Implementing a shared decision‐making and cognitive strategy‐based intervention: Knowledge user perspectives and recommendations.
The aim of this study was to employ knowledge user perspectives to develop recommendations that facilitate implementation of a complex, shared decision‐making (SDM)‐based intervention in an interprofessional setting. This study was part of a larger knowledge translation (KT) study in which interprof...
| Publicado en: | Journal of Evaluation in Clinical Practice Vol. 26; no. 2; pp. 575 - 582 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142456211&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142456211 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561294 EV1 jtl: Journal of Evaluation in Clinical Practice issn: 13561294 maglogo: Y pubinfo: dt: Apr2020 vid: 26 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 142456211 142456211 145801810 142456211 10.1111/jep.13329 142456211 ppf: 575 ppct: 7 formats: tig: atl: Implementing a shared decision‐making and cognitive strategy‐based intervention: Knowledge user perspectives and recommendations. aug: au: Allen, Kay‐Ann M. Dittmann, Katherine R. Hutter, Jennifer A. Chuang, Catherine Donald, Michelle L. Enns, Amie L. Hovanec, Nina Hunt, Anne W. Kellowan, Richard S. Linkewich, Elizabeth A. Patel, Alexandra S. Rehmtulla, Anisha McEwen, Sara E. affil: St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, ON, Canada sug: subj: Decision Making, Shared Cognitive Therapy Methods Health Knowledge Interprofessional Relations Program Implementation Attitude of Health Personnel Human Education, Interdisciplinary Ambulatory Care Facilities Rehabilitation Centers Stroke Patients Survivors Occupational Therapy Occupational Therapist Attitudes Volunteer Workers Focus Groups Exploratory Research Qualitative Studies Audiorecording Conceptual Framework Physical Therapists Speech-Language Pathologists ab: The aim of this study was to employ knowledge user perspectives to develop recommendations that facilitate implementation of a complex, shared decision‐making (SDM)‐based intervention in an interprofessional setting. This study was part of a larger knowledge translation (KT) study in which interprofessional teams from five freestanding, academically affiliated, rehabilitation hospitals were tasked with implementing a cognitive strategy‐based intervention approach that incorporates SDM known as Cognitive Orientation to daily Occupational Performance (CO‐OP) to treat survivors of stroke. At the end of the 4‐month CO‐OP KT implementation support period, 10 clinicians, two from each site, volunteered as CO‐OP site champions. A semi‐structured focus group was conducted with 10 site champions 3 months following the implementation support period. To meet the study objective, an exploratory qualitative research design was used. The focus group session was audio‐recorded, transcribed verbatim and analyzed through the lens of the integrated promoting action on research implementation in health services (iPARIHS) framework. The focus group participants (n = 8) consisted of occupational therapists, physical therapists, and speech language pathologists. Ten recommendations for CO‐OP implementation were extracted and co‐constructed from the focus group transcript. The recommendations reflected all four iPARHIS constructs: Facilitation, Context, Innovation, and Recipients. Implementation recommendations, from the knowledge user perspective, highlight that context‐specific facilitation is key to integrating a novel, complex intervention into interprofessional practice. Facilitators should lay out a framework for training, communication and implementation that is structured but still provides flexibility for iterative learning and active problem‐solving within the relevant practice context. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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