Disability and Rehabilitation最新文献_第6页

Rehabilitation interventions for upper limb dysfunction in type 2 diabetes mellitus, with or without diabetic peripheral neuropathy: a systematic review and meta-analysis. 伴有或不伴有糖尿病周围神经病变的2型糖尿病患者上肢功能障碍的康复干预：系统回顾和荟萃分析

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-02-28 DOI: 10.1080/09638288.2026.2635934

Noor Aziella Mohd Nayan, Mohammed Alrashdi, Hakim Zulkarnaen, Setho Hadisuyatmana, Hazliza Razali, Ahmad Zamir Che Daud

{"title":"Rehabilitation interventions for upper limb dysfunction in type 2 diabetes mellitus, with or without diabetic peripheral neuropathy: a systematic review and meta-analysis.","authors":"Noor Aziella Mohd Nayan, Mohammed Alrashdi, Hakim Zulkarnaen, Setho Hadisuyatmana, Hazliza Razali, Ahmad Zamir Che Daud","doi":"10.1080/09638288.2026.2635934","DOIUrl":"10.1080/09638288.2026.2635934","url":null,"abstract":"Purpose: This systematic review and meta-analysis aimed to evaluate the effectiveness of rehabilitation interventions for upper limb dysfunction in adults with type 2 diabetes mellitus (T2DM), with or without diabetic peripheral neuropathy (DPN).Methods: Five databases were searched from inception to June 2025. Randomized controlled trials and quasi-experimental studies evaluating upper limb rehabilitation in adults with T2DM were included. Methodological quality was assessed using the PEDro scale and NIH quality assessment tools. Meta-analyses used random-effects models, with subgroup analyses by DPN status. A structured narrative synthesis summarized intervention types and outcomes.Results: Eighteen studies (n = 835) were included, four involving individuals with DPN. Pooled effects were not statistically significant for hand grip strength (MD = 1.58 kg; 95% CI: -0.06 to 3.22), pinch strength (MD = 0.36 kg; 95% CI: -6.80 to 7.52), or dexterity (SMD = -0.43; 95% CI: -1.61 to 0.75). Overall methodological quality was predominantly moderate, with substantial heterogeneity. Narrative synthesis suggested clinically relevant improvements, particularly with multicomponent programs combining resistance, aerobic, and functional training.Conclusion: Multicomponent rehabilitation programs may provide meaningful benefits for upper limb function among individuals with T2DM and should be considered in practice. High-quality, DPN-specific trials using standardized hand-focused outcomes are needed.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6425-6442"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identification of International Classification of Functioning, Disability and Health categories in a multifaceted rehabilitation program for degenerative cerebellar ataxia: a descriptive analysis of real-world clinical practice. 在退行性小脑共济失调的多方面康复计划中识别国际功能、残疾和健康分类：对现实世界临床实践的描述性分析。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-29 DOI: 10.1080/09638288.2026.2646108

Yuichi Hiramatsu, Hiroaki Fujimoto, Hironori Otomune, Kenji Takamatsu, Hidetaka Shiina, Koji Takahashi, Megumi Hatakenaka, Hajime Yagura, Ichiro Miyai

{"title":"Identification of International Classification of Functioning, Disability and Health categories in a multifaceted rehabilitation program for degenerative cerebellar ataxia: a descriptive analysis of real-world clinical practice.","authors":"Yuichi Hiramatsu, Hiroaki Fujimoto, Hironori Otomune, Kenji Takamatsu, Hidetaka Shiina, Koji Takahashi, Megumi Hatakenaka, Hajime Yagura, Ichiro Miyai","doi":"10.1080/09638288.2026.2646108","DOIUrl":"10.1080/09638288.2026.2646108","url":null,"abstract":"Purpose: To identify the International Classification of Functioning, Disability and Health (ICF) categories addressed by multifaceted rehabilitation interventions for patients with degenerative cerebellar ataxia (DCA).Materials and methods: We retrospectively analyzed a short-term, intensive inpatient rehabilitation program in 55 patients with DCA, including spinocerebellar ataxia types 3, 6, 17, 31, and others. Rehabilitation interventions by physical, occupational, and speech therapists targeting functioning, contextual factors, and self-directed exercises were collected through a retrospective questionnaire completed by the treating therapists, with reference to medical records. Interventions were linked to the ICF and Deutsche Gesellschaft für Sozialmedizin und Prävention categories. Categories were analyzed based on the severity of ataxia using the Scale for the Assessment and Rating of Ataxia.Results: Overall, 1,258 interventions were linked to 1,341 s-level ICF categories: 13 body functions, 23 activities and participation, 6 environmental, and 1 personal factor.　Activities and participation categories related to mobility and self-care were identified in severe cases, whereas no body function categories related to ataxia severity were identified.Conclusions: Multifaceted rehabilitation for DCA corresponds to multiple ICF domains.　Interventions targeting activity and participation vary with ataxia severity, suggesting that tailored combinations may improve specific activities of daily living.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6961-6979"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Limitations we can't always overcome: experiences of healthcare professionals and interpreters providing inpatient care for stroke survivors with aphasia from diverse backgrounds. 我们不能总是克服的限制：医疗保健专业人员和口译员为来自不同背景的失语中风幸存者提供住院护理的经验。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-04-09 DOI: 10.1080/09638288.2026.2651806

