Darcy Ummels

134 | Chapter 6 iteration was a source for improvement, and several times, fine ‐ tuning of the flowchart took place. The flowchart included when to use the activity tracker and with which goals, which could either be assessment goals or intervention goals (more physical activity, less physical activity, or dividing physical activity over the day). Furthermore, therapists formulated how they could use the activity tracker as a support tool to identify the coping mechanism of a patient. Finally, the therapists were able to tailor the manual. The action research approach with multi ‐ iterations was needed to support professionals and embed the activity tracker in their daily clinical practice within a specialized mental healthcare center. For future studies and implementation processes, it is important to remember that healthcare professionals need time to learn how to use such innovation and reflect on this use in daily clinical practice. It is important that healthcare professionals can learn from and with each other and receive sufficient support and guidance during the implementation process and feedback from patients. The design of this study can be used as an example when implementing innovations in healthcare settings and parts of the results can be transferred to other healthcare settings (e.g., primary care settings). Acknowledgments We would like to thank all therapists and clients from Het Rughuis Parkstad who participated in this research. Furthermore, we would like to thank Laura Hochstenbach for her help during the analyses of the data.

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