Table 5 Adaptations of Implementation Strategy to increase feasibility for nationwide implementation
Strategy | Target of change | Barriers | Adaptation |
|---|---|---|---|
Physiotherapists | |||
Education | Skills | Two-days workshop was too expensive and too time-consuming. Future supervising PTs do not need information on study procedures | Reduction to 1-day workshop + supervision |
Patients with axSpA | |||
Individualisation, Exercise counselling | Motivation and coping, self-efficacy | Due to organisational reasons, PTs had three exercise counselling sessions with only 40% of group members within 6 months | Number of exercise counselling sessions reduced to 1–2 per year |
Group setting was not asked for, but 1:1 setting was appreciated | No fixed, mandatory group discussions | ||
Individualisation, Exercise counselling | Setting goals, action planning, evaluation goal attainment | PTs did not use the assessments to define exercise goals, as there were no norm data or previous data available | New project on norm data will be launched. The more measurements are carried out, the more comparisons exist and enable a better interpretation |
The exercise diary was approved as a useful tool. Paper version needs adaptations. Electronic version (“Trainingstagebuch” by Johannes Tscholl) prone to error | Paper version adapted (better explanations, examples) | ||
Development of electronic version is currently considered by SVMB IT | |||
Organisation | |||
Integration of stakeholders | Acceptance of EG concept | 62% satisfied with EG concept, 80% satisfied with exercise counselling, 68% satisfied with fitnessassessments. «MOVE SVMB» was not used by participants | «MOVE SVMB» changed to «BeFit» and a new logo was released |