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

Neurorehabilitation and Neural Repair
Elizabeth A LynchLouise A Connell

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 maker...Continue Reading

References

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Citations

Aug 22, 2018·Neurorehabilitation and Neural Repair·Elaine H Morrato
Oct 12, 2019·Acta Neurologica Scandinavica·Lars EvaldMaria Nordfang
Aug 28, 2020·Disability and Rehabilitation·Laura JolliffeNatasha A Lannin
May 10, 2020·BMJ Health & Care Informatics·Kathryn MoysePatrick Guest
Dec 14, 2018·European Journal of Physical and Rehabilitation Medicine·Sanaz PournajafUNKNOWN Italian Study Group on Implementation of Stroke Care (ISC Study)
Feb 6, 2021·International Journal of Speech-language Pathology·Joanne MurrayNicolette Varvounis
Oct 16, 2020·The Cochrane Database of Systematic Reviews·Liana S CahillDenise O'Connor
May 22, 2020·Archives of Physical Medicine and Rehabilitation·Marcel P DijkersLilian Hoffecker

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