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Overcoming barriers and embedding processes to sustainably deliver high-dose post-stroke aphasia rehabilitation: a mixed methods longitudinal process evaluation
Journal article   Open access   Peer reviewed

Overcoming barriers and embedding processes to sustainably deliver high-dose post-stroke aphasia rehabilitation: a mixed methods longitudinal process evaluation

Kirstine Shrubsole, Charlotte McCullough, Amy Chandler, Marie-Pier McSween, Rachel Levine, Kate O'Brien, David A Copland and Jade Dignam
BMC health services research, Vol.First online(1)
18/03/2026
PMID: 41851737
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Abstract

Aphasia Stroke Rehabilitation Process evaluation Implementation Evidence-based practice
Delivering evidence-based stroke rehabilitation in clinical practice is challenging due to intervention complexity and healthcare system factors. The Comprehensive High-dose Aphasia Treatment (CHAT) program incorporates best-practice principles for aphasia rehabilitation, but uptake within healthcare services is limited. A multifaceted implementation strategy was developed to support CHAT delivery as part of a single-site 3-year pre-post hybrid type II implementation-effectiveness study. This process evaluation sought to determine the influence of the implementation strategy and organisational context, and to identify mechanisms of impact on the outcomes of the complex intervention.

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