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Implementing a shared decision‐making and cognitive strategy‐based intervention: Knowledge user perspectives and recommendations
Author(s) -
Allen KayAnn M.,
Dittmann Katherine R.,
Hutter Jennifer A.,
Chuang Catherine,
Donald Michelle L.,
Enns Amie L.,
Hovanec Nina,
Hunt Anne W.,
Kellowan Richard S.,
Linkewich Elizabeth A.,
Patel Alexandra S.,
Rehmtulla Anisha,
McEwen Sara E.
Publication year - 2020
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.13329
Subject(s) - focus group , knowledge translation , context (archaeology) , cognition , session (web analytics) , intervention (counseling) , facilitation , medical education , flexibility (engineering) , psychology , occupational therapy , medicine , knowledge management , applied psychology , nursing , computer science , physical therapy , paleontology , statistics , mathematics , marketing , neuroscience , world wide web , business , biology
The aim of this study was to employ knowledge user perspectives to develop recommendations that facilitate implementation of a complex, shared decision‐making (SDM)‐based intervention in an interprofessional setting. This study was part of a larger knowledge translation (KT) study in which interprofessional teams from five freestanding, academically affiliated, rehabilitation hospitals were tasked with implementing a cognitive strategy‐based intervention approach that incorporates SDM known as Cognitive Orientation to daily Occupational Performance (CO‐OP) to treat survivors of stroke. At the end of the 4‐month CO‐OP KT implementation support period, 10 clinicians, two from each site, volunteered as CO‐OP site champions. A semi‐structured focus group was conducted with 10 site champions 3 months following the implementation support period. To meet the study objective, an exploratory qualitative research design was used. The focus group session was audio‐recorded, transcribed verbatim and analyzed through the lens of the integrated promoting action on research implementation in health services (iPARIHS) framework. The focus group participants (n = 8) consisted of occupational therapists, physical therapists, and speech language pathologists. Ten recommendations for CO‐OP implementation were extracted and co‐constructed from the focus group transcript. The recommendations reflected all four iPARHIS constructs: Facilitation , Context , Innovation , and Recipients . Implementation recommendations, from the knowledge user perspective, highlight that context‐specific facilitation is key to integrating a novel, complex intervention into interprofessional practice. Facilitators should lay out a framework for training, communication and implementation that is structured but still provides flexibility for iterative learning and active problem‐solving within the relevant practice context.

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