Affiliation:
1. Bone and Joint Health Strategic Clinical Network Alberta Health Services Edmonton Alberta Canada
2. Department of Community Health Sciences Cumming School of Medicine University of Calgary Calgary Alberta Canada
3. Department of Physical Therapy Faculty of Rehabilitation Medicine University of Alberta Edmonton Alberta Canada
4. School of Public Health University of Alberta Calgary Alberta Canada
5. Rehab Advice Line Alberta Health Services Edmonton Alberta Canada
6. Department of Surgery Cumming School of Medicine University of Calgary Calgary Alberta Canada
Abstract
AbstractBackgroundThe Good Life with osteoArthritis: Denmark (GLA:DTM) program is an evidence‐based education and exercise program designed for individuals with symptomatic hip and knee osteoarthritis. Launched in Denmark, it has been implemented across Europe, Australia, and North America. The authors assessed the feasibility of GLADTM implementation in Canada (Alberta) by applying the RE‐AIM framework. An evaluation objective was to identify factors impacting the implementation of the program in both publicly funded and private rehabilitation settings, based on the experience of the initial cohort of providers and clinic leaders who set up and delivered the program.MethodsSemi‐structured telephone interviews were conducted with GLA:DTM‐trained providers, managers, or directors of clinics across Alberta. Braun and Clarke's thematic approach was used to code the data and identify emergent categories and themes. Those relevant to the implementation were identified and by consensus, categorized as facilitators of and challenges to the implementation process.ResultsEighteen GLA:DTM ‐trained providers and three clinic leaders from a range of clinical settings completed an interview. Seven common themes emerged in relation to implementation across the study settings. Three themes reflect facilitators of implementation (program acceptability by providers, multi‐level support mechanisms, and program flexibility) and four implementation challenges (direct and indirect costs, lack of external referrals, program access issues, and lack of suitable space). The initial implementation of the program was exploratory with limited focus on long‐term sustainability.ConclusionsThe GLA:DTM program is a translatable program that can be implemented with relative ease in both public and private rehabilitation settings; however, costs, space constraints, and having an adequate referral base were noted challenges. Further work is warranted to explore equitable access across public and private settings and program sustainability.
Subject
Nursing (miscellaneous),Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Chiropractics,Rheumatology
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