Acute post‐stroke aphasia management: An implementation science study protocol using a behavioural approach to support practice change.
Background: Evidence should guide decisions in aphasia practice across the continuum of stroke care; however, evidence–practice gaps persist. This is particularly pertinent in the acute setting where 30% of people with stroke will have aphasia, and speech pathologists experience many challenges impl...
| Publicado en: | International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.) Vol. 58; no. 3; pp. 968 - 977 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | protocol tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
May2023
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163160847&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163160847 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14606984 NRNM jtl: International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.) issn: 14606984 maglogo: N pubinfo: dt: May2023 vid: 58 iid: 3 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 163160847 163160847 163160847 10.1111/1460-6984.12816 163160847 ppf: 968 ppct: 9 formats: tig: atl: Acute post‐stroke aphasia management: An implementation science study protocol using a behavioural approach to support practice change. aug: au: Clapham, Renee P. McKinley, Kathryn Stone, Marissa Candy, Mary‐Anne Candy, Phil Carragher, Marcella O'Halloran, Robyn affil: Department of Speech Pathology, St. Vincent's Hospital, Melbourne, VIC, Australia sug: subj: Aphasia Therapy Stroke Complications Implementation Science Behavior Therapy Acute Care Multimethod Studies Stroke Patients Survivors Collaboration Translations Pathologists Audit Knowledge Seminars and Workshops Outcome Assessment ab: Background: Evidence should guide decisions in aphasia practice across the continuum of stroke care; however, evidence–practice gaps persist. This is particularly pertinent in the acute setting where 30% of people with stroke will have aphasia, and speech pathologists experience many challenges implementing evidence‐based practice. This has important consequences for people with aphasia and their close others, as well as speech pathologists working in acute settings. Aims: This study protocol details how we will target practice change using a behavioural approach, with the aim of promoting the uptake of synthesized evidence in aphasia management post‐stroke in the acute hospital setting. Methods & Procedures: We will conduct a mixed‐methods before‐and‐after study following the Knowledge‐to‐Action (KTA) framework. Researchers, speech pathologists and people with lived experience of aphasia will collaborate to identify and prioritize practice gaps, and develop and implement changes to clinical practice based on the Theoretical Domains Framework and Behaviour Change Wheel. Discussion: This study may provide a template for acute stroke services in how to use an implementation science approach to promote the application of synthesized evidence into routine clinical practice to ensure people with aphasia receive high‐quality services. Collaboration among researchers, healthcare providers, people with aphasia and their close others ensures that the identification and targeting of practice gaps are driven by theory, lived experience and the local context. WHAT THIS PAPER ADDS: What is already known on this subject: Synthesized evidence, such as clinical guidelines and consensus statements, provides the highest level of evidence to inform clinical practice, yet discrepancies between delivered care and evidence remain. This discrepancy is of note in the acute setting where clinicians report many challenges implementing the best available evidence, combined with a high proportion of people with stroke who will have aphasia (30%). There are many reasons why evidence is not put into practice, and efforts to change clinical practice need to consider these barriers when developing interventions. What this paper adds to existing knowledge: This study protocol details an implementation science approach to affect clinical practice change, informed by a collaboration of key stakeholders (researchers, speech pathologists, and people with aphasia and their close others). Protocol papers that focus on bridging the gap between evidence and practice are uncommon in communication disorders; moreover, explicit prioritization of practice gaps is a critical but often overlooked aspect of promoting evidence‐based practice. What are the potential or actual clinical implications of this work?: This protocol provides insights into how one study site identified and prioritized evidence–practice gaps using a participatory approach. We provide insights into how clinical practice change may occur by describing how we plan to identify priority evidence–practice gaps and develop an intervention to improve the use of aphasia evidence in routine practice. This protocol aims to share an implementation science approach to service improvement that may be replicated across other services. pubtype: Academic Journal doctype: protocol tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|