Project Type
modular
Project Lead Center
National Capital Spinal Cord Injury Model System
Project Start Date
09/30/2021
Project End Date
09/29/2026
Participating Centers
Midwest Regional Spinal Cord Injury Care System
University of Pittsburgh Model Center on Spinal Cord Injury
Southern California Spinal Cord Injury Model System
Baylor Scott and White Spinal Cord Injury Model System
South Florida SCIMS
Northern New Jersey Spinal Cord Injury System
Mount Sinai Spinal Cord Injury Model System
Project Website
https://www.medstarnrh.org/our-services/spinal-cord-injury-rehabilitation-servi…

This project is a collaborative, 3-phase, mixed-methods study to develop consensus around diagnostic and decision-making criteria for complicated UTI (cUTI) among people with SCI and the clinicians who treat them. In Phase 1 (qualitative) we will engage clinicians SCIMS-wide in focus groups to refine cUTI-related decision-making using our three reliable and validated USQNBs (Urinary Symptom Questionnaire for Neurogenic Bladder) as points of departure, and then conduct a Delphi survey to explore and achieve consensus on diagnostic criteria and guidelines for cUTI among a nationally representative sample of clinicians from the SCIMS network (PM&R, Infectious Disease, Urology, Primary Care, Emergency Medicine), the Infectious Disease Society of America (IDSA), and the Neurogenic Bladder Research Group (NBRG). In Phase 2 (qualitative) we will develop and deploy training materials and a train-the-trainer program based on the SCIMS cUTI Consensus Guidelines resulting from Phase 1. Finally, in Phase 3 (quantitative) we will assess clinicians’ uptake and use of the Guidelines, and the impact of the Guidelines training on consumers’ self-management habits, engagement with the health care system, and antibiotic use, over the 12 months after training.