Context/objective: This study describes a development strategy for integrating the Spinal Cord Injury – Quality of Life (SCI-QOL) item banks into inpatient spinal cord injury (SCI) rehabilitation and recommendations for protocol implementation.

Design: We adopted an implementation science approach to develop a strategy for adapting and contextualizing SCI-QOL use during SCI rehabilitation. We conducted focus groups and stakeholder meetings with clinical assessment champions to (1) identify barriers and supports to SCI-QOL adoption; (2) reduce barriers and emphasize supports; (3) evaluate and select relevant SCI-QOL domains and item banks; (4) develop administration and reporting guidelines; and (5) identify hospital roles to alert with SCI-QOL results.

Setting: A regional inpatient rehabilitation hospital. This study focuses on clinicians providing inpatient rehabilitation to patients with SCI.

Participants: Fifty-nine clinicians, including physicians, speech language pathologists, occupational and physical therapists, nurses, and social workers providing care to SCI inpatients.

Interventions: N/A.

Outcome measures: N/A.

Results: Clinicians identified the SCI-QOL domains that were most relevant to inpatient care; when SCI-QOL should be administered; what hospital roles were best suited for administering SCI-QOL; how results should be displayed in the electronic medical record; and which clinical roles needed notification of SCI-QOL results.

Conclusions: Clinicians acknowledge the value of patient-reported outcome measures in inpatient SCI rehabilitation, but noted barriers to adoption. Engaging clinicians in the decision-making process for developing an implementation and administration protocol can inform strategies to overcome barriers and emphasize supports.

背景/目标：本研究描述了将脊髓损伤 - 生活质量 (SCI-QOL) 项目库整合到住院脊髓损伤 (SCI) 康复中的开发策略以及方案实施的建议。

设计：我们采用了实施科学方法来制定策略，以适应 SCI-QOL 在 SCI 康复期间的使用并结合具体情况。我们与临床评估冠军举行了焦点小组会议和利益相关者会议，以 (1) 找出采用 SCI-QOL 的障碍和支持；（二）减少障碍，强调支持；（3）评估并选择相关SCI-QOL领域和项目库；(4) 制定管理和报告指南；(5) 确定医院角色以通过 SCI-QOL 结果进行提醒。

地点：一家地区住院康复医院。本研究的重点是临床医生为 SCI 患者提供住院康复服务。

参与者： 59 名临床医生，包括内科医生、言语病理学家、职业和物理治疗师、护士以及为 SCI 住院患者提供护理的社会工作者。

干预措施：不适用。

结果衡量：不适用。

结果：临床医生确定了与住院护理最相关的 SCI-QOL 领域；何时应实施 SCI-QOL；哪些医院角色最适合实施 SCI-QOL；结果应如何显示在电子病历中；以及哪些临床角色需要 SCI-QOL 结果通知。

结论：临床医生承认患者报告的结果测量在住院 SCI 康复中的价值，但也注意到采用的障碍。让临床医生参与制定实施和管理方案的决策过程可以为克服障碍和强调支持的策略提供信息。