Using Implementation Science to Guide the Process of Adapting a Patient Engagement Intervention for Inpatient Spinal Cord Injury/Disorder Rehabilitation.
Arch Phys Med Rehabil
; 103(11): 2180-2188, 2022 11.
Article
in En
| MEDLINE
| ID: mdl-35588857
ABSTRACT
OBJECTIVES:
This study aimed to describe the process of adapting an evidence-based patient engagement intervention, enhanced medical rehabilitation (E-MR), for inpatient spinal cord injury/disease (SCI/D) rehabilitation using an implementation science framework.DESIGN:
We applied the collaborative intervention planning framework and included a community advisory board (CAB) in an intervention mapping process.SETTING:
A rehabilitation hospital.PARTICIPANTS:
Stakeholders from inpatient SCI/D rehabilitation (N=7) serving as a CAB and working with the research team (N=7) to co-adapt E-MR.INTERVENTIONS:
E-MR. MAIN OUTCOMEMEASURES:
Logic model and matrices of change used in CAB meetings to identify areas of intervention adaptation.RESULTS:
The CAB and research team implemented adaptations to E-MR, including (1) identifying factors influencing patient engagement in SCI/D rehabilitation (eg, therapist training); (2) revising intervention materials to meet SCI/D rehabilitation needs (eg, modified personal goals interview and therapy trackers to match SCI needs); (3) incorporating E-MR into the rehabilitation hospital's operations (eg, research team coordinated with CAB to store therapy trackers in the hospital system); and (4) retaining fidelity to the original intervention while best meeting the needs of SCI/D rehabilitation (eg, maintained core E-MR principles while adapting).CONCLUSIONS:
This study demonstrated that structured processes guided by an implementation science framework can help researchers and clinicians identify adaptation targets and modify the E-MR program for inpatient SCI/D rehabilitation.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Spinal Cord Injuries
/
Neurological Rehabilitation
Type of study:
Prognostic_studies
/
Qualitative_research
/
Sysrev_observational_studies
Aspects:
Implementation_research
/
Patient_preference
Limits:
Humans
Language:
En
Journal:
Arch Phys Med Rehabil
Year:
2022
Document type:
Article
Affiliation country:
Macao