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Implementation in rehabilitation: a roadmap for practitioners and researchers

Citation

Morris, JH and Bernhardsson, S and Bird, M-L 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, 42, (22) pp. 3265-3274. ISSN 0963-8288 (2020) [Refereed Article]

Copyright Statement

Copyright 2019 Informa UK Limited, trading as Taylor & Francis Group

DOI: doi:10.1080/09638288.2019.1587013

Abstract

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.Implications for rehabilitationEffective implementation of research evidence into rehabilitation practice has many interconnected steps and a roadmap analogy is helpful in defining them.Understanding context for implementation is critically important and using theory can facilitate development of understanding.Research methods for implementation in rehabilitation should be carefully selected and outcomes should evaluate implementation success as well as clinical change.Sustainability requires regular revisiting of the interconnected steps.

Item Details

Item Type:Refereed Article
Keywords:knowledge translation, implementation context, implementation science, rehabilitation
Research Division:Biomedical and Clinical Sciences
Research Group:Neurosciences
Research Field:Neurology and neuromuscular diseases
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Preventive medicine
UTAS Author:Bird, M-L (Dr Marie-Louise Bird)
ID Code:144264
Year Published:2020
Web of Science® Times Cited:4
Deposited By:Health Sciences
Deposited On:2021-05-05
Last Modified:2021-06-09
Downloads:0

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