Using implementation science to guide the process of adapting a patient engagement intervention for inpatient spinal cord injury/disorder rehabilitation

Model System:

SCI

Reference Type:

Journal article

Accession No.:

J90542

Journal:

Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

2022 , 103, 11, 2180-2188

Publication Website:

Abstract:

Study examined 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. The collaborative intervention planning framework was applied and included a community advisory board (CAB) in an intervention mapping process. Seven stakeholders from inpatient SCI/D rehabilitation (served as a CAB and worked with 7 members from research team to co-adapt E-MR for inpatient SCI/D rehabilitation. Logic model and matrices of change were 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 (e.g., therapist training); (2) revising intervention materials to meet SCI/D rehabilitation needs (e.g., modified personal goals interview and therapy trackers to match SCI needs); (3) incorporating E-MR into the rehabilitation hospital's operations (e.g., 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 (e.g., 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.

Author(s):