Kathleen Mellahn, Samantha Siyambalapitiya, Ali Lakhani, Miranda L Rose

{"title":"Limitations we can't always overcome: experiences of healthcare professionals and interpreters providing inpatient care for stroke survivors with aphasia from diverse backgrounds.","authors":"Kathleen Mellahn, Samantha Siyambalapitiya, Ali Lakhani, Miranda L Rose","doi":"10.1080/09638288.2026.2651806","DOIUrl":"10.1080/09638288.2026.2651806","url":null,"abstract":"Purpose: This study described the experiences of healthcare professionals (HCPs) and professional interpreters providing care to people with post-stroke aphasia from culturally and linguistically diverse (CALD) backgrounds. The study also explored perceived processes and contextual factors shaping assessment, intervention and hospital outcomes for patients from CALD backgrounds and opportunities for practice change.Materials and methods: HCPs and interpreters involved in the care of people with aphasia from CALD backgrounds were recruited from a health service in Australia using a maximum variation sampling approach. Semi-structured, in-depth interviews were conducted, transcribed verbatim and analysed using reflexive thematic analysis. Overarching themes representing both groups' perspectives were generated.Results: Fourteen participants (10 HCPs and four interpreters) highlighted how the interplay of language, culture, and personal factors creates complexity in the care of this patient group. Participants reported challenges in adapting interpreter services, time constraints, and managing family involvement; influenced care quality, contributing to perceived slower progress, poorer outcomes and patient frustration and voicelessness.Conclusions: HCPs and interpreters reported challenges in providing equitable inpatient care for people with aphasia from CALD backgrounds. Providing appropriate and person-centred care requires addressing systemic barriers, including resource and time constraints.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6822-6840"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Turkish translation, cultural adaptation, and psychometric evaluation of the Qualisex questionnaire in patients with axial spondyloarthritis. 土耳其语翻译、文化适应和对轴型脊柱炎患者Qualisex问卷的心理测量评估。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-04-06 DOI: 10.1080/09638288.2026.2653952

Yasemin Mirza, Zilan Bazancir-Apaydin, Bahar Anaforoğlu, Hakan Apaydın, Melih Pamukcu, Adem Küçük

{"title":"Turkish translation, cultural adaptation, and psychometric evaluation of the Qualisex questionnaire in patients with axial spondyloarthritis.","authors":"Yasemin Mirza, Zilan Bazancir-Apaydin, Bahar Anaforoğlu, Hakan Apaydın, Melih Pamukcu, Adem Küçük","doi":"10.1080/09638288.2026.2653952","DOIUrl":"10.1080/09638288.2026.2653952","url":null,"abstract":"Purpose: To translate and culturally validate the Qualisex questionnaire into Turkish and investigate its psychometric properties, including internal consistency, test-retest reliability, reproducibility, convergent and structural validity, and floor and ceiling effects in patients with axial spondyloarthritis (axSpA).Methods: The English version of the Qualisex was translated and culturally adapted into Turkish in accordance with international guidelines. Psychometric properties structural validity (factor analysis) internal consistency (Cronbach's alpha), test-retest reliability (intraclass correlation coefficient [ICC]), measurement error (standard error of the measurement [SEM], minimal detectable difference [MDD]), and convergent validity were studied. Floor and ceiling effects were also analyzed.Results: Eighty-one patients with axSpA were included. We found a very good internal consistency (Cronbach's α of 0.91) and excellent test-retest reliability (ICC of 0.99) of the Turkish Qualisex. The SEM demonstrated a range between 0.15 and 0.50, and the MDD was observed to vary from 0.41 to 1.44. The total Qualisex score significantly correlated with the Bath Ankylosing Spondylitis Metrology Index (BASMI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), and Ankylosing Spondylitis Quality of Life (ASQoL), disease duration, and pain severity. One factor was identified within the Qualisex.Conclusions: Our data suggest that the Turkish Qualisex is reliable and valid outcome measure for assessing quality of sexual life in patients with axSpA.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"7021-7032"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions, attitudes, and lived experiences of therapists with lower limb robotic exoskeletons in stroke rehabilitation: a systematic review of qualitative studies. 下肢机器人外骨骼治疗在中风康复中的认知、态度和生活经验：定性研究的系统回顾。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-09 DOI: 10.1080/09638288.2026.2637191

