Using Implementation Science to Guide the Process of Adapting a Patient Engagement Intervention for Inpatient Spinal Cord Injury/Disorder Rehabilitation.

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. We applied the collaborative intervention plannin...

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Publicado en:Archives of Physical Medicine & Rehabilitation Vol. 103; no. 11; pp. 2180 - 2189
Autores principales: Walsh, Ryan J., McKay, Virginia R., Hansen, Piper E., Barco, Peggy P., Jones, Kayla, Lee, Yejin, Patel, Riddhi D., Chen, David, Heinemann, Allen W., Lenze, Eric J., Wong, Alex W.K.
Formato: research Journal Article
Publicado: W B Saunders Nov2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2022
      vid: 103
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      pub: W B Saunders
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        10.1016/j.apmr.2022.04.010
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        atl: Using Implementation Science to Guide the Process of Adapting a Patient Engagement Intervention for Inpatient Spinal Cord Injury/Disorder Rehabilitation.
      aug:
        au:
          Walsh, Ryan J.
          McKay, Virginia R.
          Hansen, Piper E.
          Barco, Peggy P.
          Jones, Kayla
          Lee, Yejin
          Patel, Riddhi D.
          Chen, David
          Heinemann, Allen W.
          Lenze, Eric J.
          Wong, Alex W.K.
        affil: Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO
      sug:
        subj:
          Spinal Cord Injuries Rehabilitation
          Spinal Diseases Rehabilitation
          Rehabilitation Methods
          Human
          Inpatients
          Professional Practice, Evidence-Based
          Implementation Science
      ab: 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. We applied the collaborative intervention planning framework and included a community advisory board (CAB) in an intervention mapping process. A rehabilitation hospital. 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. E-MR. Logic model and matrices of change used in CAB meetings to identify areas of intervention adaptation. 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). 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.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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