You do know that assessments are COMPLETELY AND TOTALLY FUCKING WORTHLESS IN GETTING SURVIVORS RECOVERED?
If you don't get the hell out of stroke!
Applying the knowledge-to-action framework to implement gait and balance assessments in inpatient stroke rehabilitation.
Archives of Physical Medicine and Rehabilitation , Volume 103(7, Supplement) , Pgs. S230-S245.
NARIC Accession Number: J89466. What's this?
ISSN: 0003-9993.
Author(s): Moore, Jennifer L.; Virva, Roberta; Henderson, Chris; Lenca, Lauren; Butzer, John F.; Lovell, Linda; Roth, Elliot; Graham, Ian D.; Hornby, T. George.
Project Number: 90RT5027 (formerly H133B140012).
Publication Year: 2022.
Number of Pages: 16.
NARIC Accession Number: J89466. What's this?
ISSN: 0003-9993.
Author(s): Moore, Jennifer L.; Virva, Roberta; Henderson, Chris; Lenca, Lauren; Butzer, John F.; Lovell, Linda; Roth, Elliot; Graham, Ian D.; Hornby, T. George.
Project Number: 90RT5027 (formerly H133B140012).
Publication Year: 2022.
Number of Pages: 16.
Abstract:
Study implemented an evidence-based gait assessment battery (GAB)
implemented during inpatient stroke rehabilitation and assessed the
effect of the intervention on clinician adherence to the recommendations
and its effect on clinician perceptions and the organization. The GAB
recommendations included the Berg Balance Scale, 10-Meter Walk Test, and
6-Minute Walk Test. The multicomponent implementation plan was based on
the Knowledge-to-Action Framework and included implementation
facilitation, implementation leadership, and a bundle of knowledge
translation interventions that targeted barriers. Implementation was an
iterative process in which results from one implementation phase
informed planning of the next phase. Online surveys were administered
before implementation, and 1 and 3 years after implementation to assess
perceptions, barriers, and current use of outcome measures in clinical
practice. Eight clinicians on the stroke unit (6 physical therapists and
2 physical therapist assistants) participated in the survey in 2015,
2016, and 2018. Results indicated that initial adherence to the GAB was
46 percent and increased to more than 85 percent after 6 months. These
adherence levels remained consistent 48 months after implementation.
Clinician perceptions of measure use were initially high (>63
percent), with significant improvements in knowledge and use of one
measure after implementation. The assessment battery was successfully
implemented with high levels of adherence to recommendations, likely
because of using the bundle of knowledge translation activities,
facilitation, and use of a framework to codevelop the plan. These
changes in practice were sustainable, as determined by a 4-year
follow-up.
Descriptor Terms: AMBULATION, BARRIERS, CLINICAL MANAGEMENT, COMPLIANCE, EQUILIBRIUM, EVALUATION TECHNIQUES, KNOWLEDGE TRANSLATION, MEASUREMENTS, MOBILITY AIDS, OUTCOMES, PHYSICAL THERAPY, POSTURE, REHABILITATION, RESEARCH UTILIZATION, SERVICE UTILIZATION, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Moore, Jennifer L., Virva, Roberta, Henderson, Chris, Lenca, Lauren, Butzer, John F., Lovell, Linda, Roth, Elliot, Graham, Ian D., Hornby, T. George. (2022). Applying the knowledge-to-action framework to implement gait and balance assessments in inpatient stroke rehabilitation. Archives of Physical Medicine and Rehabilitation , 103(7, Supplement), Pgs. S230-S245. Retrieved 8/21/2022, from REHABDATA database.
Descriptor Terms: AMBULATION, BARRIERS, CLINICAL MANAGEMENT, COMPLIANCE, EQUILIBRIUM, EVALUATION TECHNIQUES, KNOWLEDGE TRANSLATION, MEASUREMENTS, MOBILITY AIDS, OUTCOMES, PHYSICAL THERAPY, POSTURE, REHABILITATION, RESEARCH UTILIZATION, SERVICE UTILIZATION, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Moore, Jennifer L., Virva, Roberta, Henderson, Chris, Lenca, Lauren, Butzer, John F., Lovell, Linda, Roth, Elliot, Graham, Ian D., Hornby, T. George. (2022). Applying the knowledge-to-action framework to implement gait and balance assessments in inpatient stroke rehabilitation. Archives of Physical Medicine and Rehabilitation , 103(7, Supplement), Pgs. S230-S245. Retrieved 8/21/2022, from REHABDATA database.
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