{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T18:26:08Z","timestamp":1786818368120,"version":"build-2736575974"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008191","name":"Wings for Life","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008191","id-type":"DOI","asserted-by":"publisher"}]},{"name":"New South Wales Ministry of Health"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spinal Cord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>A qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore participants\u2019, therapists\u2019 and stakeholders\u2019 experiences and perceptions of the trial intervention provided as part of the Early and Intensive Motor Training Trial for people with Spinal Cord Injury (SCI-MT Trial). The intervention involved 12\u2009h per week of task specific training supplemented with strength training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>Fifteen spinal injury units across Europe and Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty semi-structured interviews were conducted including 20 with trial participants, 16 with trial therapists and 4 with stakeholders. Interview questions were framed around the Implementation Research Logic Model and the interview guide was developed by the research team. Inductive and deductive thematic analyses were done iteratively. Trustworthiness was ensured through four criteria (credibility, transferability, dependability and confirmability).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three themes were identified from these interviews, (i) the trial intervention was well received by participants and therapists, (ii) there were strengths and challenges to providing the trial intervention according to its key principles, and (iii) participants, therapists and stakeholders differed in what they felt the trial needed to demonstrate to justify the future rollout of the trial intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There were many features of the intervention provided as part of the SCI-MT Trial that both participants and therapists valued even though the trial results indicated no therapeutic benefit. Consideration should be given to how some of these features could be better incorporated into usual care to improve patient satisfaction and engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration number<\/jats:title>\n                    <jats:p>ACTRN12621000091808.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Universal Trial number<\/jats:title>\n                    <jats:p>U1111-1264-1689<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1038\/s41393-026-01256-4","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T17:39:30Z","timestamp":1786815570000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences and perceptions of participants, therapists and stakeholders about the intervention provided as part of the early and intensive motor training trial for people with SCI: a qualitative study"],"prefix":"10.1038","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5810-2788","authenticated-orcid":false,"given":"Jackie","family":"Chu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8188-3583","authenticated-orcid":false,"given":"Joanne V.","family":"Glinsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9077-8673","authenticated-orcid":false,"given":"Hueiming","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Rimmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Roberts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9920-1010","authenticated-orcid":false,"given":"Federica","family":"Tamburella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Lincoln","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Denis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9201-034X","authenticated-orcid":false,"given":"Lydia W.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"Rainey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9437-7009","authenticated-orcid":false,"given":"Vivien","family":"J\u00f8rgensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"van der Lede","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3139-5415","authenticated-orcid":false,"given":"Charlotte C. 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CE\/PROG.928), Medical Ethics Committee of Maxima Medical Centre, Veldhoven (for the Adelante site and De Hoogstraat Rehabilitation Site in The Netherlands: CCMO code: NL78377.015.21), the Regional Committee for Medical Research Ethics South East Norway (for the Norwegian site, 278129), Yorkshire and The Humber \u2013 Bradford Leeds Research Ethics Committee (for the UK sites: 21\/YH\/0306) and Ethische Commissie Onderzoek UZ\/KULeuven (for the Belgium sites: S65931). We certify that all applicable institutional and governmental regulations concerning the ethical use of human volunteers were followed during the course of this research.","order":2,"name":"Ethics","label":"Statement of ethics","group":{"name":"EthicsHeading","label":"Ethics"}}]}}