A Great stroke association should take charge of this to make sure therapy protocols are quickly put into practice. But this won't occur because no one wants to do the hard work, 'Someone else will do it' Only when we get a persistent stroke survivor in charge will positive things get done. We need a Great stroke association. You will notice they have positive things to say about Canada, England and Australia, conspicuously absent is the US
http://onlinelibrary.wiley.com/doi/10.1111/j.1747-4949.2012.00974.x/abstract;jsessionid=03CF3676C4A490A238FFF3DACDF8D27E.d03t01?deniedAccessCustomisedMessage=&userIsAuthenticated=false
Despite the recent advances in stroke rehabilitation research, the
translation of research evidence into practice remains a challenge. The
purpose of this article is to communicate practical experience and
describe research methodologies used to promote change and
implementation of stroke rehabilitation research in three international
settings. In England, the development of an evidence-based consensus
document, combined with qualitative and quantitative methods, was used
to promote practice change in community-based stroke services. The
Canadian research program involved synthesis of evidence, creation of
user friendly information, and development of multimodal knowledge
transfer strategies to promote change at an individual clinician level.
Australian researchers followed a multistep process, involving audit and
feedback, identification of barriers, and tailored education to improve
implementation of one clinical guideline recommendation. Reducing the
evidence–practice gap requires the development of active management
strategies. This article highlights the importance of close
collaboration between stakeholders – both in terms of the transfer of
evidence into clinical practice and for optimizing future Phase IV
implementation research endeavours.
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