Online Course
Implementation Science: Sustainment Stage
Foster sustainment of evidence-based rehabilitation interventions to strengthen rehabilitation inclusive health systems

1 hour





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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: Sustainment 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.


Implementation science has focused mainly on the initial uptake and use of evidence-based practices. There has been less attention to the sustainment of the implemented intervention over time. The complexity of the rehabilitation setting brings its own set of implementation challenges, such as limited human resources, lack of workplace support for the new interventions, and high staff turnover. Implementation sustainment in low-middle income countries, adds another set of challenges: cultural differences, cost barriers, and accessibility.

This course, the final of four, is dedicated to sustaining the successful implementation of innovative systems-level rehabilitation interventions using implementation science to strengthen rehabilitation inclusive health systems.


This course aims to introduce the importance of implementation science capacity building and cover the multiple contextual factors that may influence the sustained use of implementation science approaches for successful uptake of new intervention implementation.


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

  1. Videos
  2. Reading activity
  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, Dietetics, 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 hour 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 0.6 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:

  • define implementation science tools which provide a way of facilitating implementation efforts to change, adopt, implement and sustain evidence-based rehabilitation interventions
  • discuss how implementation science tools can provide a way of facilitating implementation efforts to change, adopt, implement and sustain evidence-based rehabilitation interventions
Featured reviews
Great course! It provides a problem-solving way of thinking to sustain evidence-based interventions.
Jimmie Omodo
Occupational Therapist