JET_V12_N3_RP2 Multimodal and Adaptive Learning Management: An Iterative Design David R. Squires Michael A. Orey Journal of Educational Technology 2230 - 7125 12 3 13 18 Adaptive Learning, Anywhere Anytime Learning, e-learning, Just-In-Time-Learning, Learning Management Systems The purpose of this study is to measure the outcome of a comprehensive learning management system implemented at a Spinal Cord Injury (SCI) hospital in the Southeast United States. Specifically this SCI hospital has been experiencing an evident volume of patients returning seeking more information about the nature of their injuries. Recognizing the need to disseminate SCI information, the hospital seeks to overhaul the current patient and family education program and to incorporate a blended learning model. The researchers investigation seeks to identify and bridge a gap between patient access to health related learning content and vital learning materials related to spine and neck injuries. The preliminary findings suggest that the e-learning and software development community can benefit from implementing a multimodal learning management system, and adaptive online learning content database, as pervious international spinal cord injury studies have also successfully demonstrated. October - December 2015 Copyright & copy; 2015 i-manager publications. All rights reserved. i-manager Publications http://www.imanagerpublications.com/Article.aspx?ArticleId=3741