Using developmental research to design innovative knowledge translation technology for spinal cord injury in primary care: Actionable Nuggets™ on SkillScribe™.

{"article_title":"Using developmental research to design innovative knowledge translation technology for spinal cord injury in primary care: Actionable Nuggets\ufffd on SkillScribe\ufffd.","author":"Smith KM, Naumann DN, McDiarmid Antony L, McColl MA, Aiken A","journal_title":"The journal of spinal cord medicine","issn":"2045-7723","isbn":"","publication_date":"2014 Sep","volume":"37","issue":"5","first_page":"582","page_count":"","accession_number":"25229739","doi":"10.1179\/2045772314Y.0000000243","publisher":"Taylor & Francis","doctype":"Journal Article","subjects":"Canada; 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","interest_area":["Neurology"," Emergency Medicine"," Internal\/Family Medicine"],"abstract":"Context\/objective: Actionable Nuggets\ufffd 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\ufffd, 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\ufffd approach. This brief article describes the ongoing development of Actionable Nuggets\ufffd for SCI on SkillScribe\ufffd by: (1) summarizing the work to date on Actionable Nuggets\ufffd; (2) describing evaluation results of Actionable Nuggets\ufffd; (3) placing SkillScribe\ufffd in the context of adult education. Design: Developmental Research Design. Setting: Canadian primary care. Participants: Primary care physicians; specialist physicians. Interventions: Twenty educational modules on SCI. Outcome Measures: Pre- and post-test knowledge survey, feedback and use statistics, impact assessment survey, qualitative analysis of evaluation data. Results: In both hard copy and electronic form, physicians report that Actionable Nuggets\ufffd 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. Conclusion: Actionable Nuggets\ufffd 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.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=25229739&authtype=shib&custid=ns346513","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Smith KM, Naumann DN, McDiarmid Antony L, McColl MA, Aiken A","Journal_Info":"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","Publication_Type":"Journal Article; Research Support, Non-U.S. Gov't","Published_Date":"2014-09-01","Source":"The journal of spinal cord medicine [J Spinal Cord Med] 2014 Sep; Vol. 37 (5), pp. 582-8.","Languages":"English","Electronic_ISSN":"2045-7723","MeSH_Terms":"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","Subjects":"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","Title_Abbreviations":"The journal of spinal cord medicine","Volume":"37"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"25229739","RelevancyScore":"777","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"777.436584472656"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=25229739&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=25229739&authtype=shib&custid=ns346513&group=main&profile=eds"}