title: Using developmental research to design innovative knowledge translation technology for spinal cord injury in primary care: Actionable Nuggets™ on SkillScribe™.
abstract: OBJECTIVE
  Actionable Nuggets™ for spinal cord injury (SCI) are a knowledge translation tool facilitating evidence-based primary care practice, originally developed in 2010 and refined in 2013. Evaluation results from these two phases of development have informed the design of SkillScribe™, an innovative electronic platform intended to offer reflective continuing medical education (CME) programming through mobile devices in order to support the key features of the Actionable Nuggets™ approach. This brief article describes the ongoing development of Actionable Nuggets™ for SCI on SkillScribe™ by: (1) summarizing the work to date on Actionable Nuggets™; (2) describing evaluation results of Actionable Nuggets™; (3) placing SkillScribe™ in the context of adult education.
  
  
  METHODS
  Developmental Research Design.
  
  
  METHODS
  Canadian primary care.
  
  
  METHODS
  Primary care physicians; specialist physicians.
  
  
  METHODS
  Twenty educational modules on SCI.
  
  
  METHODS
  Pre- and post-test knowledge survey, feedback and use statistics, impact assessment survey, qualitative analysis of evaluation data.
  
  
  RESULTS
  In both hard copy and electronic form, physicians report that Actionable Nuggets™ are an acceptable and useful approach to providing CME for low-prevalence, high-impact conditions like SCI. The key elements of this tool are that they: offer evidence-based information in small, focused "nuggets"; position information where physicians most frequently seek it; offer information in a format that permits direct translation into action in primary care; allow time for reflection; attach practice tools; and offer CME credit.
  
  
  CONCLUSIONS
  Actionable Nuggets™ for SCI, delivered using a convenient and portable electronic medium, with time-released content and interactive testing has the potential to improve the primary care of patients with SCI.
authors.forename: Karen M
authors.initials: KM
authors.lastname: Smith
authors.forename: Danielle N
authors.initials: DN
authors.lastname: Naumann
authors.forename: Laura
authors.initials: L
authors.lastname: McDiarmid Antony
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: McColl
authors.forename: Alice
authors.initials: A
authors.lastname: Aiken
mesh_terms: D002170:Canada; D004501:Education, Medical / Q000379:methods / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D011177:Postal Service / Q000379:methods; D011320:Primary Health Care / Q000458:organization & administration*; D012046:Rehabilitation / Q000193:education*; D013119:Spinal Cord Injuries / Q000175:diagnosis* / Q000628:therapy*; D057170:Translational Research, Biomedical / Q000458:organization & administration*
keywords: Educational technology; Practice guidelines; Primary health care; Spinal cord injury; Translational medical research