{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"omics_type":["Unknown"],"volume":["105(10)"],"submitter":["Hung SH"],"funding":["Heart and Stroke Foundation Canadian Partnership for Stroke Recovery Operating Grant","Michael Smith Health Research BC Fellowship","Canada Research Chair Program","Canada Brain Research Fund","CIHR"],"pubmed_abstract":["Importance
While best practice guidelines recommend intensive rehabilitation for post-stroke walking recovery, knowledge of real-world implementation factors is limited.Objective
The aim was to understand the implementation factors for intensive rehabilitation within real-world inpatient stroke rehabilitation settings.Design
This was a cross-sectional, online survey study.Setting
Twelve inpatient rehabilitation units (7 Canadian provinces) were included.Participants
Eighty-five therapy staff who delivered an intensive rehabilitation protocol within the Walk 'n Watch implementation trial (NCT04238260) were invited.Intervention
A structured intensive walking rehabilitation protocol was implemented as usual care (>2000 steps, 40%-60% heart rate reserve, >30 minutes/session). Step counters and heart rate monitors were provided.Main outcomes and measures
An online survey was used, including close-ended and open-ended questions regarding the protocol practicalities, workplace structure, and training. Open-ended responses were thematically analyzed using the Consolidated Framework for Implementation Research (CFIR).Results
Forty-seven participants (85% women) completed the survey. Most agreed they successfully delivered the protocol (87%) and found the step and heart rate targets helpful (72%). However, few participants agreed they had enough time to deliver the protocol (36%); 26% and 47% agreed they achieved the step count and heart rate targets, respectively. The major time-related factor was insufficient therapy time to accommodate the protocol and prescribed step targets (CFIR: Work Infrastructure); discharge planning often took priority. Most agreed to future protocol use (87%). However, only about half agreed to future use of the trial-assigned devices (49% step counters; 64% heart rate monitors), likely due to perceived device inaccuracies (CFIR: Materials and Equipment).Conclusions
Therapy staff reported successfully delivering an intensive rehabilitation protocol as usual care under real-world conditions. Strategies to facilitate implementation included incorporating discharge planning considerations, system-level changes, and acquiring more accurate monitoring devices.Relevance
This study enhanced the understanding of real-world implementation factors and potential strategies for future implementation."],"journal":["Physical therapy"],"pagination":["pzaf111"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC12554159"],"repository":["biostudies-literature"],"pubmed_title":["Real-World Experiences of Therapy Staff Implementing an Intensive Rehabilitation Protocol in Canadian Stroke Inpatient Rehabilitation Settings: A Multi-Site Survey Study."],"pmcid":["PMC12554159"],"pubmed_authors":["Yao J","Best KL","Milot MH","Ackerley S","Donkers SJ","Hung SH","Connell LA","Dukelow SP","Peters S","Sheehy L","Ezeugwu VE","Eng JJ","Bayley MT","Sakakibara BM"],"additional_accession":[]},"is_claimable":false,"name":"Real-World Experiences of Therapy Staff Implementing an Intensive Rehabilitation Protocol in Canadian Stroke Inpatient Rehabilitation Settings: A Multi-Site Survey Study.","description":"Importance
While best practice guidelines recommend intensive rehabilitation for post-stroke walking recovery, knowledge of real-world implementation factors is limited.Objective
The aim was to understand the implementation factors for intensive rehabilitation within real-world inpatient stroke rehabilitation settings.Design
This was a cross-sectional, online survey study.Setting
Twelve inpatient rehabilitation units (7 Canadian provinces) were included.Participants
Eighty-five therapy staff who delivered an intensive rehabilitation protocol within the Walk 'n Watch implementation trial (NCT04238260) were invited.Intervention
A structured intensive walking rehabilitation protocol was implemented as usual care (>2000 steps, 40%-60% heart rate reserve, >30 minutes/session). Step counters and heart rate monitors were provided.Main outcomes and measures
An online survey was used, including close-ended and open-ended questions regarding the protocol practicalities, workplace structure, and training. Open-ended responses were thematically analyzed using the Consolidated Framework for Implementation Research (CFIR).Results
Forty-seven participants (85% women) completed the survey. Most agreed they successfully delivered the protocol (87%) and found the step and heart rate targets helpful (72%). However, few participants agreed they had enough time to deliver the protocol (36%); 26% and 47% agreed they achieved the step count and heart rate targets, respectively. The major time-related factor was insufficient therapy time to accommodate the protocol and prescribed step targets (CFIR: Work Infrastructure); discharge planning often took priority. Most agreed to future protocol use (87%). However, only about half agreed to future use of the trial-assigned devices (49% step counters; 64% heart rate monitors), likely due to perceived device inaccuracies (CFIR: Materials and Equipment).Conclusions
Therapy staff reported successfully delivering an intensive rehabilitation protocol as usual care under real-world conditions. Strategies to facilitate implementation included incorporating discharge planning considerations, system-level changes, and acquiring more accurate monitoring devices.Relevance
This study enhanced the understanding of real-world implementation factors and potential strategies for future implementation.","dates":{"release":"2025-01-01T00:00:00Z","publication":"2025 Oct","modification":"2026-06-05T06:40:55.152Z","creation":"2026-06-05T03:06:38.416Z"},"accession":"S-EPMC12554159","cross_references":{"pubmed":["41139309"],"doi":["10.1093/ptj/pzaf111"]}}