Abstract
Cognitive rehabilitation is a high priority area to address in acquired brain injury (ABI) care. A greater understanding of the criteria used by rehabilitation teams when prioritizing specific cognitive interventions for implementation could inform the development of effective strategies to move evidence into practice. Therefore, the objective of this qualitative study was to describe the criteria for prioritizing best practices to implement in cognitive rehabilitation post-ABI using a comprehensive implementation framework. As the first step in a multi-site integrated knowledge translation initiative, a consensus-building methodology, i.e., the Technique for Research of Information by Animation of a Group of Experts (TRIAGE), was used to prioritize practices to implement by three separate ABI rehabilitation teams (n = 8, 12 and 15 members). Transcripts of the teams’ TRIAGE consensual group discussions were analyzed using the Framework Method and mapped across the domains of the Consolidated Framework for Implementation Research. The most important criteria guiding priority setting in all the teams were the characteristics of the inner setting, the interventions, the individuals involved, and patients’ and families’ needs and resources. Particularly critical in prioritizing best practices to implement in the view of all the teams appeared to be the characteristics of the inner setting (e.g., implementation climate, readiness for implementation). Overall, the teams tended to prioritize practices that were partially known and used by a few clinicians but needed more systematic implementation through inter-professional collaboration. Rehabilitation teams should monitor these factors throughout the process from prioritization to implementation of the selected best practices in order to guide the tailoring of implementation strategies.
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We thank our research participants for the time and energy they devoted to this study.
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This study was carried out with financial support from the Fonds de recherche du Québec—Société et Culture.
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VP designed the study protocol and obtained funding for this project. MEL, MAP, MCO and AVG also contributed to the concept and design of the research. VP and AJ collected the data. All seven authors made substantial contributions to the analysis and interpretation of data, drafting and revising the manuscript for important intellectual content, and approving the final version to be submitted.
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The study was approved by the university at which the research was conducted (#CER-16–227-09.11) and by the research ethics committee of the rehabilitation centers where the participants were recruited (# EMP-2016–523).
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Poulin, V., Pellerin, MA., Lamontagne, MÈ. et al. Criteria for Prioritizing Best Practices to Implement in Cognitive Rehabilitation. Glob Implement Res Appl 2, 153–165 (2022). https://doi.org/10.1007/s43477-022-00041-8
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DOI: https://doi.org/10.1007/s43477-022-00041-8