Evidence-Based Practice Implementation in Stroke Rehabilitation: A Scoping Reviewof Barriers and Facilitators.

Importance: Despite advancements in stroke rehabilitation research, occupational therapy practitioners still face challenges with implementing research into routine practice. Although the development of evidence-based practices (EBPs) is one critical step along the knowledge translation continuum fo...

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Publicado en:American Journal of Occupational Therapy Vol. 74; no. 1; pp. 1 - 15
Autores principales: Juckett, Lisa A., Wengerd, Lauren R., Faieta, Julie, Griffin, Christine E.
Formato: research systematic review tables/charts Journal Article
Publicado: American Occupational Therapy Association Jan/Feb2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2020
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2020.035485
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        atl: Evidence-Based Practice Implementation in Stroke Rehabilitation: A Scoping Reviewof Barriers and Facilitators.
      aug:
        au:
          Juckett, Lisa A.
          Wengerd, Lauren R.
          Faieta, Julie
          Griffin, Christine E.
        affil: Lisa A. Juckett, MOT, OTR/L, CHT, is Instructor, Occupational Therapy Division, The Ohio State University, Columbus
      sug:
        subj:
          Occupational Therapy Practice, Evidence-Based
          Stroke Rehabilitation
          Research, Occupational Therapy
          Program Implementation
          Human
          Scoping Review
          CINAHL Database
          Medline
          PubMed
          Upper Extremity Physiology
          Movement
          Mirror Therapy
          Quality of Life
          Survivors
          Occupational Therapists
          Adult
          Systematic Review
          Adult: 19-44 years
      ab: Importance: Despite advancements in stroke rehabilitation research, occupational therapy practitioners still face challenges with implementing research into routine practice. Although the development of evidence-based practices (EBPs) is one critical step along the knowledge translation continuum for the population of people with stroke, research is also needed to identify the most effective strategies for implementing EBPs with stroke survivors who are receiving occupational therapy services. Objective: To synthesize research related to occupational therapy practitioners' implementation of EBPs in adult stroke rehabilitation. Data Sources: We searched four electronic databases--CINAHL, MEDLINE, PubMed, and Academic Search Complete--and the peer-reviewed journal Implementation Science to identify relevant research studies. Study Selection and Data Collection: Studies that met the following inclusion criteria were included in the scoping review: published between January 2003 and January 2018, addressed the adult stroke population, and examined the implementation of occupational therapy interventions. Data were abstracted on the basis of recommendations from the seminal review framework established by Arksey and O'Malley (2005). Thematic analysis identified themes that emerged from the included studies. Findings: Twenty-five articles satisfied our inclusion parameters. Our analyses yielded three overarching themes: barriers to implementation, facilitators of implementation, and implementation strategies. Implementation strategies often consisted of multimodal knowledge translation training programs. Conclusion and Relevance: Although the stroke rehabilitation literature appears to have established the barriers to and facilitators of EBP implementation, greater attention to the identification of effective implementation strategies that promote the uptake of EBPs by occupational therapy practitioners is needed.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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