A behavior change program to increase outings delivered during therapy to stroke survivors by community rehabilitation teams: The Out-and-About trial
@article{McCluskey2016ABC,
title={A behavior change program to increase outings delivered during therapy to stroke survivors by community rehabilitation teams: The Out-and-About trial},
author={Annie McCluskey and Louise Ada and Patrick J. Kelly and Sandy Middleton and Stephen Goodall and Jeremy M. Grimshaw and Pip Logan and Mark Longworth and Aspasia Karageorge},
journal={International Journal of Stroke},
year={2016},
volume={11},
pages={425 - 437}
}Background Australian guidelines recommend that outdoor mobility be addressed to increase participation after stroke. Aim To investigate the efficacy of the Out-and-About program at increasing outings delivered during therapy by community teams, and outings taken by stroke survivors in real life. Method Cluster-randomized trial involving 22 community teams providing stroke rehabilitation. Experimental teams received the Out-and-About program (a behavior change program comprising a training…
Figures, Tables, and Topics from this paper
17 Citations
What is the feasibility and observed effect of two implementation packages for stroke rehabilitation therapists implementing upper limb guidelines? A cluster controlled feasibility study
- Medicine, PsychologyBMJ open quality
- 2020
A facilitator-mediated package was acceptable to therapists working in stroke rehabilitation, and feasibility data suggest increased guideline uptake following implementation, which is likely to support therapists to provide evidence-based upper limb rehabilitation after stroke.
Evaluation of a staff behaviour change intervention to increase the use of ward-based practice books and active practice during inpatient stroke rehabilitation: a phase-1 pre–post observational study
- Medicine, PsychologyClinical rehabilitation
- 2020
A staff behaviour change intervention has the potential to increase the number of stroke survivors receiving ward-based practice books but did not increase active practice.
Previous experience and walking capacity predict community outings after stroke: An observational study
- Medicine, PsychologyPhysiotherapy theory and practice
- 2018
The strongest predictors of community participation were the number of outings early post-inpatient rehabilitation, walking capacity, and age.
Implementation Strategies and Outcomes for Occupational Therapy in Adult Stroke Rehabilitation: A Scoping Review
- Medicine, Psychology
- 2021
BackgroundEvery year, millions of people worldwide experience a stroke. Given the degree of physical, cognitive, visual, and behavioral impairments post-stroke, stroke survivors often encounter…
Implementation strategies and outcomes for occupational therapy in adult stroke rehabilitation: a scoping review
- Medicine, PsychologyImplementation Science
- 2021
The occupational therapy profession must identify effective strategies that promote the use of evidence-based practices in routine stroke care and describe those strategies, as well as associated outcomes, using uniform nomenclature to advance the occupational therapy field’s ability to draw conclusions about effective implementation strategies across diverse practice settings.
A professional development program increased the intensity of practice undertaken in an inpatient, upper limb rehabilitation class: A pre-post study.
- Medicine, PsychologyAustralian occupational therapy journal
- 2019
Providing professional development was associated with increased intensity of practice in an inpatient, upper limb rehabilitation class and any increase would be maintained six months after the cessation of the program.
Evidence-Based Practice Implementation in Stroke Rehabilitation: A Scoping Review of Barriers and Facilitators.
- Medicine, PsychologyThe American journal of occupational therapy : official publication of the American Occupational Therapy Association
- 2020
IMPORTANCE
Despite advancements in stroke rehabilitation research, occupational therapy practitioners still face challenges with implementing research into routine practice. Although the development…
Implementation interventions to promote the uptake of evidence-based practices in stroke rehabilitation.
- Medicine, PsychologyThe Cochrane database of systematic reviews
- 2020
The effects of implementation interventions tailored to address identified barriers to change compared to non-tailored interventions in stroke rehabilitation were assessed and it is uncertain if implementation interventions improve healthcare professional adherence to evidence-based practice in strokes rehabilitation compared with no intervention.
