists and decision makers.
The work was funded by a postdoctoral scholarship awarded by the Rick Hansen Institute to the first author.
Pressure sore (or injuries)
It is one of the most common and challenging clinical problems in patients with spinal cord injury (SCI)experience.
They can lead to repeated hospital visits, surgery, and life.
Last threat-stage cases [].
In recent years, they have become a priority in health care, especially now that most of the pressure sore in the clinical setting is considered to be avoided through appropriate care [].
In acute and rehabilitation settings, newly injured SCI patients are required to engage in preventive skin care behaviors similar to those used in clinical settings (e. g.
, Skin check, decompression, protein intake)[].
However, studies have shown that compliance with these SCI skin care proposals is sub-optimal [, ].
Therefore, more and more self
Management interventions are designed to provide SCI patients with the knowledge, skills and confidence they need to participate in these preventive skin care behaviors.
Despite these efforts, the prevalence of pressure sore in the community is on the rise --
Residents with SCI were observed [].
Given the urgency of the problem posed by pressure sore in the SCI population and the severity of its consequences, the need for SCI self-assessment
Management researchers were strengthened to establish a solid evidence base in a timely manner.
One problem endangering this is rehabilitation and self.
Management assessment is often considered a "black box"", ].
In science, the label usually refers to two main problems.
The first problem is that researchers do not always explicitly report the theory on which the intervention and evaluation they have designed is based [].
While this may be the result of poor reporting practice, this may reflect the actual lack of theoretical use at the research design stage.
Interventions designed without theoretical considerations may not be clear about specific behavior (s)
Or the outcome they are targeting, the process they are aiming to change, the mechanism by which the intended impact may occur, or the method used to evaluate this effect [].
Consequently, failure to use theory hinders the effectiveness and understanding of these interventions and limits the learning that can be used in future intervention planning [].
The second problem that causes the "black box" label is the poor reporting of the treatment description.
Incomplete reporting of the intervention description by making the interpretation and replication of the findings difficult affects the establishment of the evidence base [].
The researchers cannot explain or replicate interventions that lack or are unclear about the basic information (e. g.
The effective components of delivery are not clear, and the mode (s)
Delivery, time, dose, location, intervention provider).
Collecting and reporting data on intervention loyalty is part of an accurate description of the test intervention [].
Modifications to the intervention protocol during implementation need to be described transparently in order to be able to interpret the results and replicate correctly.
Shortcomings in theoretical use and intervention reporting are not limited to rehabilitation and self
Management Science]].
Their adverse effects on building a solid evidence base may be exacerbated by the inherent complexity of interventions in these areas of work.
Taking into account these issues and the urgent need for effective SCI skin care self-care
Our work plan is designed to study existing evidence based on these interventions.
The first project included a systematic review of the self-survey of skin care
Management Intervention (
View Published agreement []).
Two publications reported the results of this system review.
The first publication details the findings of the content and effectiveness of these interventions [].
The second publication reports on the theory and quality of the use of intervention reports in these interventions.
By assessing the status of these research practices in the SCI skin care self
Our goal is to highlight practical gaps that can strengthen the existing evidence base if they are addressed.