Multidisciplinary implementation of self-directed therapy (My therapy) during inpatient rehabilitation: a RE-AIM evaluation across four allied health disciplines.

Abstract

Purpose To evaluate the implementation of the My Therapy program across physiotherapy, occupational therapy, speech pathology and music therapy during inpatient rehabilitation, using the RE-AIM framework. Methods A repeated cross-sectional implementation study. Baseline, post-implementation and 6-month sustainability audits were undertaken to determine reach (number of patients with programs and nursing encouragement of program practice), effectiveness (discharge FIM, adverse events), adoption (percentage staff using My Therapy), implementation fidelity (adherence to the four pillars of My Therapy) and maintenance (6 months). Data were collected from patients ( n = 278), allied health and nursing staff ( n = 61). Chi-squared tests and one-way ANOVA were used to assess change over time. Results The proportion of patients with occupational therapy and music therapy independent practice programs significantly increased over time ( p p p p = 0.681) and no My Therapy-related adverse events were reported. Conclusions My Therapy was successfully implemented across four allied health disciplines. Broader multidisciplinary implementation enhanced opportunities for independent practice and contributed to holistic rehabilitation.