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Implementation in rehabilitation: a roadmap for practitioners and researchers

Morris, JH, Bernhardsson, S, Bird, ML ORCID: 0000-0001-9642-7196, Connell, L, Lynch, E, Jarvis, K, Kayes, NM, Miller, K, Mudge, S and Fisher, R 2019 , 'Implementation in rehabilitation: a roadmap for practitioners and researchers' , Disability and Rehabilitation , pp. 1-10 , doi: 10.1080/09638288.2019.1587013.

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Purpose: Despite growth in rehabilitation research, implementing research findings into rehabilitationpractice has been slow. This creates inequities for patients and is an ethical issue. However, methods toinvestigate and facilitate evidence implementation are being developed. This paper aims to make thesemethods 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 natureof evidence; context for implementation; navigation tools for implementation; strategies to facilitateimplementation; evaluation of implementation outcomes; and sustainability of implementation. We havedeveloped a model to illustrate the journey, and four case studies exemplify implementation stages inrehabilitation settings.Results and Conclusions: Effective implementation strategies for the complex world of rehabilitation areurgently required. The journey we describe unpacks that complexity to provide a template for effectiveimplementation, to facilitate translation of the growing evidence base in rehabilitation into improvedpatient outcomes. It emphasizes the importance of understanding context and application of relevanttheory, and highlights areas which should be targeted in new implementation research in rehabilitation.

Item Type: Article
Authors/Creators: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
Keywords: knowledge translation, rehabilitation, implementation science, implementation context
Journal or Publication Title: Disability and Rehabilitation
Publisher: Taylor & Francis
ISSN: 0963-8288
DOI / ID Number: 10.1080/09638288.2019.1587013
Copyright Information:

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

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