Evidence map›Paper›PMID 36306923›Full record

ArticleArchives of physical medicine and rehabilitation2023

Rehabilitation Treatment Specification System: Identifying Barriers, Facilitators, and Strategies for Implementation in Research, Education, and Clinical Care.

Jarrad H Van Stan, Jain Holmes, Lauren Wengerd, Lisa A Juckett, John Whyte, Shanti M Pinto, Leanna W Katz, Jeremy Wolfberg

Registry-linked trialAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06855186 (Symptom-Targeted Approach to Rehabilitation for Concussion), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06855186 narecruitingnot on this mapstarted 2025, after this paper: background citation

Symptom-Targeted Approach to Rehabilitation for Concussion (STAR-C): RCT of In-person vs Telehealth vs Wait List Control

TypeinterventionalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2025 to 2028Enrolled222ConditionsMild Traumatic Brain Injury (mTBI)ArmsSymptom-Targeted Approach to Rehabilitation for Concussion
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Jarrad H Van StanHarvard Medical School, Boston, MA; Massachusetts General Hospital, Boston, MA; MGH Institute of Health Professions, Charlestown, MA. Electronic address: jvanstan@mgh.harvard.edu.
Jain HolmesUniversity of Nottingham, Nottingham, England.
Lauren WengerdThe Ohio State University, Columbus, OH.
Lisa A JuckettThe Ohio State University, Columbus, OH.
John WhyteMoss Rehabilitation Research Institute, Elkins Park, PA.
Shanti M PintoUniversity of Texas Southwestern, Dallas, TX.
Leanna W KatzSpaulding Rehabilitation Hospital, Charlestown, MA; Boston University, Boston, MA.
Jeremy WolfbergMassachusetts General Hospital, Boston, MA; MGH Institute of Health Professions, Charlestown, MA.

Funding

RTSS-Voice: Towards a unified system to classify treatments for muscle tension dysphoniaR01DC020247 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI Jarrad Van Stan · 2022 to 2026
$2.5M
Measuring what happens in voice therapy: refinement and testing of a voice therapy taxonomyR21DC016124 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI VAN STAN, JARRAD · 2017 to 2021
$555k
NIDCD NIH HHS R01 DC020247NIDCD NIH HHS R21 DC016124
6 · The paper itself

Abstract

objectiveTo explore rehabilitation professionals' experiences and perspectives of barriers and facilitators to implementing the Rehabilitation Treatment Specification System (RTSS) in research, education, and clinical care.

designA cross-sectional survey with free text and binary responses was completed by rehabilitation professionals. Survey data were analyzed with a deductive approach of directed content analysis using 2 implementation science frameworks: Consolidated Framework for Implementation Research (CFIR) and the Expert Recommendations for Implementing Change (ERIC).

settingRehabilitation professionals across research, educational, and clinical settings.

participantsOne hundred and eleven rehabilitation professionals-including speech-language pathologists, occupational therapists, physical therapists, physicians, psychologists, researchers, and clinic directors-who explored possible uses or applications of the RTSS for clinical care, education, or research (N=111).

interventionsNot applicable.

main outcome measuresFrequency of reported CFIR barriers and facilitators, as well as keywords related to CFIR and ERIC constructs.

resultsThe barriers and facilitating strategies differed according to the end-users' intended use, that is, research, education, or clinical. Overall, the 4 most frequently encountered CFIR barriers were the RTSS's complexity, a lack of available RTSS resources, reduced access to knowledge and information about the RTSS, and limited knowledge and beliefs about the RTSS. The ERIC-CFIR matching tool identified 7 ERIC strategies to address these barriers, which include conducting educational meetings, developing and distributing educational materials, accessing new funding, capturing and sharing local knowledge, identifying and preparing champions, and promoting adaptability.

conclusionsWhen attempting to use the RTSS, rehabilitation professionals commonly encountered barriers to understanding and skillfully using the framework. Theory-driven implementation strategies have been identified that have potential for addressing the RTSS's complexity and lack of educational and skill-building resources. Future work can develop the identified implementation strategies and evaluate their effects on RTSS implementation.

Indexed as

RehabilitationCross-Sectional StudiesHealth PersonnelHumansPatient Care PlanningImplementation scienceMethodsRehabilitationTherapeutics

Identifiers

PMID36306923
PMCPMC10073238

What OpenQuestion holds

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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.