Development of an online implementation intervention for aphasia clinicians to increase the intensity and comprehensiveness of their service

To describe the process and outcome of a user and theory informed online intervention for speech pathologists targeting the implementation of intensive and comprehensive aphasia services. The design process followed the eight steps outlined by the Behaviour Change Wheel and incorporated the principles of Integrated Knowledge Translation (IKT). Eight speech pathology researchers and clinicians from four countries (Australia, Canada, the United Kingdom and Ireland) contributed to three focus groups via videoconference. The online platform, Aphasia Nexus: Connecting Evidence to Practice, provides resources, guidance and support for speech pathologists seeking to improve the intensity and comprehensiveness of their aphasia service. A collaborative and iterative design process facilitated the creation of an intervention envisioned by participants. The website contains both interactive elements and resource links which have been arranged under the three headings of resources, action and support. The inclusion of multi-national researchers and clinicians benefitted a design process to make implementation more likely.IMPLICATIONS FOR REHABILITATIONTheoretically informed implementation interventions aim to change the everyday clinical practice of health workers.An online platform has been developed to support speech pathologists’ implementation of intensive and comprehensive aphasia services.A collaborative design process can be beneficial in creating an intervention that is relevant to research-users and is more likely to be implemented. Theoretically informed implementation interventions aim to change the everyday clinical practice of health workers. An online platform has been developed to support speech pathologists’ implementation of intensive and comprehensive aphasia services. A collaborative design process can be beneficial in creating an intervention that is relevant to research-users and is more likely to be implemented.

本研究旨在阐述一项以用户与理论为导向、面向言语治疗师的在线干预方案的开发流程与实施效果，该方案旨在助力言语治疗师推行高强度且全面的失语症服务。
该干预方案的开发流程遵循行为改变轮（Behaviour Change Wheel）所界定的八大步骤，并融入了整合知识转化（Integrated Knowledge Translation，IKT）的核心原则。
来自澳大利亚、加拿大、英国与爱尔兰四个国家的8名言语病理学研究者与临床医师，通过视频会议参与了三轮焦点小组讨论。
名为失语症联结：证据对接实践（Aphasia Nexus: Connecting Evidence to Practice）的在线平台，为旨在提升失语症服务强度与全面性的言语治疗师提供资源、指导与支持。
协作式且迭代的开发流程，助力打造出契合参与者愿景的干预方案。
该网站兼具交互功能与资源链接模块，并按照「资源」「行动」「支持」三大板块进行归类排布。
吸纳多国研究者与临床医师参与开发流程，有助于提升方案的落地可行性。

康复实践启示
以理论为导向的落地干预方案，旨在改变医疗工作者的日常临床实践模式。
本研究开发的在线平台，可为言语治疗师推行高强度、全面的失语症服务提供支持。
采用协作式开发流程，有助于打造贴合科研使用者需求且更易落地的干预方案。
以理论为导向的落地干预方案，旨在改变医疗工作者的日常临床实践模式。
本研究开发的在线平台，可为言语治疗师推行高强度、全面的失语症服务提供支持。
采用协作式开发流程，有助于打造贴合科研使用者需求且更易落地的干预方案。