Implementation interventions to promote the uptake of evidence‐based practices in stroke rehabilitation
- Medicine, Psychology
- 2017
It is uncertain if implementation interventions improve healthcare professional adherence to evidence-based practice in stroke rehabilitation compared with no intervention as the certainty of the evidence was very low.
Using audit and feedback to increase clinician adherence to clinical practice guidelines in brain injury rehabilitation: A before and after study
- Medicine, PsychologyPloS one
- 2019
Findings suggest that there are individual indicators which are more amenable to change using an audit and feedback program, and increased clinicians’ adherence to guideline recommendations in an inpatient acquired brain injury rehabilitation setting.
References
SHOWING 1-10 OF 25 REFERENCES
Improving Quality of Life by Increasing Outings after Stroke: Study Protocol for the Out-and-About Trial
- Psychology, MedicineInternational journal of stroke : official journal of the International Stroke Society
- 2013
The Out-and-About trial aims to determine the efficacy and cost effectiveness of an implementation program to change team behavior and increase outings by people with stroke and validate a novel and objective method of measuring outdoor travel to supplement self-report methods.
Increasing delivery of an outdoor journey intervention to people with stroke: A feasibility study involving five community rehabilitation teams
- Medicine, PsychologyImplementation science : IS
- 2010
The 'Out-and-About Implementation Program' helped rehabilitation teams to change their practice, implement evidence, and improve client outcomes, and requires more rigorous evaluation using a cluster randomised trial design.
Randomised controlled trial of an occupational therapy intervention to increase outdoor mobility after stroke
- Medicine, PsychologyBMJ : British Medical Journal
- 2004
A targeted occupational therapy intervention at home increases outdoor mobility in people after stroke.
Rehabilitation aimed at improving outdoor mobility for people after stroke: a multicentre randomised controlled study (the Getting out of the House Study).
- Medicine, PsychologyHealth technology assessment
- 2014
A targeted outdoor mobility rehabilitation programme delivered by 29 NHS therapists to 287 randomly chosen participants for up to 12 sessions over 4 months had a neutral effect in all areas apart from potentially increasing the number of journeys.
Delivering an evidence-based outdoor journey intervention to people with stroke: Barriers and enablers experienced by community rehabilitation teams
- Medicine, PsychologyBMC health services research
- 2010
This study identified barriers and enablers, as perceived by allied health professionals, to delivering an evidence-based (Level 1) outdoor journey intervention for people with stroke and obtained valuable data which have been used to plan behaviour change interventions addressing identified barriers.
controlled trial to evaluate community-based physiotherapy in subacute stroke How feasible is the attainment of community ambulation after stroke? A pilot randomized
- Medicine
- 2008
This work aims to provide a history of rehabilitation in the practice of gerontology in New Zealand over a 50-year period and shows clear trends in the use of conventional and innovative methods.
Improving the assessment of outcomes in stroke: use of a structured interview to assign grades on the modified Rankin Scale.
- Medicine, PsychologyStroke
- 2003
An exercise to validate the assessment of the mRS over the telephone by nonphysician interviewers using an analogously structured interview for the modified Rankin Scale.
Printed educational materials: effects on professional practice and health care outcomes.
- MedicineThe Cochrane database of systematic reviews
- 2000
The effects of printed educational materials compared with no active intervention appear small and of uncertain clinical significance, and it is unclear to what extent the effects of any of the interventions may be worth the costs involved.
Treadmill training is effective for ambulatory adults with stroke: a systematic review.
- Medicine, PsychologyJournal of physiotherapy
- 2013
Improving the Assessment of Outcomes in Stroke: Use of a Structured Interview to Assign Grades on the Modified Rankin Scale
- Medicine, PsychologyStroke
- 2002
Variability and bias between raters in assigning patients to Rankin grades may be reduced by use of a structured interview, which could potentially improve the quality of results from clinical studies in stroke.









