Reszel Jessica, van den Hoek Joan, Nguyen Tram, Aravind Gayatri, Bayley Mark T, Bird Marie-Louise, Edwards Kate, Eng Janice J, Moore Jennifer L, Nelson Michelle L A, Ploughman Michelle, Richardson Julie, Salbach Nancy M, Tang Ada, Graham Ian D
Ottawa Hospital Research Institute, Ottawa, ON, Canada.
School of Nursing, University of Ottawa, Ottawa, ON, Canada.
JMIR Form Res. 2022 Jul 29;6(7):e37243. doi: 10.2196/37243.
The Stroke Recovery in Motion Implementation Planner guides teams through the process of planning for the implementation of community-based exercise programs for people with stroke, in alignment with implementation science frameworks.
The purpose of this study was to conduct a field test with end users to describe how teams used the Planner in real-world conditions; describe the effects of Planner use on participants' implementation-planning knowledge, attitudes, and activities; and identify factors influencing the use of the Planner.
This field test study used a longitudinal qualitative design. We recruited teams across Canada who intended to implement a community-based exercise program for people with stroke in the next 6 to 12 months and were willing to use the Planner to guide their work. We completed semistructured interviews at the time of enrollment, monitoring calls every 1 to 2 months, and at the end of the study to learn about implementation-planning work completed and Planner use. The interviews were analyzed using conventional content analysis. Completed Planner steps were plotted onto a timeline for comparison across teams.
We enrolled 12 participants (program managers and coordinators, rehabilitation professionals, and fitness professionals) from 5 planning teams. The teams were enrolled in the study between 4 and 14 months, and we conducted 25 interviews. We observed that the teams worked through the planning process in diverse and nonlinear ways, adapted to their context. All teams provided examples of how using the Planner changed their implementation-planning knowledge (eg, knowing the steps), attitudes (eg, valuing community engagement), and activities (eg, hosting stakeholder meetings). We identified team, organizational, and broader contextual factors that hindered and facilitated uptake of the Planner. Participants shared valuable tips from the field to help future teams optimize use of the Planner.
The Stroke Recovery in Motion Implementation Planner is an adaptable resource that may be used in diverse settings to plan community-based exercise programs for people with stroke. These findings may be informative to others who are developing resources to build the capacity of those working in community-based settings to implement new programs and practices. Future work is needed to monitor the use and understand the effect of using the Planner on exercise program implementation and sustainability.
“运动中的中风恢复实施规划工具”指导团队按照实施科学框架，开展为中风患者制定社区锻炼计划的规划过程。
本研究旨在与最终用户进行现场测试，以描述团队在实际情况下如何使用该规划工具；描述使用该规划工具对参与者的实施规划知识、态度和活动的影响；并确定影响该规划工具使用的因素。
本现场测试研究采用纵向定性设计。我们招募了加拿大各地打算在未来6至12个月内为中风患者实施社区锻炼计划且愿意使用该规划工具来指导其工作的团队。我们在入组时、每1至2个月的监测电话会议以及研究结束时完成了半结构化访谈，以了解完成的实施规划工作和该规划工具的使用情况。访谈采用常规内容分析法进行分析。将完成的规划工具步骤绘制在时间线上，以便跨团队进行比较。
我们从5个规划团队中招募了12名参与者（项目经理和协调员、康复专业人员以及健身专业人员）。这些团队在4至14个月期间参与了研究，我们进行了25次访谈。我们观察到，各团队以多样且非线性的方式推进规划过程，并根据自身情况进行了调整。所有团队都提供了使用该规划工具如何改变其实施规划知识（如了解步骤）、态度（如重视社区参与）和活动（如举办利益相关者会议）的示例。我们确定了阻碍和促进该规划工具采用的团队、组织及更广泛的背景因素。参与者分享了来自实际工作的宝贵建议，以帮助未来的团队优化该规划工具的使用。
“运动中的中风恢复实施规划工具”是一种适应性强的资源，可用于不同环境中为中风患者规划社区锻炼计划。这些发现可能会为其他正在开发资源以增强社区工作者实施新计划和实践能力的人提供参考。未来需要开展工作来监测该规划工具的使用情况，并了解使用它对锻炼计划实施和可持续性的影响。
