Deans' stroke musings: Overcoming practical challenges to conducting clinical research in the inpatient stroke rehabilitation setting

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, March 22, 2015

Overcoming practical challenges to conducting clinical research in the inpatient stroke rehabilitation setting

Finally some acknowledgement that there is literally nothing known about stroke rehabilitation. You're f*cking screwed although your doctors won't acknowledge that truth. I don't give a crap about how hard it is to conduct research, if your stroke department doesn't have a goal to produce stroke research you need to call the hospital president up and ask why they are allowing such non-leaders in their hospital.

Grace B. Campbell¹; Elizabeth R. Skidmore²^,³; Ellen M. Whyte³^,⁴; Judith T. Matthews¹^,⁵

Author Affilations

Keywords: Stroke, Rehabilitation, Research design, Research methodology, Interprofessional relations

DOI: http://dx.doi.org/10.1179/1074935714Z.0000000045

Abstract

Background:

There is a shortage of published empirical studies conducted in acute inpatient stroke rehabilitation, though such studies are greatly needed in order to shed light on the most efficacious inpatient stroke rehabilitation interventions. The inherent challenges of inpatient research may dissuade researchers from undertaking this important work.

Objective:

This paper describes our institution's experience devising practical solutions to research barriers in this setting.

Method:

Through concentrated efforts to overcome research barriers, such as by cultivating collaborative relationships and capitalizing on unanticipated benefits, we successfully facilitated conduct of five simultaneous inpatient stroke studies.

Results:

Tangible benefits realized include increased effectiveness of research participant identification and enrollment, novel collaborative projects, innovative clinical care initiatives, and enhanced emotional and practical support for patients and their families. We provide recommendations based on lessons learned during our experience, and discuss benefits of this collaboration for our research participants, clinical staff, and the research team.