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Development of a Comprehensive Assessment Tool to Measure the Quality of Care for Individuals With Traumatic Spinal Cord Injuries Publisher Pubmed



Ghodsi Z1, 2 ; Jazayeri SB2 ; Pourrashidi A2, 3 ; Sadeghinaeini M4 ; Azadmanjir Z2, 5 ; Baigi V2 ; Maroufi SF2, 6 ; Azarhomayoun A2 ; Faghihjouybari M7 ; Amirjamshidi A3 ; Naghdi K2 ; Habibiarejan R8 ; Shabani M1, 2 ; Sepahdoost A9 Show All Authors
Authors
  1. Ghodsi Z1, 2
  2. Jazayeri SB2
  3. Pourrashidi A2, 3
  4. Sadeghinaeini M4
  5. Azadmanjir Z2, 5
  6. Baigi V2
  7. Maroufi SF2, 6
  8. Azarhomayoun A2
  9. Faghihjouybari M7
  10. Amirjamshidi A3
  11. Naghdi K2
  12. Habibiarejan R8
  13. Shabani M1, 2
  14. Sepahdoost A9
  15. Dehghanbanadaki H10
  16. Habibi R6
  17. Mohammadzadeh M11
  18. Bahreini M12
  19. Oreilly GM13, 14, 15
  20. Vaccaro AR16
  21. Harrop JS17
  22. Davies BM18
  23. Yi L19
  24. Ghodsi SM1
  25. Rahimimovaghar V1, 2, 7, 20, 21, 22
Show Affiliations
Authors Affiliations
  1. 1. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Neurosurgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Health Information Management Department, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Rehabilitation Office, State Welfare Organization of Iran, Tehran, Iran
  9. 9. Private Practice, Mega Health Clinic, Richmond Hill, ON, Canada
  10. 10. Metabolic Disorders Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
  12. 12. Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran
  13. 13. School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
  14. 14. Emergency and Trauma Centre, The Alfred, Melbourne, VIC, Australia
  15. 15. National Trauma Research Institute, The Alfred, Melbourne, VIC, Australia
  16. 16. Department of Orthopedics and Neurosurgery, Thomas Jefferson University and the Rothman Institute, Philadelphia, PA, United States
  17. 17. Department of Neurological and Orthopedic Surgery, Thomas Jefferson University, Philadelphia, 19107, PA, United States
  18. 18. Department of Academic Neurosurgery, University of Cambridge, Cambridge, United Kingdom
  19. 19. Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States
  20. 20. Universal Scientific Education and Research Network (USERN), Tehran, Iran
  21. 21. Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran
  22. 22. Spine Program, University of Toronto, Toronto, ON, Canada

Source: Spinal Cord Series and Cases Published:2023


Abstract

Objective: To develop a comprehensive assessment tool to evaluate the Quality of Care (QoC) in managing individuals with traumatic spinal cord injuries (TSCI). Method: At first, the concepts of QoC for TSCI were identified by conducting a qualitative interview along with re-evaluation of the results of a published scoping review (conceptualization). After operationalization of indicators, they were valued by using the expert panel method. Afterward, the content validity index (CVI) and content validity ratio (CVR) were calculated and served as cut-offs for indicator selection. Then specific questions were developed for each indicator and classified into three categories: pre-hospital, in-hospital, and post-hospital. Data availability of the National Spinal Cord Injury Registry of Iran (NSCIR-IR) was subsequently used to design questions that represent indicators in an assessment tool format. The comprehensiveness of the tool was evaluated using a 4-item Likert scale by the expert panel. Result: Twelve experts participated in conceptualization and 11 experts participated in operationalization phase. Overall, 94 concepts for QoC were identified from published scoping review (87 items) and qualitative interviews (7 items). The process of operationalization and indicator selection led to the development of 27 indicators with acceptable content validity. Finally, the assessment tool contained three pre-hospital, twelve in-hospital, nine post-hospital, and three mixed indicators. Ninety-one percent of experts evaluated the entire tool as comprehensive. Conclusion: Our study presents a health-related QoC tool that contains a comprehensive set of indicators to assess the QoC for individuals with TSCI. However, this tool should be used in various situations to establish construct validity further. © 2023, The Author(s), under exclusive licence to International Spinal Cord Society.
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