ArticleJournal of intensive care2018
Barriers and facilitators to early rehabilitation in mechanically ventilated patients-a theory-driven interview study.
Article in Journal of intensive care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05688267 (Effects of Continuous Mobility Training in Individuals With Prolonged Mechanical Ventilation), which is not on this map. Cited by 16 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Continuous Mobility Training in Individuals With Prolonged Mechanical Ventilation : A Randomized Controlled Trial
Who cites it
16 citing papers in PubMed.
- Navigating the Complexities of Implementing Evidence-Based Respiratory Muscle Training in Post-Mechanical Ventilation Care: A Qualitative Study.Nursing open · 2025Article
- Effects of continuous mobility training versus hand bicycle exercise in individuals with prolonged mechanical ventilation: A randomized-controlled trial.Turkish journal of physical medicine and rehabilitation · 2025Article
- Rehabilitation needs, preferences, barriers, and facilitators of individuals with sepsis: a qualitative study.International journal of nursing studies advances · 2025Article
- Early Mobilization of Critically Ill Patients: A Survey of Knowledge, Practices and Perceptions of Greek Physiotherapists.Healthcare (Basel, Switzerland) · 2025Article
- Early mobilisation in Windhoek intensive care units: Practices, attitudes and barriers.The South African journal of physiotherapy · 2025Article
- Physical rehabilitation while awake, intubated and proned for COVID-19-associated severe acute respiratory distress syndrome.BMJ case reports · 2024Article
- Designing a Behaviour Change Wheel guided implementation strategy for a hypoxaemic respiratory failure and ARDS care pathway that targets barriers.BMJ open quality · 2023Article
- Article
- Barriers and facilitators to implementation of early mobilisation of critically ill patients in Zimbabwean and South African public sector hospitals: a qualitative study.Disability and rehabilitation · 2022Article
- Early mobilisation and rehabilitation in the PICU: a UK survey.BMJ paediatrics open · 2022Article
- Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update.Infection control and hospital epidemiology · 2022Article
- Beliefs, attitudes and knowledge of cardiovascular healthcare providers on mobilization.Nursing open · 2021Article
- Factors Affecting the Implementation of Early Rehabilitation Care in Patients with Traumatic Brain Injury: A Multidisciplinary Perspective.Medical journal of the Islamic Republic of Iran · 2021Article
- Implementing the comprehensive unit-based safety program model to improve the management of mechanically ventilated patients in Saudi Arabia.American journal of infection control · 2019Article
- Early mobilisation in mechanically ventilated patients: a systematic integrative review of definitions and activities.Journal of intensive care · 2019Article
- A Constructivist Grounded Theory of Staff Experiences Relating to Early Mobilisation of Mechanically Ventilated Patients in Intensive Care.Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite a supportive evidence base and a push to implement, the uptake of early rehabilitation in critical care has been inconsistent. The objective of this study was to explore barriers and facilitators to early rehabilitation for critically ill patients receiving invasive mechanical ventilation.
methodsUsing the Theoretical Domains Framework (TDF) of behavior change, we conducted semi-structured interviews exploring barriers and facilitators to early rehabilitation among four purposively sampled ICU clinician groups (nurses, rehabilitation professionals, respiratory therapists, and physicians). The TDF is a comprehensive framework of 14 "construct domains," synthesized from 33 theories of behavior that was developed to study determinants of behavior and to design interventions to improve evidence-based healthcare practice. A topic guide was developed and piloted based on the TDF and expert knowledge. Interviews were audio-recorded and transcribed verbatim. Transcripts were content analyzed by coding items into domains and then synthesized into more specific, over-arching themes or "beliefs." An expert consensus group used structured decision rules to classify beliefs as high, moderate, or low in importance.
resultsWe interviewed 40 stakeholders from the four clinician groups and identified 135 separate beliefs. Of these, 19 were classified as high, 40 as moderate, and 76 of low importance as barriers or facilitators. All beliefs classified as highly important fell within one of seven TDF domains: skills, social/professional role and identity, beliefs about capabilities, beliefs about consequences, environmental context/resources, social influences, and behavioral regulation. Beliefs of lower importance fell under the following seven domains: knowledge; optimism; reinforcement; intention; goals; memory, attention, and decision processes; and emotion. Quantitative differences in stated beliefs about early rehabilitation between professional groups were not common.
conclusionsThis study identified important barriers and facilitators to early rehabilitation in critical care patients. Domains identified as important should be considered when designing interventions to increase uptake of early rehabilitation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.