Reply To: Discussion Forum 1

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1. What evidence do I have (or need) to identify those factors and levels posing the greatest barriers to rehabilitation in my population?

Resp : To identify those factors posing the greatest barriers to rehabilitation in my population, i need evidence concerning the already existing rehab services and the level of their integration through systematic assessment of rehab in the healthcare system. I will also need to have information related to environmental factors that can be obtained through censuses, social registries or population surveys. I can also use some of the frameworks like the iPARIHS or CFIR or TDF to identify those barriers.

2. How does my own professional expertise and organizational access suggest where I might be most be effective in developing and launching an intervention?

Resp : As a physiotherapist in the CSO sector and with multilevel experience, i think i might be effective while developing and launching an intervention at individual, household, institutional and community level. Particularly i may also intervene very partially at superstructural level while supporting other multidisciplinary teams.

3. What formative research might be needed to understand the precise intervention that would be most appropriate and impactful towards overcoming the challenges I identify?

Resp : I think that a literature and documentation review combined with focus group discussions and in depth interviews might all be appropriate and impactful in deciding which strategy to use to overcome the identified challenges.

4. When considering potential interventions, what factors related to implementation do I need to consider?

Resp : Factors to consider are Acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration and sustainability.

5. What implicit biases may be at work in my culture or context and how do those implicit biases impact an individual’s ability to access and benefit from rehabilitation?

Resp : Like in other common context, implicit biases at work in my context include mainly income level, educational attainment, employment status, health status, mental health status, …