| Titre : | Using Implementation Science to Guide the Process of Adapting a Patient Engagement Intervention for Inpatient Spinal Cord Injury/Disorder Rehabilitation (2022) |
| Auteurs : | Ryan Walsh ; Virginia R. McKay ; Piper Hansen ; Peggy P. Barco ; Kayla Jones ; Yejin Lee ; Riddhi D. Patel ; David Chen ; Allen W. Heinemann ; Eric J. Lenze ; Alex W.K. Wong |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 11, 2022) |
| Article en page(s) : | p. 2180-2188 |
| Note générale : | https://doi.org/10.1016/j.apmr.2022.04.010 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Participation des patients ; Réadaptation ; Science de la mise en oeuvre ; Traumatismes de la moelle épinière |
| Résumé : |
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 Outcome Measures 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. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322004002 |
Bibliothèques HE Vinci
