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Current Spinal Injuries Research

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We are extremely proud to be leading the UK arm of an international investigation led by the Shirley Ryan AbilityLab. The project includes collaborators in the United States, Australia, Canada and The Netherlands.

We are involved with conducting focus groups across the 8 spinal cord injury centres commissioned by NHS England which then informs an international survey of people with SCI about their inpatient rehabilitation experiences, therapy received and length of stay, preparedness for discharge and community transition. We are recruiting from all 8 centres, as well as fomr charity partners such as the Spinal Injuries Association, Back Up and ASPIRE.

 

A related project is also examining data about length of stay from the United States, Australia, New Zealand, Canada and England to compare how length of stay (LOS), intensity of rehabilitation and other patient-level, facility-level and country-level factors affect outcomes. An advisory committee of people with SCI, representatives of SCI organizations, SCI clinicians and policymakers will provide input on study design.

 

An advisory committee of people with SCI, representatives of SCI organisations, SCI clinicians and policymakers have provided and are providing input on study design.

Learn more: A conversation with Allen Heinemann, Jane Duff, Marcel Post, and Ashley Craig about a new research project on the length of stay for rehabilitation

Clinical Psychologist Jane Duff Contributes to International CROR Study on Rehabilitation Length of Stay and Outcomes for People with Spinal Cord Injury

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With our colleagues at the University of Sydney and John Walsh Centre for Rehabilitation Research (JWCRR), this study focuses on implementing a co-designed Mental Health and Wellbeing Module (MHM), developed with people with SCI who identified mental health as a top priority. It will examine how best to integrate the MHM into routine healthcare and community settings in Australia and the UK.

The MHM offers a practical toolbox of evidence-based strategies including mindfulness-based approaches and tools such as mood diaries, to build resilience and self-management skills. The overall aim is to support emotional wellbeing, particularly for mild but impactful difficulties that may not meet thresholds for clinical care. The project is due to begin in early 2026.

The project was launched on Tuesday 3rd March via an online webinar which you can watch below or following the link here.

Chartered Society of Physiotherapy Grant to examine Evidence for Living Well with a Spinal Cord Injury in the Community (ELSCI) - A physical activity intervention

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Funded by the Chartered Society of Physiotherapists, we are proud to be part of this UK-wide study exploring life after spinal cord injury. The project aims to map the care people receive after leaving specialist centres, tracking changes in physical function over the first year post-discharge, and capturing the lived experiences of people with SCI across the country. By understanding what helps and what gets in the way of effective post-discharge progress, this study aims to direct future research that improves long-term health, independence, and quality of life.

Learn more: Evidence for Living Well with a Spinal Cord Injury in the Community - Glasgow Caledonian University

Stoke Mandeville Spinal Research Examining Implementing Psychological Health Standards and Screening in Spinal Cord Injuries

Jane is Chief Investigator for the Implementing Psychological Health Standards and Screening in SCI (IRAS: 358811).

This study involves all of the Spinal Cord Injury Centres in England and Wales, some major trauma centres, and spinal hubs.  Sites will be collecting psychological health screening data across the care continuum.  The study is a development from a previous, now closed study, which Jane was CI for when the Psychology Services at the NSIC, Midlands Spinal Cord Injury Centre and Yorkshire Spinal Cord Injury Centre shared psychological health data – this is published here.  The publication outlines the transformation work that Jane led under the auspices of the NHS England Spinal Service Clinical Reference Group that led to the creation of psychological care standards and publication of the SCI Pathway and Transformation Recommendations for Adults with SCI who have Psychological And Mental Health Needs Report, which can be accessed in full here.  The Report utilises the SCI Psychological Health and Wellbeing Matched Collaborative Intervention Pathway created by Jane and used by the NSIC Psychology Service since 2014. This includes a complexity diagram and table.

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The NSIC enjoys close links with the Doctorate in Clinical Psychology (DClinPsych) course at Oxford University. Our team has supported, and been supported by, a large number of projects in collaboration with Trainee Clinical Psychologists over a number of years. This includes a number of projects related to spinal cord injury and physical healthcare, spanning a range of service improvement projects, hypothesis-driven empirical research and systematic reviews. 

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