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Title: A Brief Intervention to Support Implementation of Telerehabilitation by Community Rehabilitation Services During COVID-19: A Feasibility Study.
Austin Authors: Cox, Narelle S ;Scrivener, Katharine;Holland, Anne E ;Jolliffe, Laura;Wighton, Alison;Nelson, Sean;McCredie, Laura;Lannin, Natasha A
Affiliation: Institute for Breathing and Sleep..
Department of Allergy, Immunology and Respiratory Medicine, Monash University, Melbourne, Australia..
Benchmark Physiotherapy, Gardeners Road Physiotherapy and Sports Injury Centre, Sydney, Australia..
Concentric Rehabilitation Centre, Sydney, Australia..
Department of Health Professions, Macquarie University, Sydney, Australia..
Department of Neurosciences, Monash University, Melbourne, Australia..
Alfred Health (Occupational Therapy), Melbourne, Australia..
Alfred Health (Physiotherapy), Melbourne, Australia..
Issue Date: Apr-2021
Date: 2021-01-05
Publication information: Archives of physical medicine and rehabilitation 2021; 102(4): 789-795
Abstract: The coronavirus disease 2019 (COVID-19) pandemic has necessitated adoption of telerehabilitation in services where face-to-face consultations were previously standard. We aimed to understand barriers to implementing a telerehabilitation clinical service and design a behavior support strategy for clinicians to implement telerehabilitation. A hybrid implementation study design included pre- and post-intervention questionnaires, identification of key barriers to implementation using the theoretical domains framework, and development of a targeted intervention. Thirty-one clinicians completed baseline questionnaires identifying key barriers to the implementation of telerehabilitation. Barriers were associated with behavior domains of knowledge, environment, social influences, and beliefs. A 6-week brief intervention focused on remote clinician support, and education was well received but achieved little change in perceived barriers to implementation. The brief intervention to support implementation of telerehabilitation during COVID-19 achieved clinical practice change, but barriers remain. Longer follow-up may determine the sustainability of a brief implementation strategy, but needs to consider pandemic-related stressors.
DOI: 10.1016/j.apmr.2020.12.007
ORCID: 0000-0002-6977-1028
Journal: Archives of physical medicine and rehabilitation
PubMed URL: 33417964
PubMed URL:
Type: Journal Article
Subjects: Implementation science
Occupational therapy
Physical therapists
Appears in Collections:Journal articles

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