Implementation of the spinal cord injury exercise guidelines in the hospital and community settings : Protocol for a type II hybrid trial Ma, Jasmin; Walden, Kristen; McBride, Christopher B.; Le Cornu Levett, Catherine; Colistro, Regina; Plashkes, Tova; Thorson, Teri; Shu, Hattie; Martin Ginis, Kathleen A. (Kathleen Anne), 1968-
Study design: Type II hybrid effectiveness-implementation trial protocol. Primary objectives: To 1) evaluate the implementation of coordinated physical activity (PA) coaching delivered by physiotherapists and spinal cord injury (SCI) peers during transition from in-hospital care to living in community (implementation objective) and 2) assess the effect of coaching on PA behaviour and psychosocial predictors among people with SCI (effectiveness objective). Setting: Rehabilitation hospital and home/community settings in British Columbia, Canada. Methods: Implementation objective: PA coaches (physiotherapists and SCI peers) receive an implementation intervention including training, monitoring, feedback, and champion support. A Theoretical Domains Framework-based questionnaire is collected at baseline, post-training, 2, and 6 months follow-up and semi-structured interviews conducted at 6 months. Effectiveness objective: Using a quasi-experimental design, 55 adults with SCI are allocated to intervention (PA coaching, n=30) or control (usual care, n=25) groups. Participants in the intervention group are referred by physiotherapists to receive 11 SCI peer-delivered PA coaching sessions in the community. Control participants receive usual care. Questionnaires assessing PA behaviour and psychosocial predictors are administered at baseline, 2-months, 6-months, and 1-year. Semi-structured interviews are conducted to assess intervention satisfaction at 6 months. Analyses include one-way (implementation objective) and two-way (effectiveness objective) repeated measures ANCOVAs for questionnaire-reported outcomes and thematic content analysis for interview data. Data are summarized using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework.
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