Implementing modified constraint-induced movement therapy after stroke in an early-supported discharge rehabilitation service: a process evaluation using RE-AIM QuEST.

ABSTRACT:

Background

Modified constraint-induced movement therapy (mCIMT) improves upper limb (UL) function after stroke. Despite extensive evidence supporting its efficacy and multiple clinical practice guidelines recommending its provision, very few eligible stroke survivors receive mCIMT internationally. A multi-modal behaviour change intervention, guided by the Theoretical Domains Framework (TDF) and Behaviour Change Wheel, was implemented across a large early-supported discharge (ESD) rehabilitation service in Perth, Australia, to increase delivery of mCIMT within existing resources. As part of this iterative implementation process, qualitative data from stroke survivors, carers, clinicians and managers informed program adaptations to support sustained mCIMT delivery. This study aimed t

SUBMITTER: Weerakkody A 

PROVIDER: S-EPMC12357375 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature