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<p>Reproductive health is a critical and often overlooked component of sexuality and participation for women with spinal cord injuries. Many rehabilitation providers, including occupational therapy practitioners, report low confidence in addressing these needs due to limited training, stigma, and insufficient guidance. This study evaluated the impact of a four-week educational module series on occupational therapy providers (OTPs)’ confidence, defined as self-perceived readiness to address reproductive health topics. The intervention consisted of a combination of one synchronous and three asynchronous, case-based educational modules incorporating didactic instruction, applied case scenarios, and weekly knowledge checks. A survey design with quantitative and open-ended components was used to assess changes in practitioner confidence. Fifteen licensed OTPs completed pre- and post-surveys measuring confidence across four content areas: menstruation, sexuality and sexual health, family planning, and common reproductive health concerns. Participants also completed weekly knowledge checks. Post-surveys also included items on relevance, intention to apply, and open-ended reflections. Weekly knowledge checks assessed comprehension. Module content was informed by a survey of six women with SCIs and interviews with content experts, including an OB/GYN and an occupational therapist with experience in this population. Self-reported confidence increased across all four domains, with participants also reporting high relevance and intention to apply the content. Knowledge checks demonstrated strong comprehension, and descriptive analysis of open-ended responses revealed patterns of increased comfort, preparedness, and resource awareness. Survey findings suggest that targeted, evidence-informed educational modules can improve OTPs’ readiness to integrate reproductive health into client care. This approach offers a model for strengthening rehabilitation provider preparedness in sexual and reproductive health after SCI and supports more inclusive clinical practice.</p>

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Educational Modules to Improve OT Confidence in Addressing Reproductive Health After SCI

  • 期刊论文

  • 发表日期：

    2026年5月19日

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  • Caroline Salisbury,
  • Susan Persia,
  • Kristy Meyer

摘要

Reproductive health is a critical and often overlooked component of sexuality and participation for women with spinal cord injuries. Many rehabilitation providers, including occupational therapy practitioners, report low confidence in addressing these needs due to limited training, stigma, and insufficient guidance. This study evaluated the impact of a four-week educational module series on occupational therapy providers (OTPs)’ confidence, defined as self-perceived readiness to address reproductive health topics. The intervention consisted of a combination of one synchronous and three asynchronous, case-based educational modules incorporating didactic instruction, applied case scenarios, and weekly knowledge checks. A survey design with quantitative and open-ended components was used to assess changes in practitioner confidence. Fifteen licensed OTPs completed pre- and post-surveys measuring confidence across four content areas: menstruation, sexuality and sexual health, family planning, and common reproductive health concerns. Participants also completed weekly knowledge checks. Post-surveys also included items on relevance, intention to apply, and open-ended reflections. Weekly knowledge checks assessed comprehension. Module content was informed by a survey of six women with SCIs and interviews with content experts, including an OB/GYN and an occupational therapist with experience in this population. Self-reported confidence increased across all four domains, with participants also reporting high relevance and intention to apply the content. Knowledge checks demonstrated strong comprehension, and descriptive analysis of open-ended responses revealed patterns of increased comfort, preparedness, and resource awareness. Survey findings suggest that targeted, evidence-informed educational modules can improve OTPs’ readiness to integrate reproductive health into client care. This approach offers a model for strengthening rehabilitation provider preparedness in sexual and reproductive health after SCI and supports more inclusive clinical practice.