Journal article
Priorities for closing the evidence-practice gaps in poststroke aphasia rehabilitation: a scoping review
Archives of Physical Medicine and Rehabilitation, Vol.99(7), pp.1413-1423
2017
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Source: InCites
Abstract
<p><h3 id="x-x-x-sectitle0015">Objective</h3> <p id="x-x-x-abspara0010">To identify implementation priorities for poststroke <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/aphasia" title="Learn more about Aphasia">aphasia</a> management relevant to the Australian health care context. <h3 id="x-x-x-sectitle0020">Data Sources</h3> <p id="x-x-x-abspara0015">Using systematized searches of databases (CINAHL and MEDLINE), guideline and stroke websites, and other sources, evidence was identified and extracted for 7 implementation criteria for 13 topic areas relevant to aphasia management. These 7 priority-setting criteria were identified in the implementation literature: strength of the evidence, current evidence-practice gap, clinician preference, patient preference, modifiability, measurability, and health effect. <h3 id="x-x-x-sectitle0025">Study Selection</h3> <p id="x-x-x-abspara0020">Articles were included if they were in English, related to a specific recommendation requiring implementation, and contained information pertaining to any of the 7 prioritization criteria. <h3 id="x-x-x-sectitle0030">Data Extraction</h3> <p id="x-x-x-abspara0025">The scoping review methodology was chosen to address the broad nature of the topic. Evidence was extracted and placed in an evidence matrix. After this, evidence was summarized and then aphasia rehabilitation topics were prioritized using an approach developed by the research team. <h3 id="x-x-x-sectitle0035">Data Synthesis</h3> <p id="x-x-x-abspara0030">Evidence from 100 documents was extracted and summarized. Four topic areas were identified as implementation priorities for aphasia: timing, amount, and intensity of therapy; goal setting; information, education, and aphasia-friendly information; and constraint-induced language therapy. <h3 id="x-x-x-sectitle0040">Conclusions</h3> <p id="x-x-x-abspara0035">Closing the evidence-practice gaps in the 4 priority areas identified may deliver the greatest gains in outcomes for Australian stroke survivors with aphasia. Our approach to developing implementation priorities may be useful for identifying priorities for implementation in other health care areas.</p>
Details
- Title
- Priorities for closing the evidence-practice gaps in poststroke aphasia rehabilitation: a scoping review
- Creators
- Kirstine Shrubsole - The University of QueenslandLinda Worrall - The University of QueenslandEmma Power - University of SydneyDenise A O'Connor - Monash University
- Publication Details
- Archives of Physical Medicine and Rehabilitation, Vol.99(7), pp.1413-1423
- Identifiers
- 3616; 991012821226002368
- Academic Unit
- Faculty of Health; School of Health and Human Sciences; Allied Health and Midwifery
- Resource Type
- Journal article