Evidence map›Paper›PMID 40877223›Full record

ArticleSpinal cord series and cases2025

Using the Theoretical Domains Framework to identify strategies to support the implementation of the guidelines for the physiotherapy management of people with spinal cord injury: a qualitative study.

K E Tranter, L A Harvey, J Chu, J Ilha, M Ben, L W Chen, J V Glinsky

Abstract read
In one paragraph

Article in Spinal cord series and cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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.

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

K E TranterThe John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Camperdown, NSW, Australia.
L A HarveyThe John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Camperdown, NSW, Australia.ORCID 0000-0002-4365-0236
J ChuThe John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Camperdown, NSW, Australia.ORCID 0000-0001-5810-2788
J IlhaPhysiotherapy Department, Universidade do Estado de Santa Catarina, Florianópolis, Brazil.ORCID 0000-0002-6300-4696
M BenNSW Spinal Outreach Service, Royal Rehab, Sydney, NSW, Australia.ORCID 0009-0006-0331-9801
L W ChenSpinal Injuries Unit, Royal North Shore Hospital, Sydney, NSW, Australia.ORCID 0000-0002-9201-034X
J V GlinskyThe John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Camperdown, NSW, Australia. joanne.glinsky@sydney.edu.au.ORCID 0000-0002-8188-3583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designQualitative design.

aimThe aim of the study was to (i) determine the perspectives of therapists and people with spinal cord injury (SCI) on our recently developed Australian and New Zealand Clinical Practice Guidelines for the physiotherapy management of people with SCI, and (ii) understand the barriers and facilitators to the rollout of the Guidelines and identify implementation strategies to support their uptake.

settingHospital and community SCI services, Australia.

methodsTwenty-one therapists and 10 people with SCI were interviewed one-on-one or within focus groups. The interviews captured perspectives of therapists and people with SCI on the Guidelines as well as barriers and facilitators to the rollout of the Guidelines. The interviews with therapists were guided by the Theoretical Domains Framework (TDF). All interviews were transcribed and thematically coded. Barriers and facilitators were then linked to the COM-B model (Capability, Opportunity, Motivation - Behaviour) to identify implementation strategies.

resultsThe barriers to implementation of the Guidelines identified by therapists were lack of knowledge and skill, lack of resources and challenges associated with working within large organisations. Facilitators to the uptake of the Guidelines were providing education, skill training, Guideline champions, awareness, and two-way communication between patient and therapist. Fourteen implementation strategies were identified.

conclusionBoth therapists and people with SCI thought the Guidelines were a useful tool to improve the quality of care provided to people with SCI across various health settings. Facilitators identified in this study are being used to guide current implementation projects to enhance the uptake of the Guidelines.

Indexed as

Physical TherapistsPhysical Therapy ModalitiesPractice Guidelines as TopicSpinal Cord InjuriesAdultAustraliaFemaleFocus GroupsHumansMaleMiddle AgedNew ZealandQualitative Research

Identifiers

PMID40877223
PMCPMC12394610

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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.