Final Research Report

View this project's final research report.

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Peer-Review Summary

Peer review of PCORI-funded research helps make sure the report presents complete, balanced, and useful information about the research. It also assesses how the project addressed PCORI’s Methodology Standards. During peer review, experts read a draft report of the research and provide comments about the report. These experts may include a scientist focused on the research topic, a specialist in research methods, a patient or caregiver, and a healthcare professional. These reviewers cannot have conflicts of interest with the study.

The peer reviewers point out where the draft report may need revision. For example, they may suggest ways to improve descriptions of the conduct of the study or to clarify the connection between results and conclusions. Sometimes, awardees revise their draft reports twice or more to address all of the reviewers’ comments. 

Peer reviewers commented, and the researchers made changes or provided responses. The comments and responses included the following:

  • Reviewers noted that researchers adopted an unusual number of major protocol changes after the project began. These protocol changes may have diminished the rigor of the work but in some cases were due to factors beyond the researchers’ control. The report is explicit and detailed about protocol changes. The reviewers noted that the report acknowledged the study’s limitations and was cautious in its interpretations. 
  • Reviewers suggested that the analysis of patient-reported outcomes might have been better handled using Rasch Measurement Theory instead of Classical Test Theory, since the latter does not take ordinal data into account. The researchers acknowledged the growing use of Rasch Measurement Theory but explained that its use in this situation would still be an exception not the norm. The researchers noted that using Rasch Measurement Theory would have been another major modification to their original research plan.
  • The reviewers noted that because the Shepherd Center, where they conducted this study is a national leader in rehabilitation of patients with severe spinal cord injury, the cohort may not be representative. The researchers agreed that the center may be unique and results may not be entirely generalizable. However, researchers noted that while the cohort had the advantage of being at a leading spinal cord injury treatment center, the patients at the center also tend to be more significantly impaired than patients with spinal cord injury who are typically admitted into inpatient rehabilitation.

Conflict of Interest Disclosures

Project Information

Michael Jones, PhD
Shepherd Center
A Patient-Centered Approach to Successful Community Transition After Catastrophic Injury

Key Dates

May 2013
December 2018

Study Registration Information


Has Results
Award Type
Health Conditions Health Conditions These are the broad terms we use to categorize our funded research studies; specific diseases or conditions are included within the appropriate larger category. Note: not all of our funded projects focus on a single disease or condition; some touch on multiple diseases or conditions, research methods, or broader health system interventions. Such projects won’t be listed by a primary disease/condition and so won’t appear if you use this filter tool to find them. View Glossary
Funding Opportunity Type
Intervention Strategy Intervention Strategies PCORI funds comparative clinical effectiveness research (CER) studies that compare two or more options or approaches to health care, or that compare different ways of delivering or receiving care. View Glossary
Research Priority Area
State State The state where the project originates, or where the primary institution or organization is located. View Glossary
Last updated: March 4, 2022