Alarie Christophe, Gagnon Isabelle, Thao Huynh Lily Trang, Doucet Karine, Pichette-Auray Adèle, Hinse-Joly Cassandre, Swaine Bonnie
École de Réadaptation, Faculté de Médecine, Université de Montréal Montréal, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, QC, Canada.
SAGE Open Med. 2023 Apr 17;11:20503121231166638. doi: 10.1177/20503121231166638. eCollection 2023.
Physical activity interventions are effective to reduce the symptoms and recovery time after a mild traumatic brain injury; such interventions are not always embedded in all interdisciplinary outpatient settings. Service providers of a specialized rehabilitation program recognized the need to implement emerging evidence-based approaches to improve physical activity delivery. Understanding the perceptions of managers, clinicians, and users regarding the strengths, weaknesses, opportunities, and threats of the current physical activity intervention delivered to outpatient adults with a mild traumatic brain injury could inform local and widespread intervention development, enhancement, and implementation of evidence-based physical activity interventions.
This study used a descriptive qualitative design using a strength, weakness, opportunity, and threat analysis framework. Managerial staff ( = 3), clinicians ( = 6), and program users ( = 5) with persisting symptoms following a mild traumatic brain injury from an outpatient specialized public rehabilitation program in Québec (Canada) participated. Individual semi-structured interviews were performed, recorded, transcribed verbatim, and analyzed using a qualitative content analysis approach.
Participants were generally positive about the intervention but expressed that improvement was required. Strengths ( = 15), weaknesses ( = 17), opportunities ( = 12), and threats ( = 6) related to eight overarching categories: physical activity intervention, health-related outcomes, clinical expertise, knowledge translation, communication, user engagement, resources, and accessibility. Category descriptions, convergent and divergent perspectives, and salient quotes of participants are provided.
Participants were generally positive about the intervention (e.g., format) but identified weaknesses (e.g., need for service providers to better describe the physical activity intervention using theoretically driven approaches). Consultations of stakeholders will inform future intervention enhancement efforts and assist in ensuring interventions meet user needs.
体育活动干预对于减轻轻度创伤性脑损伤后的症状及缩短恢复时间有效；但此类干预并非总是纳入所有跨学科门诊环境。一个专门康复项目的服务提供者认识到有必要采用新出现的循证方法来改善体育活动的提供。了解管理人员、临床医生和使用者对当前为患有轻度创伤性脑损伤的门诊成年患者提供的体育活动干预的优势、劣势、机会和威胁的看法，可为当地及广泛的干预开发、改进和循证体育活动干预的实施提供信息。
本研究采用描述性定性设计，使用优势、劣势、机会和威胁分析框架。来自加拿大魁北克一个门诊专门公共康复项目的管理人员（n = 3）、临床医生（n = 6）以及有持续症状的项目使用者（n = 5）参与其中。进行了个体半结构化访谈，录音、逐字转录，并采用定性内容分析方法进行分析。
参与者总体上对干预持积极态度，但表示仍需改进。与八个总体类别相关的优势（n = 15）、劣势（n = 17）、机会（n = 12）和威胁（n = 6）：体育活动干预、健康相关结果、临床专业知识、知识转化、沟通、使用者参与、资源和可及性。提供了类别描述、趋同和不同的观点以及参与者的突出引述。
参与者总体上对干预（如形式）持积极态度，但指出了劣势（如服务提供者需要使用理论驱动方法更好地描述体育活动干预）。与利益相关者的磋商将为未来的干预改进工作提供信息，并有助于确保干预满足使用者需求。
