A Phase 2/3 interventional study of Knowledge translation intervention package in Stroke, sponsored by Toronto Rehabilitation Institute. Status unknown at 2 sites in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2008-03-20.
Sponsored by Toronto Rehabilitation Institute · Phase 2/3 and Interventional
The aim of this project is to evaluate whether using an implementation intervention promotes use of best practices by rehabilitation professionals and leads to improvements in patient outcomes for individuals with stroke.
Stroke is a leading cause of disability in Canada and frequently causes hemiparesis (upper limb and lower limb weakness on one side of the body). Approximately one third of stroke survivors require physical rehabilitation to improve their motor and functional recovery (1). Although many strategies have been shown to be effective in promoting recovery after stroke, the uptake of evidence-based practice by rehabilitation professionals across Canada is variable. The aim of this project is to evaluate whether using an implementation intervention promotes use of best practices by rehabilitation professionals and leads to improvements in patient outcomes for individuals with stroke.
This project is a cluster randomized implementation trial for upper and lower limb interventions. Rehabilitation centres across Canada will be randomized to receive either an outcome-oriented implementation strategy (OOI) to facilitate implementation of the EIPRs or a process-oriented implementation strategy (POI). At the onset, rehabilitation professionals practicing in all centres will receive education in using best practice outcome measures related to stroke rehabilitation. All centres will be assessed for baseline adherence to the EIPRs. Centres in the OOI will receive "usual care" (i.e. passive dissemination of the written protocols and information about outcome measures). Centres in the POI arm will receive a combination of strategies to facilitate EIPR uptake (i.e., use of a local facilitator, practice audits with feedback, reminder systems and educational sessions). Following exposure to the EIPRs, all centres will document adherence to the EIPRs, and patient outcomes as assessed by the measures. An analysis of the costs associated with rehabilitation interventions and the incremental expense of a POI strategy will be undertaken. These data will be used to compare the OOI and POI centres with respect to the level of uptake and implementation of EIPRs and related expenses.
7,286 studies on the registry are indexed under Stroke; 2,013 are open to participants now.
This study's planned enrollment of 2,000 is above the median of 50 across 5,366 interventional studies indexed under Stroke.
Browse Stroke studies →Toronto Rehabilitation Institute is the lead sponsor of 39 studies on the registry; 5 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Rehabilitation Hospitals/Research Sites:
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Exclusion Criteria:
Patients:
Inclusion Criteria:
Exclusion Criteria:
Arm function as measured by the Box and Block test
Walking speed as measured by the 6 minutes walk test
Arm function as measured by the Chedoke Arm and Hand Activity Inventory (CAHAI- 9)
Impairment as measured by the Chedoke-McMaster Stroke Assessment Scale (CMSA)
Independence of daily living as measured by the 3. Functional Independence Measure (FIM)
Economic outcomes measured by the Quality Adjusted Life Years (QALY)
This study is status unknown, as verified in Jul 2006. You cannot join it, but the record below documents what was studied.
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Toronto Rehabilitation Institute