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Exploring factors influencing implementation across the explanatory-to-pragmatic trial continuum: a sequential qualitative integration of delivering higher-intensity walking exercise within inpatient stroke rehabilitation.

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Title: Exploring factors influencing implementation across the explanatory-to-pragmatic trial continuum: a sequential qualitative integration of delivering higher-intensity walking exercise within inpatient stroke rehabilitation.
Authors: Ackerley S; Faculty of Health and Medicine, Health Innovation Campus, Lancaster University, Lancaster, UK.; Rakehead Rehabilitation Centre, East Lancashire Hospitals NHS Trust, Burnley General Teaching Hospital, Lancashire, UK., Hung SH; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada., Sheehy L; Bruyère Health Research Institute, Ottawa, ON, Canada., Donkers SJ; School of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon, Canada., Timofeeva P; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada., Best KL; Centre for interdisciplinary research in rehabilitation and social integration (Cirris), Centre intégré universitaire de santé et de services sociaux de La capitale-nationale, Quebec City, QC, Canada.; School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, QC, Canada., Peters S; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; School of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.; Gray Centre for Mobility and Activity, Parkwood Institute, London, ON, Canada., Park SS; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada., Ouellet B; Centre for interdisciplinary research in rehabilitation and social integration (Cirris), Centre intégré universitaire de santé et de services sociaux de La capitale-nationale, Quebec City, QC, Canada.; School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, QC, Canada., Ezeugwu VE; Department of Physical Therapy, University of Alberta, Edmonton, AB, Canada., Milot MH; École de Réadaptation, Faculté de Médecine Et Des Sciences de La Santé, Université de Sherbrooke and Research Center On Aging CIUSSS-de-L'Estrie-CHUS, Quebec, Canada., Sakakibara BM; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.; Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Chronic Disease Prevention and Management, University of British Columbia Okanagan, Kelowna, BC, Canada., Eng JJ; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada., Connell LA; Faculty of Health and Medicine, Health Innovation Campus, Lancaster University, Lancaster, UK. l.connell2@lancaster.ac.uk.; Rakehead Rehabilitation Centre, East Lancashire Hospitals NHS Trust, Burnley General Teaching Hospital, Lancashire, UK. l.connell2@lancaster.ac.uk.
Source: Implementation science communications [Implement Sci Commun] 2026 Jan 08; Vol. 7 (1). Date of Electronic Publication: 2026 Jan 08.
Publication Type: Journal Article
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 101764360 Publication Model: Electronic Cited Medium: Internet ISSN: 2662-2211 (Electronic) Linking ISSN: 26622211 NLM ISO Abbreviation: Implement Sci Commun Subsets: PubMed not MEDLINE
Database: MEDLINE Ultimate
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  Data: <searchLink fieldCode="AU" term="%22Ackerley+S%22">Ackerley S</searchLink>; Faculty of Health and Medicine, Health Innovation Campus, Lancaster University, Lancaster, UK.; Rakehead Rehabilitation Centre, East Lancashire Hospitals NHS Trust, Burnley General Teaching Hospital, Lancashire, UK.<br /><searchLink fieldCode="AU" term="%22Hung+SH%22">Hung SH</searchLink>; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Sheehy+L%22">Sheehy L</searchLink>; Bruyère Health Research Institute, Ottawa, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Donkers+SJ%22">Donkers SJ</searchLink>; School of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon, Canada.<br /><searchLink fieldCode="AU" term="%22Timofeeva+P%22">Timofeeva P</searchLink>; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Best+KL%22">Best KL</searchLink>; Centre for interdisciplinary research in rehabilitation and social integration (Cirris), Centre intégré universitaire de santé et de services sociaux de La capitale-nationale, Quebec City, QC, Canada.; School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, QC, Canada.<br /><searchLink fieldCode="AU" term="%22Peters+S%22">Peters S</searchLink>; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; School of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.; Gray Centre for Mobility and Activity, Parkwood Institute, London, ON, Canada.<br /><searchLink fieldCode="AU" term="%22Park+SS%22">Park SS</searchLink>; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Ouellet+B%22">Ouellet B</searchLink>; Centre for interdisciplinary research in rehabilitation and social integration (Cirris), Centre intégré universitaire de santé et de services sociaux de La capitale-nationale, Quebec City, QC, Canada.; School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, QC, Canada.<br /><searchLink fieldCode="AU" term="%22Ezeugwu+VE%22">Ezeugwu VE</searchLink>; Department of Physical Therapy, University of Alberta, Edmonton, AB, Canada.<br /><searchLink fieldCode="AU" term="%22Milot+MH%22">Milot MH</searchLink>; École de Réadaptation, Faculté de Médecine Et Des Sciences de La Santé, Université de Sherbrooke and Research Center On Aging CIUSSS-de-L'Estrie-CHUS, Quebec, Canada.<br /><searchLink fieldCode="AU" term="%22Sakakibara+BM%22">Sakakibara BM</searchLink>; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.; Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Chronic Disease Prevention and Management, University of British Columbia Okanagan, Kelowna, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Eng+JJ%22">Eng JJ</searchLink>; Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.; Centre for Aging SMART, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Connell+LA%22">Connell LA</searchLink>; Faculty of Health and Medicine, Health Innovation Campus, Lancaster University, Lancaster, UK. l.connell2@lancaster.ac.uk.; Rakehead Rehabilitation Centre, East Lancashire Hospitals NHS Trust, Burnley General Teaching Hospital, Lancashire, UK. l.connell2@lancaster.ac.uk.
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              Text: 2026 Jan 08
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