Tucker Jacki, Mehrez Mohamad, Ferreira Santana, Laurie Christine, Vanstone Emilee, Wolfe Katherine, Kaiser Anita, Musselman Kristin E
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Disabil Rehabil. 2025 Jul;47(15):3841-3849. doi: 10.1080/09638288.2024.2435532. Epub 2024 Dec 4.
Activity-based therapy (ABT) promotes neuromuscular activation below the injury level in individuals with spinal cord injury (SCI). This qualitative descriptive study explored the experiences and perceptions of Canadian clinicians and clinic administrators regarding assessment practices in community-based ABT programs.
Twelve participants from six community clinics, in four provinces, completed individual interviews that followed a semi-structured guide informed by the Theoretical Domains Framework. These interviews explored current ABT assessment practices, needs, benefits and challenges. Interviews were audio-recorded and transcribed verbatim. Using interpretive description, and guided by the DEPICT model, data were collaboratively analyzed to identify an overarching theme and categories.
One overarching theme was identified: ABT is a developing field that lacks standardized guidelines for assessment practices. Four categories were identified within this theme: factors influencing clinician's decisions about ABT assessment practice, challenges with current ABT assessment practice, advantages of current assessment practice, and progression of assessment for ABT programs. Participants would like standardized assessment tools and improved awareness of and access to assessments for ABT programs.
Canadian community-based ABT clinics lack standardized assessment practices. Leadership and collaboration are needed to develop and implement assessment guidelines to support research and advocacy for ABT after SCI.
基于活动的疗法（ABT）可促进脊髓损伤（SCI）患者损伤水平以下的神经肌肉激活。这项定性描述性研究探讨了加拿大临床医生和诊所管理人员对社区ABT项目评估实践的经验和看法。
来自四个省份六个社区诊所的12名参与者完成了个人访谈，访谈遵循由理论领域框架指导的半结构化指南。这些访谈探讨了当前ABT评估实践、需求、益处和挑战。访谈进行了录音并逐字转录。采用解释性描述，并在DEPICT模型的指导下，对数据进行协作分析，以确定一个总体主题和类别。
确定了一个总体主题：ABT是一个发展中的领域，缺乏评估实践的标准化指南。在这个主题下确定了四个类别：影响临床医生ABT评估实践决策的因素、当前ABT评估实践的挑战、当前评估实践的优势以及ABT项目评估的进展。参与者希望有标准化的评估工具，并提高对ABT项目评估的认识和获取途径。
加拿大社区ABT诊所缺乏标准化的评估实践。需要领导力和合作来制定和实施评估指南，以支持SCI后ABT的研究和宣传。
