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dc.contributor.authorSchokman, Karen-
dc.contributor.authorCahill, Luke-
dc.contributor.otherCarey, L.-
dc.contributor.otherLannin, NA.-
dc.contributor.otherMak-Yuen, Y.-
dc.contributor.otherTurville, M.-
dc.identifier.citationEpworth Research Institute Research Week 2017; Poster 3: pp 26en_US
dc.description.abstractBACKGROUND: Strong evidence exists for the remediation of upper-limb sensory loss and a specific evidence-based approach is recommended in stroke clinical practice guidelines. Despite this, stroke survivors are not currently receiving this treatment. A structured approach is required to translate published research into rehabilitation practices. The SENSe Implement study will determine whether evidence-based research translation strategies can change work practices and behaviours of occupational therapists (OTs) and physiotherapists (PTs) in stroke rehabilitation. Our first aim is to identify site-specific barriers and enablers to OTs' and PTs' use of clinical practice guidelines for rehabilitation of post-stroke upper-limb sensory loss. METHOD: We developed a 'knowledge-transfer' intervention to drive behaviour change in clinical settings. The intervention is guided by Theoretical Domains Framework, with translation strategies from the Behaviour Change Wheel. An interview schedule was developed to determine site-specific barriers and enablers. Participating OTS and PTs (n=62) completed pre-implementation questionnaires and focus group interviews. Multi-faceted translation strategies including: tailoring of the implementation intervention to site-specific barriers and enablers; interactive group training workshop; champion therapists; and provision of educational materials have been introduced in five Australian health organisations. RESULTS: Barriers and incentives for achieving evidence-based practice have been identified. Analysis of pre-implementation data from therapists reveals several emerging themes: The Desire for Best Practice; The Uncertain Therapist; The Importance of Getting it Right. CONCLUSION: Evidence-based strategies and frameworks are important to facilitate implementation of science-based rehabilitation. Implementation interventions should be tailored to site-specific barriers and enablers.en_US
dc.subjectSensory Rehabilitationen_US
dc.subjectStroke Rehabilitationen_US
dc.subjectUpper-Limb Sensory Lossen_US
dc.subjectSENSe Implementen_US
dc.subjectClinical Practice Guidelinesen_US
dc.subjectEvidence-Based Practiceen_US
dc.subjectEvidence-Based Research Translation Strategiesen_US
dc.subjectOccupational Therapistsen_US
dc.subjectBehavioural Change in Clinical Settingsen_US
dc.subjectTheoretical Domains Frameworken_US
dc.subjectBehaviour Change Wheelen_US
dc.subjectSite-Specific Barriersen_US
dc.subjectSite-Specific Enablersen_US
dc.subjectInteractive Group Training Workshopsen_US
dc.subjectChampion Therapistsen_US
dc.subjectProvision of Educational Materialsen_US
dc.subjectRehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titleSENSe Implement: changing clinical practice in sensory rehabilitation of the arm after stroke.en_US
dc.typeConference Posteren_US
dc.description.affiliatesOccupational Therapy, Department of Community and Clinical Allied Health, School of Allied Health, College of Science, Health and Engineering, La Trobe Universityen_US
dc.description.affiliatesNeurorehabilitation and Recovery, Stroke Division, Florey Institute of Neuroscience and Mental Healthen_US
dc.description.affiliatesOccupational Therapy Department, Epworth HealthCareen_US
dc.description.affiliatesDepartment of Occupational Therapy, School fo Allied Healthen_US
dc.type.studyortrialClinical Trialen_US
dc.description.conferencenameEpworth Research Institute Research Week 2017en_US
dc.description.conferencelocationEpworth Research Institute, Victoria, Australiaen_US
Appears in Collections:Rehabilitation
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