TAILIEUCHUNG - báo cáo khoa học: "Increasing delivery of an outdoor journey intervention to people with stroke: A feasibility study involving five community rehabilitation teams"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Increasing delivery of an outdoor journey intervention to people with stroke: A feasibility study involving five community rehabilitation teams | McCluskey and Middleton Implementation Science 2010 5 59 http content 5 1 59 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Increasing delivery of an outdoor journey intervention to people with stroke A feasibility study involving five community rehabilitation teams Annie McCluskey1 2 Sandy Middleton3 4t Abstract Background Contrary to recommendations in a national clinical guideline baseline audits from five communitybased stroke rehabilitation teams demonstrated an evidence-practice gap only 17 of eligible people with stroke were receiving targeted rehabilitation by occupational therapists and physiotherapists to increase outdoor journeys. The primary aim of this feasibility study was to design test and evaluate the impact of an implementation program intended to change the behaviour of community rehabilitation teams. A secondary aim was to measure the impact of this change on client outcomes. Methods A before-and-after study design was used. The primary data collection method was a medical record audit. Five community rehabilitation teams and a total of 12 professionals were recruited including occupational therapists physiotherapists and a therapy assistant. A medical record audit was conducted twice over 12 months total of 77 records pre-intervention 53 records post-intervention against a guideline recommendation about delivering outdoor journey sessions to people with stroke. A behavioural intervention the Out-and-About Implementation Program was used to help change team practice. Active components of the intervention included feedback about the audit barrier identification and tailored education to target known barriers. The primary outcome measure was the proportion of medical records containing evidence of multiple outdoor journey sessions. Other outcomes of interest included the proportion of medical records that contained evidence of screening for outdoor journeys and driving by team members and .

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