Advancing Health Equity in Women with SCI through Ob/Gyn Provider Education

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.