Weight management in spinal cord injury Nutritional, Metabolic, Endocrine
Conditions
Interventions
The project will use the Hawkins et al 2017 framework for co-design. This is made up of three stages which are explained below.
Stage 1: Evidence base and stakeholder consultation.
We will have an on
Sponsors
Sheffield Teaching Hospitals NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Work Package 1: Evidence-Based and Stakeholder Consultation 1.1 Dietetic staff at spinal injuries centres in the UK and Ireland 1.2 STH staff will be recruited if they offer care to people with a spinal cord injury 1.3 STH managers will be recruited if their service might provide weight management care 1.4 Patient participants will be spinal cord injured adults 1.4.1 Newly injured in-patients who are at least 3 months post injury and have been admitted to the Sheffield spinal injuries centre for more than 4 weeks 1.4.2 Patients seen as outpatients who have been discharged from their acute admission 1.4.3 Adults over the age of 18 1.4.4 Able to give informed consent 1.4.5 Patient participants will include any level of spinal cord injury with any ASIA (American Spinal Injury Association Impairment Scale) score of A-D 1.4.6 Patients will not be excluded based on their weight history. Both those with a healthy weight and those living with overweight or obesity will be approached 1.5 Patient participants will be able to have carers to support them if required 1.6 Two specialist spinal injury centres that currently offer a weight management service to their spinal cord injured patients will be invited to participate in the non-participant observation element of the study 2. Work Package 2: Co-Production 2.1 Patient participants who have been discharged following their initial acute spinal cord injury admission at Sheffield but remain under follow-up review by the Sheffield Spinal Injury Centre 2.1.1 Patients will need to have been 1 year post spinal cord injury to allow time to reflect on their inpatient stay and offer practical solutions to support that could be required post discharge 2.1.2 Patients will not be excluded based on their weight history 2.1.3 Patients will be adults over the age of 18 2.1.4 Patient participants will include any level of spinal cord injury with any ASIA score of A-D 2.1.5 Able to give informed consent 2.2 Carers of patient participants will be allowed to participate 2.3 Staff participants will be recruited if they offer care to people with a spinal cord injury 3. Work Package 3: Prototyping 3.1 Patient participants who are either current inpatients or outpatients from the Sheffield Spinal Cord Injury Centre 3.1.1 Patients diagnosed with a spinal cord injury under the care of Sheffield Spinal Cord Injury Centre 3.1.2 Patients who are interested in receiving support for managing their weight 3.1.3 Patients will be adults over the age of 18 3.1.4 Patient participants will include any level of spinal cord injury with any ASIA score of A-D 3.1.5 Able to give informed consent 3.2 Staff participants will be recruited if they offer weight management support to people with a spinal cord injury
Exclusion criteria
Exclusion criteria: 1. Work Package 1: Evidence-Based and Stakeholder Consultation 1.1 Any staff participants with no experience of supporting people with spinal cord injury 1.2 Any patient without a spinal cord injury 1.3 Anyone under 18 years of age 1.4 Anyone unable to provide informed consent 1.5 Patients who have been injured less than 3 months or admitted to Sheffield Spinal Injuries Centre for less than 4 weeks 2. Work Package 2: Co-Production 2.1 Any staff participants with no experience of supporting people with spinal cord injury 2.2 Any patient without a spinal cord injury 2.3 Anyone under 18 years of age 2.4 Anyone unable to provide informed consent 2.5 Any patient who sustained their spinal cord injury less than 1 year ago 3. Work Package 3: Prototyping 3.1 Any staff participants who are not supporting the weight management programme for people with spinal cord injury 3.2 Any patient without a spinal cord injury 3.3 Anyone under 18 years of age 3.4 Anyone unable to provide informed consent 3.5 Any patient who has been included in the co-production element of Work Package 2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Outcomes for stage 1 will be measured following thematic analysis of semi-structured interviews and workshops. It will relate to participants views on suitable weight management practices within SCI. It will include reflections on their own experiences and possible interventions that could be designed to improve available support for this patient population. Outcomes from stage 2 will be the design of a weight management programme for the SCI population. This will be taken to stage 3 for testing. Outcomes from stage 3 will be thematic analysis of the experiences of patient and staff participants who have tested the developed intervention. Due to the limited sample size there will be no formal assessment of feasibility and acceptability but it is planned that this feedback will provide information of any future changes to the intervention prior to developing a suitable feasibility and acceptability evaluative study. | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
England, United Kingdom
Contacts
Public ContactSarah Wilkinson
Outcome results
None listed