The influence of clinician values, beliefs and attitudes on implementation
stroke
STROKE
Complex interventions are often reliant on changing the behaviour of clinicians. In our study, clinicians were interested in the approach and committed to participating in the research, but implementation was impacted by professional values, and attitudes toward the intervention varied. Whether teams were flexible or rule-bound was key to the extent that the intervention was accepted and implemented, and could be reflective of the wider culture within the Units. Values played a dominant role in how the intervention was perceived, understood, and subsequently delivered. The role of an “opinion leader” was evident in how teams constructed their understanding of the approach, and subsequently how they engaged with it. Specifically, the values expressed by those in clinical leadership positions influenced the views expressed by others within the group.The issue of implementation fidelity being moderated by clinicians beliefs or concerns about interventions has been reported elsewhere in the stroke rehabilitation literature [