Volume 44 Number 4 2007
Pages 537 — 546

Abstract - Utility of Treatment Implementation methods in clinical trial with rehabilitation teams

Alan B. Stevens, PhD;1-2 Dale C. Strasser, MD;3-5* Jay Uomoto, PhD;6 Susan E. Bowen, PhD;7 Judith A. Falconer, PhD, MPH, OTR8

1Scott & White Memorial Hospital, Temple, TX; 2Texas A&M University Health Science Center, College Station, TX; 3Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, AL; 4Atlanta Department of Veterans Affairs (VA) Medical Center, Decatur, GA; 5Emory University, Atlanta, GA; 6Center for Polytrauma Care, Neuropsychology and Rehabilitation Psychology, VA Puget Sound Health Care System (Seattle Division), Seattle, WA; 7Health Sciences Research and Development, Atlanta VA Medical Center, Decatur, GA; 8Northwestern University Feinberg School of Medicine, Chicago, IL

Abstract — Clinical trials of rehabilitation interventions pose unique challenges to researchers. Treatments can be technically complex, often requiring a multidisciplinary team of professions. This article demonstrates the application of Treatment Implementation (TI) methods in a rehabilitation team-training intervention conducted with 29 team leaders (12 medical doctors, 4 physical therapists, 3 speech-language pathologists, 2 occupational therapists, 3 kinesiotherapists, 2 registered nurses, 1 social worker, 1 program coordinator, and 1 administrator) from 15 Department of Veterans Affairs hospitals. We describe the intervention along with the influence of three TI categories (delivery, receipt, and enactment) on the design and implementation of the team-training intervention. Positive findings from the use of TI methods include (1) consistent and accurate presentation of intervention components and (2) evidence of study participants' receipt and enactment of intervention strategies.

Clinical Trial Registration: ClinicalTrials.gov, NCT00237757, <http://www.clinicaltrials.gov>.

Key words: behavioral science, clinical trials, effectiveness, interdisciplinary teams, patient care team, rehabilitation outcomes, research methods, stroke rehabilitation, team training, Treatment Implementation.

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