Article

This article aims to present a comprehensive conceptual model of the
SCIRehab project, which merges the International Classification of Functioning,
Disability, and Health (ICF) focus on outcomes with the practice-based evidence
(PBE) research design, which focuses on process and also quantifies person and
outcomes details. The SCIRehab methodology operationalised this conceptual model
to implement the most data-intensive study of spinal cord injury to date. We
discuss the conceptual and methodological contributions of SCIRehab and how this
comprehensive research approach may complement randomised controlled trials.
METHODS: PBE methodology applied to the SCIRehab study used extensive clinician
input to develop taxonomies of each discipline's interventions and an electronic
point-of-care documentation system to capture extensive details of the
rehabilitation process. Traditional medical record abstracting and follow-up
surveys were used to capture details on patient characteristics and outcomes
achieved by 12 months post-injury. RESULTS: Not applicable. CONCLUSIONS: Although
data collection is not complete, the SCIRehab project has made major
contributions to rehabilitation research, including a comprehensive conceptual
model of person, process and outcome domains; discipline-specific taxonomies of
rehabilitation interventions; and an electronic documentation system to capture
details of the rehabilitation process.

Langue : ANGLAIS