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Using Implementation Science to Guide the Process of Adapting a Patient Engagement Intervention for Inpatient Spinal Cord Injury/Disorder Rehabilitation.
- Source :
-
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2022 Nov; Vol. 103 (11), pp. 2180-2188. Date of Electronic Publication: 2022 May 17. - Publication Year :
- 2022
-
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.<br />Design: We applied the collaborative intervention planning framework and included a community advisory board (CAB) in an intervention mapping process.<br />Setting: A rehabilitation hospital.<br />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.<br />Interventions: E-MR.<br />Main Outcome Measures: Logic model and matrices of change used in CAB meetings to identify areas of intervention adaptation.<br />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).<br />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.<br /> (Copyright © 2022 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1532-821X
- Volume :
- 103
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Archives of physical medicine and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 35588857
- Full Text :
- https://doi.org/10.1016/j.apmr.2022.04.010