ORIGINAL PAPER
Design features of a guideline implementation tool designed to
increase awareness of a clinical practice guide to HIV
rehabilitation: A qualitative process evaluation
Nancy M. Salbach PhD, Associate Professor
1,2
|
Patricia Solomon PhD, Professor, Associate Dean
3
|
Kelly K. O'Brien PhD, Associate Professor
1,2,4
|
Catherine Worthington PhD, Professor
5
|
Larry Baxter BA, Community Volunteer
6
|
Georgina Blanchard RM, MA, Research Consultant, Assistant Editor
6
|
Alan Casey MD, FRCPC, Assistant Professor
7
|
Will Chegwidden BSc (OT)(Hons), Senior Occupational Therapist
8
|
Le‐Ann Dolan BSW, Director of Operations
9
|
Sarah Eby Hons BSc (Biomedical sciences), MScPT, Adjunct Lecturer
1
|
Nicole Gervais MA, Study Coordinator
3
1
Department of Physical Therapy, University
of Toronto, Toronto, ON, Canada
2
Rehabilitation Sciences Institute, University
of Toronto, Toronto, ON, Canada
3
School of Rehabilitation Science, McMaster
University, Hamilton, ON, Canada
4
Institute of Health Policy, Management and
Evaluation, University of Toronto, Toronto,
ON, Canada
5
School of Public Health and Social Policy,
University of Victoria, Victoria, BC, Canada
6
Realize, Toronto, ON, Canada
7
Health Sciences Centre Winnipeg, Winnipeg,
MB, Canada
8
University College London Hospitals NHS
Foundation Trust, London, UK
9
Our Place Society, Victoria, BC, Canada
Correspondence
Nancy Margaret Salbach, Department of
Physical Therapy, University of Toronto, 160‐
500 University Avenue, Toronto, Ontario
M5G 1V7 Canada.
Email: nancy.salbach@utoronto.ca
Funding information
Ministry of Research and Innovation, Grant/
Award Number: Early Researcher Awards;
Canadian Institutes of Health Research,
Grant/Award Numbers: Knowledge to Action
operating grant and New Investigator Award
Abstract
Rationale, aims, and objectives: A comprehensive electronic guide (e‐module)
describing an interprofessional, evidence‐informed approach to HIV rehabilitation
was developed as an education resource for rehabilitation professionals. We
developed a guideline implementation tool, consisting of a 10‐week, case‐based
education intervention delivered by email, that was perceived to increase rehabilita-
tion professionals' (occupational therapists (OTs), physical therapists (PTs), and speech
language pathologists (SLPs)) knowledge and confidence to apply best practices in
HIV rehabilitation. This study aimed to increase understanding of how the design of
the guideline implementation tool facilitated increased awareness of and access to
the e‐module among rehabilitation professionals.
Methods: We conducted a single group intervention study with rehabilitation
professionals in Canada and the United Kingdom. Six case studies targeting HIV path-
ophysiology and associated conditions, an interprofessional approach to rehabilitation
assessment and treatment, and psychosocial issues experienced by people living with
HIV, were emailed to participants at 2‐week intervals. Individual semi‐structured
interviews were conducted post‐intervention. Interview transcripts were analysed
using a descriptive qualitative approach.
Results: Twenty‐six individuals (17 from Canada, and 9 from the UK; 16 PTs, 7 OTs,
3 SLPs) were interviewed. One main theme related to design features of the interven-
tion that facilitated learning and access to the e‐module emerged. Subthemes
highlighted features of the case‐based intervention, including technical feasibility,
Received: 30 April 2018 Revised: 5 October 2018 Accepted: 10 October 2018
DOI: 10.1111/jep.13070
J Eval Clin Pract. 2018;1–8. © 2018 John Wiley & Sons, Ltd. wileyonlinelibrary.com/journal/jep 1