在加拿大实施基于活动的治疗的挑战提供见解:使用重点小组采访与关键兴趣小组进行比较分析
Anita Kaiser1,2,3, Katherine Chan2, James Sessford2
1Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Topics in spinal cord injury rehabilitation
|January 4, 2024
概括
基于活动的治疗 (ABT) 对脊髓损伤 (SCI/D) 恢复有希望,但在加拿大面临实施障碍. 主要挑战包括培训缺口,标准化问题,资金和结果测量,阻碍广泛采用.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于活动的治疗 (ABT) 提供了神经恢复和减少脊髓损伤或疾病 (SCI/D) 患者的二次并发症的潜力.
- 尽管已公认的健康益处,但ABT在加拿大医疗保健系统的临床实践中的整合仍然有限.
研究的目的:
- 在加拿大背景下调查阻碍在加拿大范围内为SCI/D患者实施ABT的多方面的挑战.
- 收集不同利益相关者群体关于ABT实践障碍的见解.
主要方法:
- 与48名参与者进行了焦点小组采访,包括研究人员,治疗师,培训师,管理人员,SCI/D患者,倡导者,资助者和政策专家.
- 用传统的内容分析分析数据,然后对不同利益相关者群体进行比较分析,以确定细微的观点.
主要成果:
- 确定了ABT实施的六个主要挑战:知识/培训差距,标准化困难,最佳时间的确定,剂量/强度的定义,资金限制以及参与/绩效的测量.
- 特定群体强调了不同的挑战,例如个人和治疗师的成本和培训,研究人员的证据差距以及管理人员的资金.
结论:
- 一些重大挑战阻碍了ABT在加拿大的广泛采用和实践.
- 通过有针对性的战略解决这些已识别的障碍,对于成功实施和将ABT整合到SCI/D护理途径中至关重要.
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