A multi-faceted knowledge translation approach to support persons with stroke and cognitive impairment: evaluation protocol. McEwen, S., E., Donald, M., Dawson, D., Egan, M., Y., Hunt, A., Quant, S., Runions, S., & Linkewich, E. Implementation science : IS, 10(1):156-157, 11, 2015. abstract bibtex BACKGROUND: Patients with cognitive impairments following a stroke are often denied access to inpatient rehabilitation. The few patients with cognitive impairment admitted to rehabilitation generally receive services based on outdated impairment-reduction models, rather than recommended function-based approaches. Both reduced access to rehabilitation and the knowledge-to-practice gap stem from a reported lack of skills and knowledge regarding cognitive rehabilitation on the part of inpatient rehabilitation team members. To address these issues, a multi-faceted knowledge translation (KT) initiative will be implemented and evaluated. It will be targeted specifically at the inter-professional application of the cognitive orientation to daily occupational performance (CO-OP). CO-OP training combined with KT support is called CO-OP KT. The long-term objective of CO-OP KT is to optimize functional outcomes for individuals with stroke and cognitive impairments. Three research questions are posed: 1. Is the implementation of CO-OP KT associated with a change in the proportion of patients with cognitive impairment following a stroke accepted to inpatient rehabilitation? 2. Is the implementation of CO-OP KT associated with a change in rehabilitation clinicians' practice, knowledge, and self-efficacy related to implementing the CO-OP approach, immediately following and 1 year later? 3. Is CO-OP KT associated with changes in activity, participation, and self-efficacy to perform daily activities in patients with cognitive impairment following stroke at discharge from inpatient rehabilitation and at 1-, 3-, and 6-month follow-ups? METHODS/DESIGN: Three interrelated studies will be conducted. Study 1 will be a quasi-experimental, interrupted time series design measuring monthly summaries of stroke unit level data. Study 2, which relates to changes in health care professional practice and self-efficacy, will be a single group pre-post evaluation design incorporating chart audits and a self-report survey. Study 3 will assess patient functional outcomes using a non-randomized design with historical controls. Assessments will occur during admission and discharge from rehabilitation and at 1, 3, and 6 months following discharge from rehabilitation. DISCUSSION: This project will advance knowledge about the degree to which the implementation of a supported KT initiative can sustainably change health system, knowledge, and patient outcomes.
@article{
title = {A multi-faceted knowledge translation approach to support persons with stroke and cognitive impairment: evaluation protocol},
type = {article},
year = {2015},
identifiers = {[object Object]},
pages = {156-157},
volume = {10},
month = {11},
day = {5},
city = {Sunnybrook Research Institute, Toronto, Canada. sara.mcewen@utoronto.ca.; University of Toronto, Toronto, Canada. sara.mcewen@utoronto.ca.; Sunnybrook Health Sciences Centre, Toronto, Canada.; University of Toronto, Toronto, Canada.; Rotman Research Insti},
id = {020218aa-351a-361d-8c91-caa2481b2e79},
created = {2016-08-21T22:17:58.000Z},
file_attached = {false},
profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
last_modified = {2017-03-14T09:54:45.334Z},
read = {false},
starred = {false},
authored = {false},
confirmed = {true},
hidden = {false},
source_type = {JOUR},
notes = {JID: 101258411; 2015/10/15 [received]; 2015/10/29 [accepted]; 2015/11/05 [aheadofprint]; epublish},
folder_uuids = {a237acd1-03cc-4528-a1f9-3f429ff289a2},
private_publication = {false},
abstract = {BACKGROUND: Patients with cognitive impairments following a stroke are often denied access to inpatient rehabilitation. The few patients with cognitive impairment admitted to rehabilitation generally receive services based on outdated impairment-reduction models, rather than recommended function-based approaches. Both reduced access to rehabilitation and the knowledge-to-practice gap stem from a reported lack of skills and knowledge regarding cognitive rehabilitation on the part of inpatient rehabilitation team members. To address these issues, a multi-faceted knowledge translation (KT) initiative will be implemented and evaluated. It will be targeted specifically at the inter-professional application of the cognitive orientation to daily occupational performance (CO-OP). CO-OP training combined with KT support is called CO-OP KT. The long-term objective of CO-OP KT is to optimize functional outcomes for individuals with stroke and cognitive impairments. Three research questions are posed: 1. Is the implementation of CO-OP KT associated with a change in the proportion of patients with cognitive impairment following a stroke accepted to inpatient rehabilitation? 