Ravi Shankar, Ziyu Goh, Qian Xu, Effie Chew, Karen Sui Geok Chua

{"title":"Perceptions, attitudes, and lived experiences of therapists with lower limb robotic exoskeletons in stroke rehabilitation: a systematic review of qualitative studies.","authors":"Ravi Shankar, Ziyu Goh, Qian Xu, Effie Chew, Karen Sui Geok Chua","doi":"10.1080/09638288.2026.2637191","DOIUrl":"10.1080/09638288.2026.2637191","url":null,"abstract":"Purpose: To systematically review and synthesize qualitative evidence on therapists' perceptions, attitudes, and lived experiences with lower limb robotic exoskeletons in stroke rehabilitation settings.Methods: Seven databases (PsycINFO, Embase, Scopus, Web of Science, PubMed, MEDLINE, CINAHL) were searched from inception to March 2025. Study quality was assessed using the Critical Appraisal Skills Program (CASP) checklist. Thematic synthesis was employed with confidence assessed using GRADE-CERQual.Results: Ten studies met inclusion criteria, representing 157 therapists across nine countries. Four major themes emerged: (1) Clinical benefits and therapeutic potential - including significant reduction in physical demands and enhanced treatment capabilities (40-fold increase in step repetitions); (2) Implementation challenges and barriers - notably time constraints (15-40 min setup), prohibitive costs ($33,000-$250,000 USD), and restrictive patient eligibility; (3) Professional adaptation and identity - encompassing role tensions and competency development; (4) Integration into rehabilitation practice - with universal consensus that exoskeletons should complement rather than replace conventional therapy. High confidence was found in 60% of key findings.Conclusions: While therapists recognize substantial benefits of lower limb robotic exoskeletons, significant barriers limit routine implementation. Successful integration requires comprehensive training, adequate resources, organizational support, and preservation of clinical reasoning.Prospero registration: CRD42024602812.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6443-6458"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rehabilitation after stroke for Aboriginal and Torres Strait Islander peoples and Indigenous peoples globally: a scoping review and critical content analysis. 全球土著和托雷斯海峡岛民以及土著人民中风后的康复：范围审查和关键内容分析。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 DOI: 10.1080/09638288.2026.2731081

Meaghan McAllister, Daniel McAullay Noongar, Dave Parsons, Linda Cresdee Murri, Jane White, Kerri Colegate Noongar Yamatji, Rebecca Clinch Ngadju Yamatji, Angela Dos Santos Gumbaynggirr Kwiamble, Elizabeth Armstrong

{"title":"Rehabilitation after stroke for Aboriginal and Torres Strait Islander peoples and Indigenous peoples globally: a scoping review and critical content analysis.","authors":"Meaghan McAllister, Daniel McAullay Noongar, Dave Parsons, Linda Cresdee Murri, Jane White, Kerri Colegate Noongar Yamatji, Rebecca Clinch Ngadju Yamatji, Angela Dos Santos Gumbaynggirr Kwiamble, Elizabeth Armstrong","doi":"10.1080/09638288.2026.2731081","DOIUrl":"https://doi.org/10.1080/09638288.2026.2731081","url":null,"abstract":"Purpose: In settler-colonial contexts Indigenous peoples experience greater incidence of stroke alongside issues of access and quality of health care and rehabilitation. This scoping review aimed to understand the extent and range of the literature relating to rehabilitation after stroke for Indigenous peoples and to critically explore where values and worldviews of Indigenous peoples are considered.Materials and methods: This scoping review followed the guidance of the Joanna Briggs Institute. An Aboriginal Advisory Group guided data extraction and analysis and principles of Indigenist research framed a critical content analysis. A comprehensive search of databases and specific Indigenous health journals was conducted to identify all potential sources of evidence including grey literature.Results: This review ultimately included 108 sources. The research varied in foci and methodologies, contributing a broad awareness of multi-factorial issues in rehabilitation for Indigenous peoples. Critical content analysis revealed rehabilitation after stroke is influenced by the multiple mechanisms and ongoing consequences of colonisation, including racism and the dominance of western understandings of health in rehabilitation.Conclusion: Tenets of recovery from Indigenous peoples' perspectives were evident and future research towards realising self-determined rehabilitation is needed to transform clinical care and respond to the sovereignty of Indigenous peoples.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-28"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rehabilitation through a cultural lens: the experience of culturally and linguistically diverse traumatic brain injury survivors in Australia. 文化视角下的康复：澳大利亚不同文化和语言的创伤性脑损伤幸存者的经历。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-28 DOI: 10.1080/09638288.2026.2646725

