The Stroke Recovery in Motion Implementation Planner: Mixed Methods User Evaluation

Jessica Reszel; Joan van den Hoek; Tram Nguyen; Gayatri Aravind; Mark T Bayley; Marie-Louise Bird; Kate Edwards; Janice J Eng; Jennifer L Moore; Michelle L A Nelson; Michelle Ploughman; Julie Richardson; Nancy M Salbach; Ada Tang; Ian D Graham

doi:10.2196/37189

The Stroke Recovery in Motion Implementation Planner: Mixed Methods User Evaluation

JMIR Form Res. 2022 Jul 29;6(7):e37189. doi: 10.2196/37189.

Authors

Jessica Reszel^{1

2}, Joan van den Hoek¹, Tram Nguyen^{1

3}, Gayatri Aravind⁴, Mark T Bayley^{5

6}, Marie-Louise Bird^{7

8}, Kate Edwards⁷, Janice J Eng⁸, Jennifer L Moore^{9

10}, Michelle L A Nelson^{4

11

12}, Michelle Ploughman¹³, Julie Richardson¹⁴, Nancy M Salbach^{6

15}, Ada Tang¹⁴, Ian D Graham^{1

2

3}

Affiliations

¹ Ottawa Hospital Research Institute, Ottawa, ON, Canada.
² School of Nursing, University of Ottawa, Ottawa, ON, Canada.
³ School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
⁴ March of Dimes Canada, Toronto, ON, Canada.
⁵ Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, ON, Canada.
⁶ The KITE Research Institute, University Health Network, Toronto, ON, Canada.
⁷ College of Health and Medicine, University of Tasmania, Tasmania, Australia.
⁸ Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
⁹ South Eastern Norway Regional Knowledge Translation Center, Sunnaas Rehabilitation Hospital, Oslo, Norway.
¹⁰ Institute for Knowledge Translation, Carmel, IN, United States.
¹¹ Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada.
¹² Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
¹³ Faculty of Medicine, Memorial University of Newfoundland, St John's, NL, Canada.
¹⁴ School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
¹⁵ Department of Physical Therapy, University of Toronto, Toronto, ON, Canada.

PMID: 35904870
PMCID: PMC9377478
DOI: 10.2196/37189

Abstract

Background: As more people are surviving stroke, there is a growing need for services and programs that support the long-term needs of people living with the effects of stroke. Exercise has many benefits; however, most people with stroke do not have access to specialized exercise programs that meet their needs in their communities. To catalyze the implementation of these programs, our team developed the Stroke Recovery in Motion Implementation Planner, an evidence-informed implementation guide for teams planning a community-based exercise program for people with stroke.

Objective: This study aimed to conduct a user evaluation to elicit user perceptions of the usefulness and acceptability of the Planner to inform revisions.

Methods: This mixed methods study used a concurrent triangulation design. We used purposive sampling to enroll a diverse sample of end users (program managers and coordinators, rehabilitation health partners, and fitness professionals) from three main groups: those who are currently planning a program, those who intend to plan a program in the future, and those who had previously planned a program. Participants reviewed the Planner and completed a questionnaire and interviews to identify positive features, areas of improvement, value, and feasibility. We used descriptive statistics for quantitative data and content analysis for qualitative data. We triangulated the data sources to identify Planner modifications.

Results: A total of 39 people participated in this study. Overall, the feedback was positive, highlighting the value of the Planner's comprehensiveness, tools and templates, and real-world examples. The identified areas for improvement included clarifying the need for specific steps, refining navigation, and creating more action-oriented content. Most participants reported an increase in knowledge and confidence after reading the Planner and reported that using the resource would improve their planning approach.

Conclusions: We used a rigorous and user-centered process to develop and evaluate the Planner. End users indicated that it is a valuable resource and identified specific changes for improvement. The Planner was subsequently updated and is now publicly available for community planning teams to use in the planning and delivery of evidence-informed, sustainable, community-based exercise programs for people with stroke.

Keywords: community-based exercise programs; implementation science; knowledge mobilization; knowledge translation; rehabilitation; stroke.

©Jessica Reszel, Joan van den Hoek, Tram Nguyen, Gayatri Aravind, Mark T Bayley, Marie-Louise Bird, Kate Edwards, Janice J Eng, Jennifer L Moore, Michelle L A Nelson, Michelle Ploughman, Julie Richardson, Nancy M Salbach, Ada Tang, Ian D Graham. Originally published in JMIR Formative Research (https://formative.jmir.org), 29.07.2022.