They don't seem to be measuring 100% recovery, so ask them how they are going to get to 100% recovery with no measurements.
“What's measured, improves.” So said management legend and author Peter F. Drucker
A Network of Sites and Upskilled Therapists to Deliver Best-Practice Stroke Rehabilitation of the Arm: Protocol for a Knowledge Translation Study - Australia
by
1,2,*
, 1,3, 2,4, 5,6, 1,7, 2,4,8, 9, 2,10, 8,11, 12,13, 8, 14, 5,15, 6,16, 17, 7,18, 19, 20,21, 10,22, 23, add
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, 1,3, 2,4, 5,6, 1,7
, 2,4,8, 9, 2,10, 8,11, 12,13, 8, 14, 5,15, 6,16, 17, 7,18, 19, 20,21
, 10,22, 23, add
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1
Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
2
Austin Campus, Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3084, Australia
3
School of Allied Health (Melbourne Campus), Australian Catholic University, Fitzroy, VIC 3065, Australia
4
Austin Health, Heidelberg, VIC 3084, Australia
5
College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia
6
Centre for Rehab Innovations, The University of Newcastle, Callaghan, NSW 2308, Australia
7
Department of
Neuroscience, Central Clinical School, Faculty of Medicine, Nursing and
Health Sciences, Monash University, Melbourne, VIC 3800, Australia
8
Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3010, Australia
9
Allied Health and Human Performance, University of South Australia, Adelaide, SA 5001, Australia
10
Clinical
Sciences at Monash Health, Faculty of Medicine, Nursing and Health
Sciences, Monash University, Melbourne, VIC 3800, Australia
*
Author to whom correspondence should be addressed.
Healthcare 2023, 11(23), 3080; https://doi.org/10.3390/healthcare11233080
Received: 19 August 2023
/
Revised: 22 October 2023
/
Accepted: 20 November 2023
/
Published: 1 December 2023
(This article belongs to the Special Issue Stroke and Ageing)
Abstract
Implementation of evidence-informed rehabilitation
of the upper limb is variable, and outcomes for stroke survivors are
often suboptimal. We established a national partnership of clinicians,
survivors of stroke, researchers, healthcare organizations, and policy
makers to facilitate change. The objectives of this study are to
increase access to best-evidence rehabilitation of the upper limb and
improve outcomes for stroke survivors. This prospective pragmatic,
knowledge translation study involves four new specialist therapy centers
to deliver best-evidence upper-limb sensory rehabilitation (known as
SENSe therapy) for survivors of stroke in the community. A
knowledge-transfer intervention will be used to upskill therapists and
guide implementation. Specialist centers will deliver SENSe therapy, an
effective and recommended therapy, to stroke survivors in the community.
Outcomes include(Not 100% recovery!) number of successful deliveries of SENSe therapy by
credentialled therapists; improved somatosensory function for stroke
survivors; improved performance in self-selected activities, arm use,
and quality of life; treatment fidelity and confidence to deliver
therapy; and for future implementation, expert therapist effect and
cost-effectiveness. In summary, we will determine the effect of a
national partnership to increase access to evidence-based upper-limb
sensory rehabilitation following stroke. If effective, this
knowledge-transfer intervention could be used to optimize the delivery
of other complex, evidence-based rehabilitation interventions.
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