Halima Nalaye, Marina Downing, Jennie Ponsford

{"title":"Rehabilitation through a cultural lens: the experience of culturally and linguistically diverse traumatic brain injury survivors in Australia.","authors":"Halima Nalaye, Marina Downing, Jennie Ponsford","doi":"10.1080/09638288.2026.2646725","DOIUrl":"10.1080/09638288.2026.2646725","url":null,"abstract":"Purpose: Studies have suggested that culturally and linguistically diverse (CALD) traumatic brain injury (TBI) survivors show poorer outcomes than those from the dominant culture; the reasons for this are not well understood. Our study aimed to explore the lived experience of CALD TBI survivors in Australia, focusing on how culturally bound factors may have interacted with their rehabilitation and recovery.Materials and methods: A qualitative research design was utilised, with 17 CALD TBI survivors (aged 21-79) from 12 different countries participating in semi-structured interviews. Data were analysed using reflexive thematic analysis.Results: Six themes and 18 subthemes were identified. Participants were grateful for access to fully funded care and supportive rehabilitation clinicians. Challenges such as limited English proficiency or differences in cultural norms affected engagement. Many relied on their belief systems and familial support to guide recovery. Some acknowledged experiencing stigma and isolation attributed to limited understanding of TBI within their families and communities, as well as broader cultural differences in understanding of brain injury and mental health.Conclusion: These findings highlight the importance of understanding how culturally bound factors can shape the lived experience of CALD TBI survivors, with the potential to inform best practice to achieve optimal outcomes.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6557-6572"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transmural collaboration in lifestyle care: views of healthcare professionals and individuals with spinal cord injury, cauda equina syndrome, or spina bifida. 生活方式护理中的跨壁协作：医疗保健专业人员和脊髓损伤、马尾综合征或脊柱裂患者的观点。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-27 DOI: 10.1080/09638288.2026.2643977

Marieke Nijmeijer, Katja Braam, Paul Keessen, Robert G Memelink, Linda J M Valent, Rutger Osterthun, Sonja de Groot, Anke Tigchelaar, Rita J G van den Berg-Emons, Jasmijn F M Holla

{"title":"Transmural collaboration in lifestyle care: views of healthcare professionals and individuals with spinal cord injury, cauda equina syndrome, or spina bifida.","authors":"Marieke Nijmeijer, Katja Braam, Paul Keessen, Robert G Memelink, Linda J M Valent, Rutger Osterthun, Sonja de Groot, Anke Tigchelaar, Rita J G van den Berg-Emons, Jasmijn F M Holla","doi":"10.1080/09638288.2026.2643977","DOIUrl":"10.1080/09638288.2026.2643977","url":null,"abstract":"Purpose: Individuals with spinal cord injury, cauda equina syndrome or spina bifida often face challenges in maintaining a healthy lifestyle. A coordinated lifestyle care pathway beginning in the rehabilitation center and continuing into primary care may support the conditions needed for sustainable lifestyle behavior. This study aimed to identify determinants to inform the development and implementation of a lifestyle care pathway.Methods: We conducted semi-structured interviews with 19 healthcare professionals and 24 individuals with spinal cord disorders. Separate topic guides were developed for each group to explore experiences, needs and views to identify determinants for implementing lifestyle care across the rehabilitation continuum and a transmural pathway. Transcripts were analyzed thematically.Results: Determinants spanned three main phases of the pathway. In rehabilitation: embedding integrated lifestyle care within treatment, defining professional responsibilities, coordinating lifestyle care through collaborative, patient-centered practices. In the transition phase: building networks between rehabilitation and primary care, integrating lifestyle support into transition processes, securing sustainable financial structures. Post-rehabilitation: increasing knowledge on condition-specific lifestyle needs, promoting a coaching attitude among professionals, strengthening collaboration and community support.Conclusions: The findings emphasize that successful delivery of lifestyle care requires coordinated, well-aligned efforts among professionals and settings throughout the entire care trajectory.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6529-6544"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring barriers and facilitators to healthcare professional implementation of a stroke physical activity behaviour change intervention to inform targeted strategies: a qualitative study. 探索医疗保健专业人员实施中风身体活动行为改变干预的障碍和促进因素，以告知有针对性的策略：一项定性研究。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-25 DOI: 10.1080/09638288.2026.2649043

