Utility of Treatment Implementation methods in clinical trial with rehabilitation teams

Clinical trials of rehabilitation interventions pose unique challenges to researchers. Treatments can be technically complex, often requiring a multidisciplinary team of professions. This article demonstrates the application of Treatment Implementation (TI) methods in a rehabilitation team-training...

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Bibliographic Details
Published in:Journal of rehabilitation research and development 2007-01, Vol.44 (4), p.537-546
Main Authors: Stevens, Alan B, Strasser, Dale C, Uomoto, Jay, Bowen, Susan E, Falconer, Judith A
Format: Article
Language:English
Subjects:
Behavior
Clinical trials
Clinical Trials as Topic - methods
Disability Evaluation
Evidence-based medicine
Health Plan Implementation - utilization
Humans
Interdisciplinary Communication
Intervention
Medical research
Medicine
Medicine, Physical
Methods
Occupational therapy
Outdoor activities
Patient Care Team - utilization
Patient outcomes
Physical therapists
Physical therapy
Rehabilitation
Research methodology
Stroke Rehabilitation
Studies
Support groups
Training
United States
Validity
Workshops
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Summary:Clinical trials of rehabilitation interventions pose unique challenges to researchers. Treatments can be technically complex, often requiring a multidisciplinary team of professions. This article demonstrates the application of Treatment Implementation (TI) methods in a rehabilitation team-training intervention conducted with 29 team leaders (12 medical doctors, 4 physical therapists, 3 speech-language pathologists, 2 occupational therapists, 3 kinesiotherapists, 2 registered nurses, 1 social worker, 1 program coordinator, and 1 administrator) from 15 Department of Veterans Affairs hospitals. We describe the intervention along with the influence of three TI categories (delivery, receipt, and enactment) on the design and implementation of the team-training intervention. Positive findings from the use of TI methods include (1) consistent and accurate presentation of intervention components and (2) evidence of study participants' receipt and enactment of intervention strategies.
ISSN:0748-7711
1938-1352
DOI:10.1682/JRRD.2006.09.0120