Healthcare (Dec 2023)
A Network of Sites and Upskilled Therapists to Deliver Best-Practice Stroke Rehabilitation of the Arm: Protocol for a Knowledge Translation Study
- Leeanne M. Carey,
- Liana S. Cahill,
- Jannette M. Blennerhassett,
- Michael Nilsson,
- Natasha A. Lannin,
- Vincent Thijs,
- Susan Hillier,
- Dominique A. Cadilhac,
- Geoffrey A. Donnan,
- Meg E. Morris,
- Leonid Churilov,
- Marion Walker,
- Shanthi Ramanathan,
- Michael Pollack,
- Esther May,
- Geoffrey C. Cloud,
- Sharon McGowan,
- Tissa Wijeratne,
- Marc Budge,
- Fiona McKinnon,
- John Olver,
- Toni Hogg,
- Michael Murray,
- Brendon Haslam,
- Irene Koukoulas,
- Brittni Nielsen,
- Yvonne Mak-Yuen,
- Megan Turville,
- Cheryl Neilson,
- Anna Butler,
- Joosup Kim,
- Thomas A. Matyas
Affiliations
- Leeanne M. Carey
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Liana S. Cahill
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Jannette M. Blennerhassett
- Austin Campus, Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3084, Australia
- Michael Nilsson
- College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia
- Natasha A. Lannin
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Vincent Thijs
- Austin Campus, Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3084, Australia
- Susan Hillier
- Allied Health and Human Performance, University of South Australia, Adelaide, SA 5001, Australia
- Dominique A. Cadilhac
- Austin Campus, Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3084, Australia
- Geoffrey A. Donnan
- Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3010, Australia
- Meg E. Morris
- Academic and Research Collaborative in Health, La Trobe University, Melbourne, VIC 3086, Australia
- Leonid Churilov
- Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3010, Australia
- Marion Walker
- School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
- Shanthi Ramanathan
- College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia
- Michael Pollack
- Centre for Rehab Innovations, The University of Newcastle, Callaghan, NSW 2308, Australia
- Esther May
- UniSA Health, University of South Australia, Adelaide, SA 5001, Australia
- Geoffrey C. Cloud
- Department of Neuroscience, Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3800, Australia
- Sharon McGowan
- National Stroke Foundation, Melbourne, VIC 3000, Australia
- Tissa Wijeratne
- Department of Medicine, Melbourne Medical School, The University of Melbourne, Melbourne, VIC 3010, Australia
- Marc Budge
- Clinical Sciences at Monash Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3800, Australia
- Fiona McKinnon
- St. Vincent’s Hospital, Melbourne, VIC 3065, Australia
- John Olver
- Epworth Healthcare, Richmond, VIC 3121, Australia
- Toni Hogg
- Barwon Health, Geelong, VIC 3220, Australia
- Michael Murray
- Austin Health, Heidelberg, VIC 3084, Australia
- Brendon Haslam
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Irene Koukoulas
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Brittni Nielsen
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Yvonne Mak-Yuen
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Megan Turville
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Cheryl Neilson
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Anna Butler
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- Joosup Kim
- Austin Campus, Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3084, Australia
- Thomas A. Matyas
- Occupational Therapy, School of Allied Health Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
- DOI
- https://doi.org/10.3390/healthcare11233080
- Journal volume & issue
-
Vol. 11,
no. 23
p. 3080
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.
Keywords
- stroke
- implementation science
- neurological rehabilitation
- stroke rehabilitation
- somatosensory
- healthcare services