Implementation of Clinical Practice Guidelines for the Physiotherapy Management of People with Spinal Cord Injury

Physiotherapy adherence to guideline recommendation: adherence to the guideline recommendation will be measured by pre-post clinical notes audits

A pragmatic before and after study across NSW spinal services (RNSH, POWH, RR) to identify key evidence to practice gaps and evaluate adherence to one guideline recommendation. The study has 4 distinct phases; 1. Retrospective notes audit of current clinical practice to confirm evidence to practice gap and determine adherence to key recommendations from the ‘Clinical practice guidelines for the physiotherapy management of people with SCI’ (Audit Phase). 2. Interview physiotherapists to identify barriers and facilitators of practice for key guideline recommendations from the ‘Clinical practice guidelines for the physiotherapy management of people with SCI’ (Development of Implementation Intervention Phase). 3. Implementation of tailored intervention(s) using the COM-B model for behaviour change (Implementation Phase). 4. Evaluation of change in adherence to key recommendations from the Guidelines for the physiotherapy management of people with SCI (Evaluation Phase).