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Why do patients with stroke not receive the recommended amount of active therapy (ReAcT)? Study protocol for a multisite case study investigation.

Clarke DJ, Tyson S, Rodgers H, Drummond A, Palmer R, Prescott M, Tyrrell P, Burton L, Grenfell K, Brkic L, Forster A - BMJ Open (2015)

Bottom Line: ReAcT is designed to generate insights into the organisational, professional, social, practical and patient-related factors acting as facilitators or barriers to providing the recommended amount of therapy.Provisional recommendations will be debated in consensus meetings with stakeholders who have not participated in ReAcT case studies or interviews.Final recommendations will be disseminated to therapists, service managers, clinical guideline developers and policymakers and stroke-survivors and informal carers.

View Article: PubMed Central - PubMed

Affiliation: Academic Unit of Elderly Care and Rehabilitation, Bradford Institute for Health Research, Bradford, UK.

No MeSH data available.


Related in: MedlinePlus

Stroke unit criteria.
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BMJOPEN2015008443F1: Stroke unit criteria.

Mentions: In England, approximately 85% of all stroke-survivors will spend >90% of their stay in a stroke unit where inpatient therapy is provided.19 Stroke units must meet defined minimum criteria (figure 1) but vary according to whether they focus on hyper-acute care, rehabilitation or a mixture of hyper-acute, acute and rehabilitation care in the same or separate units. Data from SSNAP indicate significant variation between stroke units on performance in providing stroke therapy at levels consistent with national guidelines. The ReAcT study aims to develop an in-depth understanding of stroke therapy provision, including how the recommendation of 45 min of each relevant therapy (PT, OT and/or SALT) a day, is interpreted and implemented by therapists and is experienced by patients and their informal carers in stroke units (figure 2).


Why do patients with stroke not receive the recommended amount of active therapy (ReAcT)? Study protocol for a multisite case study investigation.

Clarke DJ, Tyson S, Rodgers H, Drummond A, Palmer R, Prescott M, Tyrrell P, Burton L, Grenfell K, Brkic L, Forster A - BMJ Open (2015)

Stroke unit criteria.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4550729&req=5

BMJOPEN2015008443F1: Stroke unit criteria.
Mentions: In England, approximately 85% of all stroke-survivors will spend >90% of their stay in a stroke unit where inpatient therapy is provided.19 Stroke units must meet defined minimum criteria (figure 1) but vary according to whether they focus on hyper-acute care, rehabilitation or a mixture of hyper-acute, acute and rehabilitation care in the same or separate units. Data from SSNAP indicate significant variation between stroke units on performance in providing stroke therapy at levels consistent with national guidelines. The ReAcT study aims to develop an in-depth understanding of stroke therapy provision, including how the recommendation of 45 min of each relevant therapy (PT, OT and/or SALT) a day, is interpreted and implemented by therapists and is experienced by patients and their informal carers in stroke units (figure 2).

Bottom Line: ReAcT is designed to generate insights into the organisational, professional, social, practical and patient-related factors acting as facilitators or barriers to providing the recommended amount of therapy.Provisional recommendations will be debated in consensus meetings with stakeholders who have not participated in ReAcT case studies or interviews.Final recommendations will be disseminated to therapists, service managers, clinical guideline developers and policymakers and stroke-survivors and informal carers.

View Article: PubMed Central - PubMed

Affiliation: Academic Unit of Elderly Care and Rehabilitation, Bradford Institute for Health Research, Bradford, UK.

No MeSH data available.


Related in: MedlinePlus