Table 2.

Physicians’ mean rating of the importance of key issues associated with SCI and their mean pretest and posttest knowledge of the key issues: Mean (SD) overall score for pretest knowledge was 58% (3%) and mean (SD) overall score for posttest knowledge was 75% (4%).

KEY ISSUES ASSOCIATED WITH SCI*IMPORTANCE SCORE (OUT OF 5)PRETEST KNOWLEDGE, %POSTTEST KNOWLEDGE, %
Bladder care4.707174
  • Diagnosing UTI
  • Treating UTI
  • Screening for bladder cancer
  • Regular urologic follow-up
Skin care4.656795
  • Prevention of skin breakdown
  • Treatment of skin breakdown
Office accessibility4.655073
Bowel care4.617175
  • Annual assessment of neurogenic bowel
  • Constipation with neurogenic bowel
  • Periodic evaluation of bowel program
  • Screening for colorectal cancer
Autonomic dysreflexia4.275077
Depression4.227886
Pain4.227478
  • Neuropathic vs musculoskeletal pain
  • Management of neuropathic pain
  • Chronic upper extremity pain
Physical activity3.877091
Sexual and reproductive health3.706055
Cardiovascular disease3.707757
Epidemiology3.657191
  • SCI—spinal cord injury, UTI—urinary tract infection.

  • * These key SCI issues represent the 20 Actionable Nuggets.

  • Before the program participants were asked to rate their level of knowledge for each of the 11 key topics from 1 (very limited) to 5 (expert knowledge). The mean score out of 5 for all respondents for each question was converted to a percentage.

  • The posttest contained 1 question for each of the 20 key issues. Values represent the proportion of physicians who answered the question or questions on that key topic correctly.

  • Adapted from Actionable Nuggets.34