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http://hdl.handle.net/11434/1133
Title: | SENSe Implement: changing clinical practice in sensory rehabilitation of the arm after stroke. |
Epworth Authors: | Schokman, Karen Cahill, Luke |
Other Authors: | Carey, L. Lannin, NA. Mak-Yuen, Y. Turville, M. |
Keywords: | Sensory Rehabilitation Arms Stroke Rehabilitation Upper-Limb Sensory Loss SENSe Implement Clinical Practice Guidelines Evidence-Based Practice Evidence-Based Research Translation Strategies Occupational Therapists Physiotherapists Behavioural Change in Clinical Settings Theoretical Domains Framework TDF Behaviour Change Wheel BCW Site-Specific Barriers Site-Specific Enablers Interactive Group Training Workshops Champion Therapists Provision of Educational Materials Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia |
Issue Date: | Jun-2017 |
Citation: | Epworth Research Institute Research Week 2017; Poster 3: pp 26 |
Conference Name: | Epworth Research Institute Research Week 2017 |
Conference Location: | Epworth Research Institute, Victoria, Australia |
Abstract: | BACKGROUND: Strong evidence exists for the remediation of upper-limb sensory loss and a specific evidence-based approach is recommended in stroke clinical practice guidelines. Despite this, stroke survivors are not currently receiving this treatment. A structured approach is required to translate published research into rehabilitation practices. The SENSe Implement study will determine whether evidence-based research translation strategies can change work practices and behaviours of occupational therapists (OTs) and physiotherapists (PTs) in stroke rehabilitation. Our first aim is to identify site-specific barriers and enablers to OTs' and PTs' use of clinical practice guidelines for rehabilitation of post-stroke upper-limb sensory loss. METHOD: We developed a 'knowledge-transfer' intervention to drive behaviour change in clinical settings. The intervention is guided by Theoretical Domains Framework, with translation strategies from the Behaviour Change Wheel. An interview schedule was developed to determine site-specific barriers and enablers. Participating OTS and PTs (n=62) completed pre-implementation questionnaires and focus group interviews. Multi-faceted translation strategies including: tailoring of the implementation intervention to site-specific barriers and enablers; interactive group training workshop; champion therapists; and provision of educational materials have been introduced in five Australian health organisations. RESULTS: Barriers and incentives for achieving evidence-based practice have been identified. Analysis of pre-implementation data from therapists reveals several emerging themes: The Desire for Best Practice; The Uncertain Therapist; The Importance of Getting it Right. CONCLUSION: Evidence-based strategies and frameworks are important to facilitate implementation of science-based rehabilitation. Implementation interventions should be tailored to site-specific barriers and enablers. |
URI: | http://hdl.handle.net/11434/1133 |
Type: | Conference Poster |
Affiliated Organisations: | Occupational Therapy, Department of Community and Clinical Allied Health, School of Allied Health, College of Science, Health and Engineering, La Trobe University Neurorehabilitation and Recovery, Stroke Division, Florey Institute of Neuroscience and Mental Health Occupational Therapy Department, Epworth HealthCare Department of Occupational Therapy, School fo Allied Health |
Type of Clinical Study or Trial: | Clinical Trial |
Appears in Collections: | Rehabilitation Research Week |
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