Implementation—The Missing Link in the Research Translation Pipeline: Is It Any Wonder No One Ever Implements Evidence-Based Practice?

I don't give a fuck how hard it is to translate stroke research into clinical practice. Try recovering from a stroke with NO stroke rehab protocols. Leaders don't shy away from difficult tasks. Do we have ANY leaders in stroke?
http://journals.sagepub.com/doi/abs/10.1177/1545968318777844 

Elizabeth A. Lynch, PhD, Brigit M. Chesworth, MPH, Louise A. Connell, PhD

First Published May 31, 2018 Research Article

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Abstract

Despite the exponential growth in the evidence base for stroke rehabilitation, there is still a paucity of knowledge about how to consistently and sustainably deliver evidence-based stroke rehabilitation therapies in clinical practice. This means that people with stroke will not consistently benefit from research breakthroughs, simply because clinicians do not always have the skills, authority, knowledge or resources to be able to translate the findings from a research trial and apply these in clinical practice. This “point of view” article by an interdisciplinary, international team illustrates the lack of available evidence to guide the translation of evidence to practice in rehabilitation, by presenting a comprehensive and systematic content analysis of articles that were published in 2016 in leading clinical stroke rehabilitation journals commonly read by clinicians. Our review confirms that only a small fraction (2.5%) of published stroke rehabilitation research in these journals evaluate the implementation of evidence-based interventions into health care practice. We argue that in order for stroke rehabilitation research to contribute to enhanced health and well-being of people with stroke, journals, funders, policy makers, researchers, clinicians, and professional associations(Like our fucking failures of stroke associations?) alike need to actively support and promote (through funding, conducting, or disseminating) implementation and evaluation research.