2. Is the implementation of CO-OP KT associated with a change in rehabilitation clinicians' practice, knowledge, and self-efficacy related to implementing the CO-OP approach, immediately following and 1 year later? 3. Is CO-OP KT associated with changes in activity, participation, and self-efficacy to perform daily activities in patients with cognitive impairment following stroke at discharge from inpatient rehabilitation and at 1-, 3-, and 6-month follow-ups? METHODS/DESIGN: Three interrelated studies will be conducted. Study 1 will be a quasi-experimental, interrupted time series design measuring monthly summaries of stroke unit level data. Study 2, which relates to changes in health care professional practice and self-efficacy, will be a single group pre-post evaluation design incorporating chart audits and a self-report survey. Study 3 will assess patient functional outcomes using a non-randomized design with historical controls. Assessments will occur during admission and discharge from rehabilitation and at 1, 3, and 6 months following discharge from rehabilitation. DISCUSSION: This project will advance knowledge about the degree to which the implementation of a supported KT initiative can sustainably change health system, knowledge, and patient outcomes.},
bibtype = {article},
author = {McEwen, S E and Donald, M and Dawson, D and Egan, M Y and Hunt, A and Quant, S and Runions, S and Linkewich, E},
journal = {Implementation science : IS},
number = {1}
}
Downloads: 0
{"_id":"g3JEFW7NnS5aHyB2W","bibbaseid":"mcewen-donald-dawson-egan-hunt-quant-runions-linkewich-amultifacetedknowledgetranslationapproachtosupportpersonswithstrokeandcognitiveimpairmentevaluationprotocol-2015","downloads":0,"creationDate":"2017-11-23T19:05:20.459Z","title":"A multi-faceted knowledge translation approach to support persons with stroke and cognitive impairment: evaluation protocol","author_short":["McEwen, S., E.","Donald, M.","Dawson, D.","Egan, M., Y.","Hunt, A.","Quant, S.","Runions, S.","Linkewich, E."],"year":2015,"bibtype":"article","biburl":null,"bibdata":{"title":"A multi-faceted knowledge translation approach to support persons with stroke and cognitive impairment: evaluation protocol","type":"article","year":"2015","identifiers":"[object Object]","pages":"156-157","volume":"10","month":"11","day":"5","city":"Sunnybrook Research Institute, Toronto, Canada. sara.mcewen@utoronto.ca.; University of Toronto, Toronto, Canada. sara.mcewen@utoronto.ca.; Sunnybrook Health Sciences Centre, Toronto, Canada.; University of Toronto, Toronto, Canada.; Rotman Research Insti","id":"020218aa-351a-361d-8c91-caa2481b2e79","created":"2016-08-21T22:17:58.000Z","file_attached":false,"profile_id":"217ced55-4c79-38dc-838b-4b5ea8df5597","group_id":"408d37d9-5f1b-3398-a9f5-5c1a487116d4","last_modified":"2017-03-14T09:54:45.334Z","read":false,"starred":false,"authored":false,"confirmed":"true","hidden":false,"source_type":"JOUR","notes":"JID: 101258411; 2015/10/15 [received]; 2015/10/29 [accepted]; 2015/11/05 [aheadofprint]; epublish","folder_uuids":"a237acd1-03cc-4528-a1f9-3f429ff289a2","private_publication":false,"abstract":"BACKGROUND: Patients with cognitive impairments following a stroke are often denied access to inpatient rehabilitation. The few patients with cognitive impairment admitted to rehabilitation generally receive services based on outdated impairment-reduction models, rather than recommended function-based approaches. Both reduced access to rehabilitation and the knowledge-to-practice gap stem from a reported lack of skills and knowledge regarding cognitive rehabilitation on the part of inpatient rehabilitation team members. To address these issues, a multi-faceted knowledge translation (KT) initiative will be implemented and evaluated. It will be targeted specifically at the inter-professional application of the cognitive orientation to daily occupational performance (CO-OP). CO-OP training combined with KT support is called CO-OP KT. The long-term objective of CO-OP KT is to optimize functional outcomes for individuals with stroke and cognitive impairments. Three research questions are posed: 1. Is the implementation of CO-OP KT associated with a change in the proportion of patients with cognitive impairment following a stroke accepted to inpatient rehabilitation? 2. Is the implementation of CO-OP KT associated with a change in rehabilitation clinicians' practice, knowledge, and self-efficacy related to implementing the CO-OP approach, immediately following and 1 year later? 