Andrei Krassioukov1,2, Jennifer R Tomasone3, Melissa Pak1, B Catharine Craven4, Mohammad H Ghotbi4, Karen Ethans5, Kathleen A Martin Ginis3, Michael Ford6, Dmitri Krassioukov-Enns5. 1. a ICORD (International Collaboration On Repair Discoveries) , Vancouver , British Columbia , Canada. 2. b Division of Physical Medicine and Rehabilitation , University of British Columbia , Vancouver , British Columbia , Canada. 3. c Department of Kinesiology , McMaster University , Hamilton , Ontario , Canada. 4. d Department of Medicine , Toronto Rehabilitation Institute-University Health Network, University of Toronto , Ontario , Canada. 5. e Department of Medicine , Winnipeg Health Sciences Centre, University of Manitoba , Winnipeg , Manitoba , Canada. 6. f Department of Surgery , Sunnybrook Health Sciences Centre, University of Toronto , Toronto , Ontario , Canada.
Abstract
CONTEXT/ OBJECTIVE: Despite the availability of consensus-based resources, first responders and emergency room (ER) health care professionals (HCPs) have limited knowledge regarding autonomic dysreflexia (AD) recognition and treatment. The purpose of this study was to assess the efficacy of "The ABCs of AD" educational seminar for improving HCPs' short- and long-term knowledge of AD recognition, diagnosis, and management. DESIGN: Multi-center prospective pre, post, and follow-up questionnaire study. SETTING: Level I trauma centers with emergency departments in British Columbia, Manitoba, and Ontario. METHODS: ER professionals completed measures immediately before and after (n = 108), as well as 3-months following (n = 23), attendance at "The ABCs of AD" seminar. OUTCOME MEASURES: AD knowledge test; seminar feedback. RESULTS: Following the seminar, participants had higher ratings of their AD knowledge and had significantly higher AD knowledge test scores (M ± SD pre = 11.85 ± 3.88, M ± SD post = 18.95 ± 2.39, out of 22; P < 0.001, d = 2.21). Most participants believed the seminar changed their AD knowledge, and rated the seminar information as having the potential to influence and change their practice. AD knowledge test scores significantly decreased between post-seminar and 3-month follow-up (M ± SD 3mo = 17.04 ± 3.28; P = 0.004, d = -0.70); however, 3-month scores remained significantly higher than baseline. CONCLUSION: "The ABCs of AD" seminar improves HCPs' perceived and actual AD knowledge in the short-term. To enhance knowledge retention in both the short- and long-term, the inclusion of additional active learning strategies and follow-up activities are recommended. The seminar is being translated into an online training module to enhance the dissemination of the AD clinical practice guidelines among first responders, ER staff, and SCI practitioners.
CONTEXT/ OBJECTIVE: Despite the availability of consensus-based resources, first responders and emergency room (ER) health care professionals (HCPs) have limited knowledge regarding autonomic dysreflexia (AD) recognition and treatment. The purpose of this study was to assess the efficacy of "The ABCs of AD" educational seminar for improving HCPs' short- and long-term knowledge of AD recognition, diagnosis, and management. DESIGN: Multi-center prospective pre, post, and follow-up questionnaire study. SETTING: Level I trauma centers with emergency departments in British Columbia, Manitoba, and Ontario. METHODS: ER professionals completed measures immediately before and after (n = 108), as well as 3-months following (n = 23), attendance at "The ABCs of AD" seminar. OUTCOME MEASURES: AD knowledge test; seminar feedback. RESULTS: Following the seminar, participants had higher ratings of their AD knowledge and had significantly higher AD knowledge test scores (M ± SD pre = 11.85 ± 3.88, M ± SD post = 18.95 ± 2.39, out of 22; P < 0.001, d = 2.21). Most participants believed the seminar changed their AD knowledge, and rated the seminar information as having the potential to influence and change their practice. AD knowledge test scores significantly decreased between post-seminar and 3-month follow-up (M ± SD 3mo = 17.04 ± 3.28; P = 0.004, d = -0.70); however, 3-month scores remained significantly higher than baseline. CONCLUSION: "The ABCs of AD" seminar improves HCPs' perceived and actual AD knowledge in the short-term. To enhance knowledge retention in both the short- and long-term, the inclusion of additional active learning strategies and follow-up activities are recommended. The seminar is being translated into an online training module to enhance the dissemination of the AD clinical practice guidelines among first responders, ER staff, and SCI practitioners.
Authors: Jennifer R Tomasone; Kathleen A Martin Ginis; Wayland Pulkkinen; Andrei Krassioukov Journal: J Spinal Cord Med Date: 2014-07-24 Impact factor: 1.985
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Authors: Jill M Wecht; Andrei V Krassioukov; Maralee Alexander; John P Handrakis; Stephen L McKenna; Michael Kennelly; Michele Trbovich; Fin Biering-Sorensen; Stephen Burns; Stacy L Elliott; Daniel Graves; James Hamer; Klaus Krogh; Todd A Linsenmeyer; Nan Liu; Ellen Merete Hagen; Aaron A Phillips; Jean-Gabriel Previnaire; Gianna M Rodriguez; Chloe Slocum; James R Wilson Journal: Top Spinal Cord Inj Rehabil Date: 2021
Authors: K A Martin Ginis; J R Tomasone; M Welsford; K Ethans; A R Sinden; M Longeway; A Krassioukov Journal: Spinal Cord Date: 2016-09-13 Impact factor: 2.772
Authors: Matthias Walter; Stephanie C Knüpfer; Jacquelyn J Cragg; Lorenz Leitner; Marc P Schneider; Ulrich Mehnert; Andrei V Krassioukov; Martin Schubert; Armin Curt; Thomas M Kessler Journal: BMC Med Date: 2018-04-13 Impact factor: 8.775
Authors: Jurynelliz Rosa-Vega; Edgar Carlo; Andrés Rodríguez-Ochoa; Jonathan Hernández-Agosto; Darlene Santiago Quiñones; Damián Cabrera-Candelaria; Carlos E Rodríguez-Díaz; Kyle Melin Journal: Pharm Pract (Granada) Date: 2020-12-14