{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:52:25Z","timestamp":1775148745733,"version":"3.50.1"},"reference-count":108,"publisher":"American Spinal Injury Association","issue":"Supplement","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023]]},"abstract":"\n Background<\/jats:title>\n Activity-based therapy (ABT) has emerged as a therapeutic approach that may promote neurorecovery and reduce secondary complications in people living with spinal cord injury or disease (SCI\/D). In spite of the numerous health benefits, adoption of ABT into practice has been limited across the Canadian care continuum.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n This study aimed to understand the challenges of implementing ABT in Canada for people living with SCI\/D through the perspectives of key interest groups.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Researchers, hospital therapists, community trainers, administrators, persons living with SCI\/D, and advocates, funders, and policy experts who had knowledge of and\/or experience with ABT participated in focus group interviews to share their perspectives on the barriers to ABT practice. Interviews were analyzed using conventional content analysis followed by a comparative analysis across groups.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The 48 participants identified six key challenges: (1) challenge of gaps in knowledge\/training, (2) challenge of standardizing ABT, (3) challenge of determining the optimal timing of ABT, (4) challenge of defining, characterizing, and achieving high dosage and intensity, (5) challenge of funding ABT, and (6) challenge of measuring participation and performance in ABT. A comparative analysis found some challenges were emphasized by certain groups, such as the cost of ABT for persons with SCI\/D, lack of education and training in ABT for therapists and trainers, minimal evidence to develop guidelines for researchers and advocates, and funding ABT programs for administrators.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Participants highlighted several challenges that limit ABT practice. Strategies to address these challenges will support successful implementation of ABT in Canada.<\/jats:p>\n <\/jats:sec>","DOI":"10.46292\/sci23-00022s","type":"journal-article","created":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T05:29:26Z","timestamp":1700026166000},"page":"53-74","source":"Crossref","is-referenced-by-count":3,"title":["Providing Insights into the Challenges of Implementing Activity-Based Therapy in Canada: A Comparative Analysis Using Focus Group Interviews with Key Interest Groups"],"prefix":"10.46292","volume":"29","author":[{"given":"Anita","family":"Kaiser","sequence":"first","affiliation":[{"name":"Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada;"},{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada;"},{"name":"Canadian Spinal Research Organization, Richmond Hill, ON, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Chan","sequence":"additional","affiliation":[{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Sessford","sequence":"additional","affiliation":[{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane","family":"McCullum","sequence":"additional","affiliation":[{"name":"Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, NB, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Athanasopoulos","sequence":"additional","affiliation":[{"name":"Spinal Cord Injury Ontario, Toronto, ON, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Rice","sequence":"additional","affiliation":[{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Leo","sequence":"additional","affiliation":[{"name":"The Steadward Centre for Personal & Physical Achievement, University of Alberta, Edmonton, AB, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iona","family":"MacRitchie","sequence":"additional","affiliation":[{"name":"Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Zariffa","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada;"},{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada;"},{"name":"Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada;"},{"name":"Edward S. Rogers Sr. Department of Electrical and Computer Engineering, University of Toronto, Toronto, ON, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin E.","family":"Musselman","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada;"},{"name":"KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada;"},{"name":"Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"25425","reference":[{"issue":"1","key":"i1945-5763-29-suppl-53-b1","series-title":"J Neuroeng Rehab","first-page":"40","article-title":"Rehabilitation technologies and interventions for individuals with spinal cord injury: Translational potential of current trends","volume":"15","author":"Musselman\n K","year":"2018","unstructured":"Musselman\n K\n , ShahM, ZariffaJ. 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