Implementing a novel dance intervention in rehabilitation: perceived barriers and facilitators

Abstract

Purpose: To identify clinicians' perceptions regarding the facilitators and barriers to the use of dance in rehabilitation. Methods: This study used a qualitative descriptive design. Three focus groups were conducted with clinicians across three purposively selected rehabilitation centers. Data were analyzed using thematic content analysis. Results: Fourteen allied health-care professionals (six occupational therapists, six physical therapists, and two social workers) with previous dance experience participated in this study. Four main themes emerged from the analysis representing the personal and organizational factors influencing on the implementation of dance interventions: (1) Clinician's dance experience and training, (2) Interest and personal beliefs towards using dance as a potential intervention, (3) Support from the organization of the institution, and (4) Available resources. Although each site was different, the main factors acting as barriers and facilitators were similar for all three sites. Conclusion: The identification of the barriers and facilitators to implementing dance in rehabilitation is the first step to support the translation of knowledge about dance. A tailored approach designed for clinicians and managers should address the main barriers to knowledge use about dance, as a potential rehabilitation modality for individuals with disabilities.

Implications for Rehabilitation

• Personal and organizational factors can act simultaneously as barriers and facilitators to the implementation of a dance intervention.

• Lack of time for professional development and lack of support from the organization are the main barriers to the uptake of knowledge about dance in rehabilitation.

• A knowledge translation strategy addressing the barriers to knowledge use is helpful for clinicians and managers facilitating the implementation of dance in rehabilitation settings.

• Barriers
• dance intervention
• evidence-based practice
• knowledge translation
• occupational therapy
• physical therapy

Acknowledgements

We acknowledge the contributions of Mylène Dion, Research Assistant, for the transcription of the verbatim and her assistance with leading the focus groups. We also want to thank all the study participants.

Declaration of interest

This work was funded by an Edith Strauss Knowledge Translation Grant from the School of Physical and Occupational Therapy, McGill University.