Sarah A Moore, Jessica Calder, Jerry Folorunsho, Sebastian Potthoff

{"title":"Exploring barriers and facilitators to healthcare professional implementation of a stroke physical activity behaviour change intervention to inform targeted strategies: a qualitative study.","authors":"Sarah A Moore, Jessica Calder, Jerry Folorunsho, Sebastian Potthoff","doi":"10.1080/09638288.2026.2649043","DOIUrl":"10.1080/09638288.2026.2649043","url":null,"abstract":"Purpose: Physical activity improves outcomes after stroke, but barriers exist to healthcare professionals promoting physical activity in this population. This study explored barriers and facilitators to healthcare professional implementation of a stroke physical activity behaviour change intervention, Physical Activity Routines After Stroke (PARAS), to inform targeted implementation strategies.Methods: UK stroke rehabilitation teams participated in one-hour workshops discussing PARAS implementation. Transcripts were analysed inductively and deductively using the Theoretical Domains Framework (TDF), facilitating the mapping of behaviour change techniques (BCTs) (Behaviour Change Techniques Taxonomy V1) and implementation strategies (Expert Recommendations for Implementing Change compilation).Results: Five teams (35 healthcare professionals, predominantly physiotherapists) participated. Key themes included system and resource constraints, stakeholder and stroke survivor engagement, intervention adaptation, and knowledge and skills. Nine TDF domains were identified as central to implementation behaviour. Fifteen BCTs and 14 implementation strategies were mapped, with operationalisation methods including training, stakeholder engagement, identifying local determinants, audit, and resource adaptation.Conclusions: This is the first study applying the TDF to understand healthcare professionals' experiences implementing a physical activity behaviour change intervention post-stroke. Using the TDF enabled systematic mapping of tailored strategies supporting implementation. Findings offer practical solutions for PARAS implementation, with broader applicability across stroke rehabilitation contexts.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6664-6678"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of a multi-faceted strategy for implementation of mobility exercises using digital devices within an inpatient rehabilitation setting: phase I of a feasibility hybrid type II implementation-effectiveness randomised controlled trial. 评估在住院康复环境中使用数字设备实施活动能力练习的多方面策略：可行性混合II型实施-有效性随机对照试验的第一阶段。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-04-04 DOI: 10.1080/09638288.2026.2651680

Nisha Aravind, Daniel Treacy, Sakina Chagpar, Lisa A Harvey, Joanne V Glinsky, Catherine Sherrington, Whitney Harris, Stephanie Potts, Nina Brodaty, Leanne Hassett

{"title":"Evaluation of a multi-faceted strategy for implementation of mobility exercises using digital devices within an inpatient rehabilitation setting: phase I of a feasibility hybrid type II implementation-effectiveness randomised controlled trial.","authors":"Nisha Aravind, Daniel Treacy, Sakina Chagpar, Lisa A Harvey, Joanne V Glinsky, Catherine Sherrington, Whitney Harris, Stephanie Potts, Nina Brodaty, Leanne Hassett","doi":"10.1080/09638288.2026.2651680","DOIUrl":"10.1080/09638288.2026.2651680","url":null,"abstract":"Purpose: Digital devices can be used to deliver mobility exercises in rehabilitation. However, the best way to implement this intervention into practice is unclear. This paper describes the feasibility of delivering strategies to implement digital devices as part of a feasibility hybrid type II implementation-effectiveness trial.Materials and methods: Physiotherapists were recruited from a public hospital rehabilitation ward. Training a clinical champion, loaning equipment and changing the gym environment, education and training, facilitation, and audit and feedback strategies were to support implementation. Feasibility outcomes were fidelity and dose of implementation strategies delivered and use of digital devices after receiving implementation strategies, collected from an implementation diary and surveys.Results: Twenty-seven physiotherapists were recruited and received implementation strategies, mostly delivered by the clinical champion. Strategies were delivered as intended (fidelity) but at a higher dosage than anticipated, including 122 h of training (dose). All physiotherapists reported using digital devices with their patients after receiving the implementation strategies.Conclusions: A multi-faceted implementation strategy was feasible to support physiotherapists to use digital devices to train mobility in rehabilitation. The clinical champion played a central role in embedding digital devices into the clinical setting.Trial registration: Australian and New Zealand Clinical Trial Registry; ACTRN12621000938808.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6793-6805"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0