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Effect and process evaluation of implementing standardized tests to monitor patients in spinal cord injury rehabilitation.

机译：实施标准化测试以监测患者脊髓损伤康复的效果和过程评估。

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PURPOSE: To evaluate the implementation of standardized physical and functional tests to monitor patients with a spinal cord injury (SCI) in eight rehabilitation centers and to analyze the enablers and the barriers of the implementation process. METHOD: The method involved prospective effect and process evaluation. Team members responded to mailed questionnaires at the start (n = 115) and end (n = 82) of the 1-year implementation period. Furthermore, a questionnaire was administered to managers (n = 8), coordinators (n = 8), and 32 persons with SCI in four centers. Outcome of the effect evaluation was the phase of implementation of standardized testing in each center. The process evaluation analyzed enablers and barriers of the implementation process. RESULTS: After a year of implementation, half of the centers shifted to higher implementation phases. None of the centers was classified in the highest phase. Enablers were the positive attitude of the team members regarding standardized testing and an encouraging local coordinator. Most important barrier was lack of time to implement the standardized testing. CONCLUSION: There is a large support for implementing standardized tests to monitor patients with SCI. During the 1-year, a positive shift was visible in the extent of implementation. Successful implementation of patient monitoring requires substantial amounts of time and effort of the rehabilitation centers involved.
机译：目的：评估标准化物理和功能测试的实施情况，以监测八个康复中心的脊髓损伤（SCI）患者，并分析实施过程的推动因素和障碍。方法：该方法涉及预期效果和过程评估。团队成员在1年实施期的开始（n = 115）和结束（n = 82）时答复了邮寄的问卷。此外，还向四个中心的管理人员（n = 8），协调员（n = 8）和32名SCI患者进行了问卷调查。效果评估的结果是每个中心实施标准化测试的阶段。流程评估分析了实施流程的推动因素和障碍。结果：实施一年后，一半的中心转移到了更高的实施阶段。没有一个中心被归类为最高阶段。促成因素是团队成员对标准化测试的积极态度以及令人鼓舞的本地协调员。最重要的障碍是缺乏时间来执行标准化测试。结论：为实施标准化测试以监测SCI患者提供了大力支持。在1年的时间里，实施范围出现了积极变化。成功实施患者监测需要所涉及的康复中心大量的时间和精力。

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