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):e37189. doi: 10.2196/37189.
As more people are surviving stroke, there is a growing need for services and programs that support the long-term needs of people living with the effects of stroke. Exercise has many benefits; however, most people with stroke do not have access to specialized exercise programs that meet their needs in their communities. To catalyze the implementation of these programs, our team developed the Stroke Recovery in Motion Implementation Planner, an evidence-informed implementation guide for teams planning a community-based exercise program for people with stroke.
This study aimed to conduct a user evaluation to elicit user perceptions of the usefulness and acceptability of the Planner to inform revisions.
This mixed methods study used a concurrent triangulation design. We used purposive sampling to enroll a diverse sample of end users (program managers and coordinators, rehabilitation health partners, and fitness professionals) from three main groups: those who are currently planning a program, those who intend to plan a program in the future, and those who had previously planned a program. Participants reviewed the Planner and completed a questionnaire and interviews to identify positive features, areas of improvement, value, and feasibility. We used descriptive statistics for quantitative data and content analysis for qualitative data. We triangulated the data sources to identify Planner modifications.
A total of 39 people participated in this study. Overall, the feedback was positive, highlighting the value of the Planner's comprehensiveness, tools and templates, and real-world examples. The identified areas for improvement included clarifying the need for specific steps, refining navigation, and creating more action-oriented content. Most participants reported an increase in knowledge and confidence after reading the Planner and reported that using the resource would improve their planning approach.
We used a rigorous and user-centered process to develop and evaluate the Planner. End users indicated that it is a valuable resource and identified specific changes for improvement. The Planner was subsequently updated and is now publicly available for community planning teams to use in the planning and delivery of evidence-informed, sustainable, community-based exercise programs for people with stroke.
随着越来越多的中风患者存活下来，对支持中风幸存者长期需求的服务和项目的需求日益增长。运动有诸多益处；然而，大多数中风患者在其社区中无法获得满足其需求的专业运动项目。为推动这些项目的实施，我们的团队开发了“动态中风康复实施规划工具”，这是一份为计划为中风患者开展社区运动项目的团队提供的基于证据的实施指南。
本研究旨在进行用户评估，以了解用户对该规划工具的有用性和可接受性的看法，为修订提供依据。
这项混合方法研究采用了同步三角验证设计。我们采用目的抽样法，从三个主要群体中招募了不同类型的最终用户（项目管理人员和协调员、康复健康合作伙伴以及健身专业人员）：目前正在规划项目的人员、未来打算规划项目的人员以及之前曾规划过项目的人员。参与者审阅了该规划工具，并完成了一份问卷和访谈，以确定其积极特征、改进领域、价值和可行性。我们对定量数据使用描述性统计，对定性数据使用内容分析。我们对数据源进行三角验证，以确定规划工具的修改之处。
共有39人参与了本研究。总体而言，反馈是积极的，突出了该规划工具的全面性、工具和模板以及实际案例的价值。确定的改进领域包括明确特定步骤的必要性、优化导航以及创建更具行动导向性的内容。大多数参与者表示阅读该规划工具后知识和信心有所增强，并表示使用该资源将改善他们的规划方法。
我们采用了严格且以用户为中心的流程来开发和评估该规划工具。最终用户表示它是一种有价值的资源，并确定了具体的改进变化。该规划工具随后进行了更新，现在可供社区规划团队公开使用，以规划和提供基于证据的、可持续的、以社区为基础的中风患者运动项目。
