A Network of Sites and Upskilled Therapists to Deliver Best-Practice Stroke Rehabilitation of the Arm : Protocol for a Knowledge Translation Study

Journal article


Carey, Leeanne, Cahill, Liana Sophia, Blennerhassett, Jannette M., Nilsson, Michael, Lannin, Natasha, Thijs, Vincent, Hillier, Susan, Cadilhac, Dominique A., Donnan, Geoffrey, Morris, Meg, Churilov, Leonid, Walker, Michelle, Ramanathan, Shanthi, Pollack, Michael, May, Esther, Cloud, Geoff, McGowan, Sharon, Wijeratne, Tissa, Budge, Marc, ... Matyas, Thomas. (2023). A Network of Sites and Upskilled Therapists to Deliver Best-Practice Stroke Rehabilitation of the Arm : Protocol for a Knowledge Translation Study. Healthcare. 11(23), pp. 1-16. https://doi.org/10.3390/healthcare11233080
AuthorsCarey, Leeanne, Cahill, Liana Sophia, Blennerhassett, Jannette M., Nilsson, Michael, Lannin, Natasha, Thijs, Vincent, Hillier, Susan, Cadilhac, Dominique A., Donnan, Geoffrey, Morris, Meg, Churilov, Leonid, Walker, Michelle, Ramanathan, Shanthi, Pollack, Michael, May, Esther, Cloud, Geoff, McGowan, Sharon, Wijeratne, Tissa, Budge, Marc, McKinnon, Fiona, Olver, John, Hogg, Toni, Murray, Michael, Haslam, Brendon, Koukoulas, Irene, Nielsen, Brittni, Mak-Yuen, Yvonne, Turville, Megan, Neilson, Cheryl, Butler, Anna, Kim, Joosup and Matyas, Thomas
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 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.

Keywordsstroke; implementation science; neurological rehabilitation; stroke rehabilitation; somatosensory; healthcare services; occupational therapy; physiotherapy
Year01 Jan 2023
JournalHealthcare
Journal citation11 (23), pp. 1-16
PublisherMDPI
ISSN2227-9032
Digital Object Identifier (DOI)https://doi.org/10.3390/healthcare11233080
Web address (URL)https://www.mdpi.com/2227-9032/11/23/3080
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-16
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online01 Dec 2023
Publication process dates
Accepted20 Nov 2023
Deposited04 Feb 2024
Additional information

© 2023 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( https://creativecommons.org/licenses/by/4.0/ ).

Place of publicationSwitzerland
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