The COVID-19 pandemic has necessitated adoption of telerehabilitation in services where face-to-face consultations were previously standard. We aimed to understand barriers to implementing a telerehabilitation clinical service and design a behaviour support strategy for clinicians to implement telerehabilitation. A hybrid implementation study design included pre and post intervention questionnaires; identification of key barriers to implementation using the theoretical domains framework; and development of a targeted intervention. Thirty-one clinicians completed baseline questionnaires identifying key barriers to the implementation of telerehabilitation. Barriers were associated with behaviour domains of knowledge, environment, social influences and beliefs. A 6-week brief intervention focused on remote clinician support and education was well received but achieved little change in perceived barriers to implementation. The brief intervention to support implementation of telerehabilitation during COVID-19 achieved clinical practice change, but barriers remain. Longer follow-up may determine the sustainability of a brief implementation strategy, but needs to consider pandemic-related stressors.

中文翻译：

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在 COVID-19 期间支持社区康复服务实施远程康复的简要干预措施：可行性研究。

COVID-19 大流行迫使在以前标准的面对面咨询的服务中采用远程康复。我们旨在了解实施远程康复临床服务的障碍，并为临床医生实施远程康复设计行为支持策略。混合实施研究设计包括干预前和干预后问卷；使用理论领域框架确定实施的关键障碍；并制定有针对性的干预措施。31 名临床医生完成了基线调查问卷，确定了实施远程康复的主要障碍。障碍与知识、环境、社会影响和信仰等行为领域有关。以远程临床医生支持和教育为重点的为期 6 周的简短干预受到好评，但在实施障碍方面几乎没有改变。在 COVID-19 期间支持远程康复实施的简短干预实现了临床实践的改变，但仍然存在障碍。更长时间的后续行动可能会决定简短实施策略的可持续性，但需要考虑与大流行相关的压力因素。