Abstract
Moving
research evidence to practice can take years, if not decades, which
denies stroke patients and families from receiving the best care. We
present the results of an international consensus process prioritizing
what research evidence to implement into stroke rehabilitation practice
to have maximal impact. An international 10-member Knowledge Translation
Working Group collaborated over a six-month period via videoconferences
and a two-day face-to-face meeting. The process was informed from
surveys received from 112 consumers/family members and 502 health care
providers in over 28 countries, as well as from an international
advisory of 20 representatives from 13 countries. From this consensus
process, five of the nine identified priorities relate to service
delivery (interdisciplinary care, screening and assessment, clinical
practice guidelines, intensity, family support) and are generally
feasible to implement or improve upon today. Readily available website
resources are identified to help health care providers harness the
necessary means to implement existing knowledge and solutions to improve
service delivery. The remaining four priorities relate to system issues
(access to services, transitions in care) and resources
(equipment/technology, staffing) and are acknowledged to be more
difficult to implement. We recommend that health care providers,
managers, and organizations determine whether the priorities we
identified are gaps in their local practice, and if so, consider
implementation solutions to address them to improve the quality of lives
of people living with stroke.
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