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

Ryan J. Walsh, Virginia R. McKay, Piper E. Hansen, Peggy P. Barco, Kayla Jones, Yejin Lee, Riddhi D. Patel, David Chen, Allen W. Heinemann, Eric J. Lenze, Alex W.K. Wong*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: 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. Design: We applied the collaborative intervention planning framework and included a community advisory board (CAB) in an intervention mapping process. Setting: A rehabilitation hospital. Participants: 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. Interventions: E-MR. Main Outcome Measures: Logic model and matrices of change used in CAB meetings to identify areas of intervention adaptation. Results: 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). Conclusions: 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.

Original languageEnglish (US)
Pages (from-to)2180-2188
Number of pages9
JournalArchives of physical medicine and rehabilitation
Volume103
Issue number11
DOIs
StatePublished - Nov 2022

Keywords

  • Implementation science
  • Patient engagement
  • Patient participation
  • Rehabilitation
  • Spinal cord injuries

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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