Using developmental research to design innovative knowledge translation technology for spinal cord injury in primary care: Actionable Nuggets™ on SkillScribe™.
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Clinical Guidelines
Authored By
Smith KM, Naumann DN, McDiarmid Antony L, McColl MA, Aiken A
Authored On
Interests
Neurology
Emergency Medicine
Internal/Family Medicine
Speciality
Neurology
Emergency Medicine
Internal/Family Medicine
Book Detail
volume
37
ISSN
2045-7723
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["Smith KM, Naumann DN, McDiarmid Antony L, McColl MA, Aiken A","Publisher: Taylor & Francis Country of Publication: England NLM ID: 9504452 Publication Model: Print Cited Medium: Internet ISSN: 2045-7723 (Electronic) Linking ISSN: 10790268 NLM ISO Abbreviation: J Spinal Cord Med Subsets: MEDLINE","Journal Article; Research Support, Non-U.S. Gov't","2014-09-01","The journal of spinal cord medicine [J Spinal Cord Med] 2014 Sep; Vol. 37 (5), pp. 582-8.","English","2045-7723","Health Knowledge, Attitudes, Practice*, Primary Health Care\/*organization & administration , Rehabilitation\/*education , Spinal Cord Injuries\/*diagnosis , Spinal Cord Injuries\/*therapy , Translational Research, Biomedical\/*organization & administration, Canada ; Education, Medical\/methods ; Education, Medical\/organization & administration ; Humans ; Information Dissemination\/methods ; Postal Service\/methods","Canada, Education, Medical methods, Education, Medical organization & administration, Humans, Information Dissemination methods, Postal Service methods, Health Knowledge, Attitudes, Practice, Primary Health Care organization & administration, Rehabilitation education, Spinal Cord Injuries diagnosis, Spinal Cord Injuries therapy, Translational Research, Biomedical organization & administration","The journal of spinal cord medicine","37"]
Description
Context/objective: Actionable Nuggets™ for spinal cord injury (SCI) are a knowledge translation tool facilitating evidence-based primary care practice, originally developed in 2010 and refined in 2013. Evaluation results from these two phases of development have informed the design of SkillScribe™, an innovative electronic platform intended to offer reflective continuing medical education (CME) programming through mobile devices in order to support the key features of the Actionable Nuggets™ approach. This brief article describes the ongoing development of Actionable Nuggets™ for SCI on SkillScribe™ by: (1) summarizing the work to date on Actionable Nuggets™; (2) describing evaluation results of Actionable Nuggets™; (3) placing SkillScribe™ in the context of adult education.<br />Design: Developmental Research Design.<br />Setting: Canadian primary care.<br />Participants: Primary care physicians; specialist physicians.<br />Interventions: Twenty educational modules on SCI.<br />Outcome Measures: Pre- and post-test knowledge survey, feedback and use statistics, impact assessment survey, qualitative analysis of evaluation data.<br />Results: In both hard copy and electronic form, physicians report that Actionable Nuggets™ are an acceptable and useful approach to providing CME for low-prevalence, high-impact conditions like SCI. The key elements of this tool are that they: offer evidence-based information in small, focused "nuggets"; position information where physicians most frequently seek it; offer information in a format that permits direct translation into action in primary care; allow time for reflection; attach practice tools; and offer CME credit.<br />Conclusion: Actionable Nuggets™ for SCI, delivered using a convenient and portable electronic medium, with time-released content and interactive testing has the potential to improve the primary care of patients with SCI.
