Measuring the determinants of implementation behavior in multiprofessional rehabilitation.
Maija Paukkunen, Leena Ala-Mursula, Birgitta Öberg and 5 others
PMID 37486174WHAT IT FOUND
Experts agreed a 21-item questionnaire captures key barriers and facilitators for implementing rehabilitation interventions in multiprofessional teams.
It focuses on knowledge, skills, and organizational support, omitting system-level factors. Use it to assess readiness before launching new team-based protocols.
Key findings
01The final questionnaire includes 21 items covering 11 domains, primarily focusing on knowledge, skills, and organizational support.
02All 21 items in the final version achieved high content validity scores from the expert panel.
03System-level and individual psychological domains like optimism and professional role were excluded as less critical for this context.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study did not test the questionnaire's reliability or validity in actual clinical practice, only its content validity among experts. The expert panel was Finnish, so generalizability to other healthcare systems or cultures is unproven. Dropout occurred between rounds (25 to 21 participants), though the rate was considered low. The process relied on expert opinion rather than empirical data from patient outcomes or team performance.
Declared interests
The authors declare no conflicts of interest with any financial organization.
The easy way to misread this
Do not assume this questionnaire predicts patient outcomes or team performance. It only measures professionals' perceptions of barriers and facilitators to implementation. A high score indicates readiness, not success.