Implementation in rehabilitation: A roadmap for practitioners and researchers

Jacqui Morris (Lead / Corresponding author), Susanne Bernhardsson, Marie-Louise Bird, Louise Connell, Elizabeth Lynch, Kathryn Jarvis, Nicola M. Kayes, Kim Miller, Suzie Mudge, Rebecca Fisher

    Research output: Contribution to journalArticlepeer-review

    27 Citations (Scopus)
    199 Downloads (Pure)

    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 rehabilitation Effective 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.

    Original languageEnglish
    Number of pages10
    JournalDisability and Rehabilitation
    Volume42
    Issue number22
    Early online date12 Apr 2019
    DOIs
    Publication statusPublished - 22 Oct 2020

    Keywords

    • Knowledge translation
    • implementation context
    • implementation science
    • rehabilitation

    ASJC Scopus subject areas

    • Rehabilitation

    Fingerprint

    Dive into the research topics of 'Implementation in rehabilitation: A roadmap for practitioners and researchers'. Together they form a unique fingerprint.

    Cite this