@article{becc0c6293e24022a1e7ffb474046734,
title = "Using Implementation Science to Guide the Process of Adapting a Patient Engagement Intervention for Inpatient Spinal Cord Injury/Disorder Rehabilitation",
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.",
keywords = "Implementation science, Patient engagement, Patient participation, Rehabilitation, Spinal cord injuries",
author = "Walsh, {Ryan J.} and McKay, {Virginia R.} and Hansen, {Piper E.} and Barco, {Peggy P.} and Kayla Jones and Yejin Lee and Patel, {Riddhi D.} and David Chen and Heinemann, {Allen W.} and Lenze, {Eric J.} and Wong, {Alex W.K.}",
note = "Funding Information: Disclosures: Dr Lenze reported research support (loaned equipment for research) from MagStim, grant support from the Mercatus Center Emergent Ventures, and the Patient Centered Outcomes Research Institute, outside the submitted work. He has served as a consultant for the Prodeo, Janssen Pharmaceuticals, and Boehringer Ingelheim. All other authors declare that they have no conflicts of interest. Funding Information: The contents do not necessarily represent the policies of the funding agencies. We certify that all financial and material support for this research and work is clearly identified in the article. We acknowledge Megen Devine at Washington University for her editorial assistance with this article. We also thank the researchers, clinicians, and administrative staff at Washington University in St. Louis and Shirley Ryan AbilityLab for their assistance with this study. This work was supported by the Craig H. Neilsen Foundation (542448). The National Center for Medical Rehabilitation Research (K01HD095388) and the National Institute on Disability, Independent Living, & Rehabilitation Research (90SIMS0015) supported a portion of Dr Wong's effort for the write-up and science development. Disclosures: Dr Lenze reported research support (loaned equipment for research) from MagStim, grant support from the Mercatus Center Emergent Ventures, and the Patient Centered Outcomes Research Institute, outside the submitted work. He has served as a consultant for the Prodeo, Janssen Pharmaceuticals, and Boehringer Ingelheim. All other authors declare that they have no conflicts of interest. Funding Information: This work was supported by the Craig H. Neilsen Foundation (542448). The National Center for Medical Rehabilitation Research (K01HD095388) and the National Institute on Disability, Independent Living, & Rehabilitation Research (90SIMS0015) supported a portion of Dr Wong's effort for the write-up and science development. Publisher Copyright: {\textcopyright} 2022 American Congress of Rehabilitation Medicine",
year = "2022",
month = nov,
doi = "10.1016/j.apmr.2022.04.010",
language = "English",
volume = "103",
pages = "2180--2188",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
number = "11",
}