Online Course
Implementation Science: Pre-Implementation Stage
Learn pre-implementation strategies for successful adoption of evidence-based rehabilitation interventions

1-1.5 hours





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Lucio Naccarella
Course instructor

Lucio Naccarella is a health services researcher, evaluator, teacher and implementation science specialist

Course instructor

Learning, Acting and Building for Rehabilitation in Health Systems

Course image - Implementation Science: Pre-Implementation Stage
Summarising the latest research & evidence
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Important Note: This course is specifically intended for ReLAB-HS Implementation Science Foundational Training Groups. If you are from a ReLAB-HS country and want to be part of this training project please email Lucio Naccarella directly. Non-ReLAB-HS participants will be able to complete the course by watching the video(s) and completing the reading and the quiz. However non-ReLAB-HS participants will NOT be able to participate in the brainstorming discussion groups or the key learning activities, we encourage you to use the discussion prompts to engage in conversations with fellow colleagues or students.


Evidence about what works in rehabilitation is improving every day. But that evidence is very slow to enter practice, resulting in inequities in patient outcomes, especially in lower-middle income countries and at a systems level. Rehabilitation is complex, as it involves coordination across multiple roles, settings, systems, rehabilitation specialisations and health professionals.

This course, the first of four, is designed to help create a deliberate space to think about how to plan implementation process efforts to adopt, adapt, spread or sustain new interventions. As rehabilitation is recognised as a complex multi-disciplinary process with many moving parts, within complex multi-level healthcare systems and involving multiple professionals, patients, families and care providers, pre-implementation efforts are more important than ever.


This course aims to overview the steps of pre-implementation to ensure successful adoption of new evidence-based rehabilitation interventions and or practices, especially in low-middle income countries.


This course is made up of videos, reading, forum posts and a final quiz. The course content contains the following:

  1. Videos
  2. Reading
  3. Quiz
  4. Optional Discussions

Target audience

This course is aimed at rehabilitation professionals, students and assistants including but not limited to Physiotherapists, Occupational Therapists, Speech and Language Therapists, Rehabilitation Doctors, Rehabilitation Nurses, Prosthetists, Orthotists, Psychologists, Audiologists, Dietitians, Social Workers. Community Health Workers, Nurses or Medical Doctors interested in this subject are also invited to participate.


Hours of Learning - No deadlines are applied to this course and it can be started and completed in your own time according to your personal schedule. We expect the required elements to take around 1-1.5 hours depending on your schedule and learning style. Additionally there are many optional resources provided and if you choose to review these the course could take longer to complete.
Types of Activities - Reading Physiopedia pages, journal articles, book chapters. Watching videos. Attempting quizzes. Participating in an international discussion forum.
Certificates - At the end of the course, when you have completed all of the required elements, you will be able to download a certificate of completion and 1.2 Plus points will be added to your personalised learning dashboard.

Requirements to complete this course

In order to complete this course and receive a course completion certificate plus CEUs/CCUs/CPD points you will need to:

  1. Respect the Plus Community Culture.
  2. Log all the required learning activities as complete (represented by the orange icons!).
  3. Actively and appropriately participate in the course discussions.
  4. Pass a final quiz with a score of 80% or more.
  5. Complete a course evaluation form.

Learning outcomes

At the end of this course you will be able to:

  • identify implementation factors that may facilitate or hinder implementation of evidence-based rehabilitation interventions
  • analyse how the intervention, context, and key stakeholders are affected by the implementation of evidence-based rehabilitation interventions
Featured reviews
This course is informative, meaningful, and knowledgeable. The exciting part of the course was the quiz, video recording and brainstorming activities!
Ijaz Ul Haq