Document Type

Poster

Publication Date

4-2026

Comments

Access the Full Educational Module at: https://share.articulate.com/B4WyXhX415d3B2h_LFOoy>

Abstract

Background

Individuals with spinal cord injury (SCI) experience persistent disparities in reproductive healthcare access. OB-GYN providers often report limited training and discomfort in addressing these needs. These gaps contribute to inequitable care, reduced patient satisfaction, and missed opportunities for patient-centered care.

Purpose

To develop, implement, and disseminate an evidence-informed educational module aimed at improving OB-GYN provider knowledge, confidence, and clinical competence in delivering accessible, inclusive, and patient-centered reproductive healthcare for individuals with SCI.

Methods

  • Community Advisory Board (CAB) engagement 
  • Needs assessment survey (SCI population)
  • Iterative module development
  • Articulate Rise module creation
  • Implementation across interdisciplinary providers

Results/Outcomes

Reach & Implementation

  • 18 CAB feedback sessions
  • 37 educational videos developed 
  • 6 interdisciplinary trainings delivered
  • 35 clinical staff trained
  • 60+ providers reached

Practice Impact

  • 91% intend to apply content
  • Improved confidence in transfers, communication, and accommodations

Qualitative Impact

  • Increased provider awareness and reduced bias
  • Improved patient-centered communication
  • Enhanced clinic preparedness

Module Description

Key Features

  • 37 embedded videos
  • Case-based scenarios
  • Transfer & positioning training
  • Downloadable resources
  • Patient perspectives
  • Illustrations of adaptive sex positions

Content Areas

  • Preventative care
  • Transfers & positioning
  • Sexual function
  • Pregnancy & menopause
  • Accessibility & communication

Implications

This project demonstrates the effectiveness of community-engaged, interdisciplinary education in improving provider competence and accessibility in OB-GYN care.

The module provides a scalable model for:

  • Health professions education
  • Interdisciplinary training
  • National dissemination of disability-inclusive care practices

Funding & Acknowledgments

This project was supported by the Craig H. Neilsen Foundation. We acknowledge the contributions of our Community Advisory Board and individuals with spinal cord injury whose lived experiences informed this work.

Language

English

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