学生竞赛(知识生成) ID 1975184

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-09-01 DOI:10.46292/sci23-1975184s
Anita Kaiser, Katherine Chan, James Sessford, S. McCullum, Peter Athanasopoulos, Chris Rice, Iona Macritchie, J. Zariffa, Kristin E. Musselman
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引用次数: 0

摘要

在加拿大的持续护理中实施活动疗法 (ABT) 已被证明具有挑战性。本研究的目的是了解和比较多个群体对阻碍加拿大为脊髓损伤或疾病(SCI/D)患者实施活动疗法的挑战的看法。 研究人员从六个主要利益群体(即研究人员、SCI/D 患者、管理者、物理和职业治疗师、社区运动培训师以及资助者、倡导者和政策专家)中招募了具有 ABT 知识和/或经验的个人,通过网络会议参与焦点小组访谈。参与者被问及开展 ABT 的障碍和促进因素。访谈记录采用常规内容分析法进行分析,然后进行跨组比较分析。 48 人参加了持续 30-80 分钟的访谈。确定了六个主题:1) 界定 ABT 和解决知识/培训差距的挑战。2) ABT 标准化的挑战。3) 确定 ABT 最佳时机的挑战。4) 界定、描述和实现高剂量和高强度的挑战。5) 为 ABT 提供资金的挑战。6) 衡量 ABT 的参与度和绩效的挑战。虽然所有小组都承认这六项挑战,但治疗师和社区培训师认为知识/培训差距以及实现高剂量和高强度是主要挑战。研究人员和倡导者强调资金是一项关键挑战。 与会者强调了限制在医院和社区环境中采用 ABT 的挑战。未来的研究应探索应对这些挑战的途径,以支持 ABT 在加拿大的成功实施。
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Student Competition (Knowledge Generation) ID 1975184
Implementing activity-based therapy (ABT) across the continuum of care in Canada has proved challenging. The objective of this study was to understand and compare multi-group perspectives on the challenges that hinder implementation of ABT in Canada for people living with spinal cord injury or disease (SCI/D). Individuals from six key interest groups (i.e., researchers; persons living with SCI/D; administrators; physical and occupational therapists; community-based exercise trainers; and funders, advocates, and policy experts) who had knowledge of and/or experience with ABT were recruited to participate in focus group interviews that were held over web conferencing. Participants were asked about the barriers and facilitators to practicing ABT. Interview transcripts were analyzed using conventional content analysis followed by a comparative analysis across groups. Forty-eight individuals participated in interviews lasting 30-80 minutes. Six themes were identified: 1) Challenge of defining ABT and addressing gaps in knowledge/training. 2) Challenge of standardizing ABT. 3) Challenge of determining the optimal timing of ABT. 4) Challenge of defining, characterizing and achieving high dosage and intensity. 5) Challenge of funding ABT. 6) Challenge of measuring participation and performance in ABT. While all groups acknowledged these six challenges, therapists and community trainers viewed knowledge/training gaps and achieving high dosage and intensity as key challenges. Researchers and advocates emphasized funding as a key challenge. Participants highlighted the challenges that limit adoption of ABT into practice within hospital and community settings. Future research should explore avenues to address these challenges to support successful implementation of ABT in Canada.
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
期刊最新文献
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