3. Is CO-OP KT associated with changes in activity, participation, and self-efficacy to perform daily activities in patients with cognitive impairment following stroke at discharge from inpatient rehabilitation and at 1-, 3-, and 6-month follow-ups? METHODS/DESIGN: Three interrelated studies will be conducted. Study 1 will be a quasi-experimental, interrupted time series design measuring monthly summaries of stroke unit level data. Study 2, which relates to changes in health care professional practice and self-efficacy, will be a single group pre-post evaluation design incorporating chart audits and a self-report survey. Study 3 will assess patient functional outcomes using a non-randomized design with historical controls. Assessments will occur during admission and discharge from rehabilitation and at 1, 3, and 6 months following discharge from rehabilitation. DISCUSSION: This project will advance knowledge about the degree to which the implementation of a supported KT initiative can sustainably change health system, knowledge, and patient outcomes.","bibtype":"article","author":"McEwen, S E and Donald, M and Dawson, D and Egan, M Y and Hunt, A and Quant, S and Runions, S and Linkewich, E","journal":"Implementation science : IS","number":"1","bibtex":"@article{\n title = {A multi-faceted knowledge translation approach to support persons with stroke and cognitive impairment: evaluation protocol},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n pages = {156-157},\n volume = {10},\n month = {11},\n day = {5},\n city = {Sunnybrook Research Institute, Toronto, Canada. sara.mcewen@utoronto.ca.; University of Toronto, Toronto, Canada. sara.mcewen@utoronto.ca.; Sunnybrook Health Sciences Centre, Toronto, Canada.; University of Toronto, Toronto, Canada.; Rotman Research Insti},\n id = {020218aa-351a-361d-8c91-caa2481b2e79},\n created = {2016-08-21T22:17:58.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {JID: 101258411; 2015/10/15 [received]; 2015/10/29 [accepted]; 2015/11/05 [aheadofprint]; epublish},\n folder_uuids = {a237acd1-03cc-4528-a1f9-3f429ff289a2},\n private_publication = {false},\n abstract = {BACKGROUND: Patients with cognitive impairments following a stroke are often denied access to inpatient rehabilitation. The few patients with cognitive impairment admitted to rehabilitation generally receive services based on outdated impairment-reduction models, rather than recommended function-based approaches. Both reduced access to rehabilitation and the knowledge-to-practice gap stem from a reported lack of skills and knowledge regarding cognitive rehabilitation on the part of inpatient rehabilitation team members. To address these issues, a multi-faceted knowledge translation (KT) initiative will be implemented and evaluated. It will be targeted specifically at the inter-professional application of the cognitive orientation to daily occupational performance (CO-OP). CO-OP training combined with KT support is called CO-OP KT. The long-term objective of CO-OP KT is to optimize functional outcomes for individuals with stroke and cognitive impairments. Three research questions are posed: 1. Is the implementation of CO-OP KT associated with a change in the proportion of patients with cognitive impairment following a stroke accepted to inpatient rehabilitation? 2. Is the implementation of CO-OP KT associated with a change in rehabilitation clinicians' practice, knowledge, and self-efficacy related to implementing the CO-OP approach, immediately following and 1 year later? 3. Is CO-OP KT associated with changes in activity, participation, and self-efficacy to perform daily activities in patients with cognitive impairment following stroke at discharge from inpatient rehabilitation and at 1-, 3-, and 6-month follow-ups? METHODS/DESIGN: Three interrelated studies will be conducted. Study 1 will be a quasi-experimental, interrupted time series design measuring monthly summaries of stroke unit level data. Study 2, which relates to changes in health care professional practice and self-efficacy, will be a single group pre-post evaluation design incorporating chart audits and a self-report survey. Study 3 will assess patient functional outcomes using a non-randomized design with historical controls. Assessments will occur during admission and discharge from rehabilitation and at 1, 3, and 6 months following discharge from rehabilitation. DISCUSSION: This project will advance knowledge about the degree to which the implementation of a supported KT initiative can sustainably change health system, knowledge, and patient outcomes.},\n bibtype = {article},\n author = {McEwen, S E and Donald, M and Dawson, D and Egan, M Y and Hunt, A and Quant, S and Runions, S and Linkewich, E},\n journal = {Implementation science : IS},\n number = {1}\n}","author_short":["McEwen, S., E.","Donald, M.","Dawson, D.","Egan, M., Y.","Hunt, A.","Quant, S.","Runions, S.","Linkewich, E."],"bibbaseid":"mcewen-donald-dawson-egan-hunt-quant-runions-linkewich-amultifacetedknowledgetranslationapproachtosupportpersonswithstrokeandcognitiveimpairmentevaluationprotocol-2015","role":"author","urls":{},"downloads":0},"search_terms":["multi","faceted","knowledge","translation","approach","support","persons","stroke","cognitive","impairment","evaluation","protocol","mcewen","donald","dawson","egan","hunt","quant","runions","linkewich"],"keywords":[],"authorIDs":[]}