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    Implementation in rehabilitation: a roadmap for practitioners and researchers.

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    Author
    Morris, JH; Bernhardsson, S; Bird, M-L; Connell, L; Lynch, E; Jarvis, K; Kayes, NM; Miller, K; Mudge, S; Fisher, R
    Date
    2020-11
    Source Title
    Disability and Rehabilitation
    Publisher
    Informa UK Limited
    University of Melbourne Author/s
    Lynch, Elizabeth
    Affiliation
    Florey Department of Neuroscience and Mental Health
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Morris, J. H., Bernhardsson, S., Bird, M. -L., Connell, L., Lynch, E., Jarvis, K., Kayes, N. M., Miller, K., Mudge, S. & Fisher, R. (2020). Implementation in rehabilitation: a roadmap for practitioners and researchers.. Disabil Rehabil, 42 (22), pp.3265-3274. https://doi.org/10.1080/09638288.2019.1587013.
    Access Status
    Access this item via the Open Access location
    URI
    http://hdl.handle.net/11343/253930
    DOI
    10.1080/09638288.2019.1587013
    Open Access URL
    http://clok.uclan.ac.uk/28316/1/28316%20Jarvis%20K%202019%20Implementation%20in%20Disabil%20Rehabil.pdf
    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 rehabilitationEffective 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.

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