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Rehabilitation Treatment Specification System: Identifying barriers, facilitators, and strategies for implementation in research, education, and clinical care

Archives of Physical Medicine and Rehabilitation, octuber 25, 2022

Jarrad H. Van Stan. Jain Holmes, Lauren Wengerd et al

Objective

To explore rehabilitation professionals’ experiences and perspectives of barriers and facilitators to implementing the RTSS in research, education, and clinical care.

Design

A cross-sectional survey with free text and binary responses was completed by rehabilitation professionals. Survey data was analyzed with a deductive approach of directed content analysis using two implementation science frameworks: Consolidated Framework for Implementation Research (CFIR) and the Expert Recommendations for Implementing Change (ERIC).

Setting

Rehabilitation professionals across research, educational, and clinical settings.

Participants

One hundred and eleven rehabilitation professionals—including speech-language pathologists, occupational therapists, physical therapists, physicians, psychologists, researchers, and clinic directors—who explored possible uses or applicaåtions of the RTSS for clinical care, education, or research.

Interventions

Not applicable

Main outcome measures

Frequency of reported CFIR barriers and facilitators, as well as keywords related to CFIR and ERIC constructs.

Results

The barriers and facilitating strategies differed according to the end-users’ intended use, i.e., research, education, or clinical. Overall, the four most frequently encountered CFIR barriers were the RTSS’s complexity, a lack of available RTSS resources, reduced access to knowledge and information about the RTSS, and limited knowledge and beliefs about the RTSS. The ERIC-CFIR matching tool identified seven ERIC strategies to address these barriers, which include conducting educational meetings, developing and distributing educational materials, accessing new funding, capturing and sharing local knowledge, identifying and preparing champions, and promoting adaptability.

Conclusions

When attempting to use the RTSS, rehabilitation professionals commonly encountered barriers to understanding and skillfully using the framework. Theory-driven implementation strategies have been identified that have potential for addressing the RTSS’s complexity and lack of educational and skill-building resources. Future work can develop the identified implementation strategies and evaluate their effects on RTSS implementation.

Sobre Aritz Monasterio

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