Sustainability of a rehabilitation self-management program (‘My Therapy’) 6 months post implementation

IF 1.6 4区医学 Q2 REHABILITATION

Australian Occupational Therapy Journal Pub Date : 2025-06-09 DOI:10.1111/1440-1630.70030

Sara L. Whittaker, Keith D. Hill, Nicholas F. Taylor, Christina L. Ekegren, Natasha K. Brusco

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引用次数: 0

Abstract

Introduction

The aim of this study was to explore sustainability of a self-management program in inpatient rehabilitation (‘My Therapy’) 6 months following a randomised controlled trial.

Methods

A patient audit of rehabilitation hospital medical records was completed to determine program reach and an electronic survey of occupational therapists/physiotherapists to understand perceptions of program sustainability.

Consumer and community involvement

This study included a lived experience consumer as part of the trial steering committee.

Results

Of 185 patients audited, the program reach was 41%. Of 13 therapists surveyed, most reported they knew how to deliver self-management programs (93%), that they provided My Therapy as part of usual care ‘some of the time’ (77%), and that appointing a My Therapy clinical champion on the ward supported sustained implementation (77%). They also reported reduced confidence delivering ‘My Therapy’ with patients who were not motivated or when time was limited.

Conclusion

Six months post-trial, a self-management program was still being delivered by therapists in rehabilitation. Ongoing support strategies are required to sustain self-management programs.

PLAIN LANGUAGE SUMMARY

Doing exercises and practising tasks is an important part of rehabilitation. A self-management program called ‘My Therapy’ enables patients to do exercises or tasks on their own. Patients doing My Therapy completed an extra 26 minutes of exercises or tasks each day. This study in Melbourne, Australia, found out if the program was still being used 6 months later. We also found out what therapists thought about the program. Less than half of patients were doing My Therapy at 6 months. Therapists reported they liked their patients doing the program. However, they found it harder to deliver to patients who lacked motivation. It was also hard to deliver when the therapist felt they had little time.

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康复自我管理项目（“我的治疗”）实施后6个月的可持续性

本研究的目的是在一项随机对照试验6个月后，探讨住院患者康复（“我的治疗”）中自我管理计划的可持续性。方法通过对康复医院病历的审计来确定项目的覆盖范围，并通过对职业治疗师/物理治疗师的电子调查来了解项目的可持续性。消费者和社区的参与这项研究包括了一个亲身体验的消费者，作为试验指导委员会的一部分。结果在185例被审计的患者中，该项目的覆盖率为41%。在接受调查的13名治疗师中，大多数人表示他们知道如何提供自我管理项目（93%），他们“有时”会将“我的治疗”作为日常护理的一部分（77%），并且在病房任命一名“我的治疗”临床倡导者支持持续实施（77%）。他们还报告说，在没有动力或时间有限的情况下，向患者提供“我的治疗”的信心会降低。结论康复治疗师在治疗6个月后仍在实施自我管理项目。需要持续的支持战略来维持自我管理方案。做练习和练习任务是康复的重要组成部分。一个名为“我的疗法”（My Therapy）的自我管理项目让患者能够自己做运动或完成任务。接受“我的治疗”的患者每天额外完成26分钟的锻炼或任务。这项在澳大利亚墨尔本进行的研究发现，该项目在6个月后是否仍在使用。我们还了解了治疗师对这个项目的看法。不到一半的患者在6个月时接受了我的治疗。治疗师报告说，他们喜欢自己的病人参加这个项目。然而，他们发现更难向缺乏动力的患者提供服务。当治疗师觉得他们没有时间时，也很难传达。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.