Morris, JH and Bernhardsson, S and Bird, ML and Connell, L and Lynch, E and Jarvis, K and Kayes, NM and Miller, K and Mudge, S and Fisher, R, Implementation in rehabilitation: a roadmap for practitioners and researchers, Disability and Rehabilitation Article Epub ahead of print. ISSN 0963-8288 (2019) [Refereed Article]
Purpose: Despite growth in rehabilitation research, implementing research findings into rehabilitation practice has been slow. This creates inequities for patients and is an ethical issue. However, methods to investigate and facilitate evidence implementation are being developed. This paper aims to make these methods relevant and accessible for rehabilitation researchers and practitioners.
Methods: Rehabilitation practice is varied and complex and occurs within multilevel healthcare systems. Using a "road map" analogy, we describe how implementation concepts and theories can inform implementation strategies in rehabilitation. The roadmap involves a staged journey that considers: the nature of evidence; context for implementation; navigation tools for implementation; strategies to facilitate implementation; evaluation of implementation outcomes; and sustainability of implementation. We have developed a model to illustrate the journey, and four case studies exemplify implementation stages in rehabilitation settings.
Results and Conclusions: Effective implementation strategies for the complex world of rehabilitation are urgently required. The journey we describe unpacks that complexity to provide a template for effective implementation, to facilitate translation of the growing evidence base in rehabilitation into improved patient outcomes. It emphasizes the importance of understanding context and application of relevant theory, and highlights areas which should be targeted in new implementation research in rehabilitation.
|Item Type:||Refereed Article|
|Keywords:||knowledge translation, rehabilitation, implementation science, implementation context|
|Research Division:||Medical and Health Sciences|
|Research Field:||Central Nervous System|
|Objective Group:||Public Health (excl. Specific Population Health)|
|Objective Field:||Preventive Medicine|
|UTAS Author:||Bird, ML (Dr Marie-Louise Bird)|
|Deposited By:||Health Sciences|
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