Using Implementation Science to Guide the Process of Adapting a Patient Engagement Intervention for Inpatient Spinal Cord Injury/Disorder Rehabilitation.
Using Implementation Science to Guide the Process of Adapting a Patient Engagement Intervention for Inpatient Spinal Cord Injury/Disorder Rehabilitation.
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DOI：
10.1016/j.apmr.2022.04.010
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发表时间：
2022-11
影响因子：
4.3
通讯作者：
Wong, Alex W. K.
中科院分区：
文献类型：
--
作者：
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.
关键词：
本研究的目的是描述适应循证患者参与干预的过程，加强医疗康复（E-MR），住院脊髓损伤/疾病（SCI/D）康复使用实施科学框架。我们应用了协作干预计划框架，并在干预映射过程中包括社区咨询委员会（CAB）。康复医院。来自住院SCI/D康复的利益相关者（N=7）作为CAB并与研究团队（N=7）合作，共同适应E-MR。E-MR。逻辑模型和CAB会议中使用的变化矩阵，以确定干预适应领域。CAB和研究小组实施了对E-MR的调整，包括（1）确定影响患者参与SCI/D康复的因素（如治疗师培训）;（2）修订干预材料，以满足SCI/D康复需求（例如，修改个人目标访谈和治疗跟踪器以满足SCI需求）;（3）将电子病历纳入康复医院的运作（例如，研究团队与CAB协调，在医院系统中存储治疗跟踪器）;（4）在最好地满足SCI/D康复需要的同时保持对原始干预的忠实性（例如，在适应的同时保持核心E-MR原则）。这项研究表明，由实施科学框架指导的结构化过程可以帮助研究人员和临床医生确定适应目标，并修改住院SCI/D康复的E-MR计划。
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.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
影响因子：
2.9
作者：
Levack W;Tomori K;Takahashi K;Sherrington AJ
通讯作者：
Sherrington AJ
DOI：
10.1186/1748-5908-6-80
发表时间：
2011-07-26
期刊：
Implementation science : IS
影响因子：
--
作者：
Cabassa LJ;Druss B;Wang Y;Lewis-Fernández R
通讯作者：
Lewis-Fernández R
影响因子：
2.2
作者：
Lindberg, J.;Kreuter, M.;Person, L-O
通讯作者：
Person, L-O
影响因子：
2.2
作者：
Brown, Melanie;Levack, William;Taylor, William J.
通讯作者：
Taylor, William J.