Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research

Introduction: Despite the growing evidence for the effects of tailored internet-delivered cognitive behaviour therapy (ICBT) programmes for those receiving physical rehabilitation, there is a lack of implementation of these programmes in a clinical or community setting. The aim of the current study...

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Main Authors: Swati Mehta, Ujjoyinee Barua, Marcie Nugent, Kevin Hansen, Luvish Sondhi, Randy Upper, Dalton Wolfe, Eldon Roh, Keith Sequeira, Robert Teasell, Heather D. Hadjistavropoulos
Format: Article
Language:English
Published: Medical Journals Sweden 2025-01-01
Series:Journal of Rehabilitation Medicine
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Online Access:https://medicaljournalssweden.se/jrm/article/view/40898
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author Swati Mehta
Ujjoyinee Barua
Marcie Nugent
Kevin Hansen
Luvish Sondhi
Randy Upper
Dalton Wolfe
Eldon Roh
Keith Sequeira
Robert Teasell
Heather D. Hadjistavropoulos
author_facet Swati Mehta
Ujjoyinee Barua
Marcie Nugent
Kevin Hansen
Luvish Sondhi
Randy Upper
Dalton Wolfe
Eldon Roh
Keith Sequeira
Robert Teasell
Heather D. Hadjistavropoulos
author_sort Swati Mehta
collection DOAJ
description Introduction: Despite the growing evidence for the effects of tailored internet-delivered cognitive behaviour therapy (ICBT) programmes for those receiving physical rehabilitation, there is a lack of implementation of these programmes in a clinical or community setting. The aim of the current study was to evaluate barriers and facilitators of implementing an ICBT programme into a physical medicine rehabilitation setting. Methods: Stakeholders with expertise in physical medicine rehabilitation were recruited (n = 25) including: 16 clinicians, 4 administrators, 3 persons with lived experience, and 2 care partners. Individual semi-structured interviews were conducted based on the domains of the Consolidated Framework for Implementation Research (CFIR). Transcripts were analysed using a positivist approach, using deductive thematic content analysis. Themes were coded based on the domains of CFIR. Results: Facilitators for implementation primarily fell under intervention characteristics including relative advantage, strong evidence and quality, and design quality. Perceived barriers for implementation were identified in the inner setting including leadership engagement, culture, and available resources. Conclusions: The results from the current study provide insight on the factors that may contribute towards successful implementation of an ICBT programme in a physical medicine setting.
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spelling doaj-art-54bc1c2100f7472eaf92126a2147a54c2025-01-15T06:50:03ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-01-015710.2340/jrm.v57.40898Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation ResearchSwati Mehta0Ujjoyinee Barua1Marcie Nugent2Kevin Hansen3Luvish Sondhi4Randy Upper5Dalton Wolfe6Eldon Roh7Keith Sequeira8Robert Teasell9Heather D. Hadjistavropoulos10Lawson Health Research Institute, London, ON, CanadaLawson Health Research Institute, London, ON, Canada2Department of Psychology, University of Regina, Regina, SK. CanadaLawson Health Research Institute, London, ON, CanadaLawson Health Research Institute, London, ON, CanadaLawson Health Research Institute, London, ON, CanadaLawson Health Research Institute, London, ON, CanadaLawson Health Research Institute, London, ON, CanadaLawson Health Research Institute, London, ON, CanadaLawson Health Research Institute, London, ON, Canada2Department of Psychology, University of Regina, Regina, SK. CanadaIntroduction: Despite the growing evidence for the effects of tailored internet-delivered cognitive behaviour therapy (ICBT) programmes for those receiving physical rehabilitation, there is a lack of implementation of these programmes in a clinical or community setting. The aim of the current study was to evaluate barriers and facilitators of implementing an ICBT programme into a physical medicine rehabilitation setting. Methods: Stakeholders with expertise in physical medicine rehabilitation were recruited (n = 25) including: 16 clinicians, 4 administrators, 3 persons with lived experience, and 2 care partners. Individual semi-structured interviews were conducted based on the domains of the Consolidated Framework for Implementation Research (CFIR). Transcripts were analysed using a positivist approach, using deductive thematic content analysis. Themes were coded based on the domains of CFIR. Results: Facilitators for implementation primarily fell under intervention characteristics including relative advantage, strong evidence and quality, and design quality. Perceived barriers for implementation were identified in the inner setting including leadership engagement, culture, and available resources. Conclusions: The results from the current study provide insight on the factors that may contribute towards successful implementation of an ICBT programme in a physical medicine setting. https://medicaljournalssweden.se/jrm/article/view/40898physical rehabilitationinternet delivered cognitive behaviour therapyimplementation
spellingShingle Swati Mehta
Ujjoyinee Barua
Marcie Nugent
Kevin Hansen
Luvish Sondhi
Randy Upper
Dalton Wolfe
Eldon Roh
Keith Sequeira
Robert Teasell
Heather D. Hadjistavropoulos
Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research
Journal of Rehabilitation Medicine
physical rehabilitation
internet delivered cognitive behaviour therapy
implementation
title Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research
title_full Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research
title_fullStr Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research
title_full_unstemmed Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research
title_short Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research
title_sort stakeholder perspectives on implementation of internet delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the consolidated framework for implementation research
topic physical rehabilitation
internet delivered cognitive behaviour therapy
implementation
url https://medicaljournalssweden.se/jrm/article/view/40898
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