TY - JOUR
T1 - Priorities for Closing the Evidence-Practice Gaps in Poststroke Aphasia Rehabilitation
T2 - A Scoping Review
AU - Shrubsole, Kirstine
AU - Worrall, Linda
AU - Power, Emma
AU - O'Connor, Denise A.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Objective: To identify implementation priorities for poststroke aphasia management relevant to the Australian health care context. Data Sources: 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. Study Selection: 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. Data Extraction: 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. Data Synthesis: 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. Conclusions: 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.
AB - Objective: To identify implementation priorities for poststroke aphasia management relevant to the Australian health care context. Data Sources: 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. Study Selection: 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. Data Extraction: 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. Data Synthesis: 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. Conclusions: 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.
KW - Aphasia
KW - Rehabilitation
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=85034424974&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2017.08.474
DO - 10.1016/j.apmr.2017.08.474
M3 - Review Article
AN - SCOPUS:85034424974
SN - 0003-9993
VL - 99
SP - 1413
EP - 1423
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 7
ER -