Implementing Evidence-Based In-Hospital Stroke Rehabilitation
Research type
Research Study
Full title
Research to Implement Evidence Based In-Hospital Stroke Rehabilitation (REVIHR)
IRAS ID
151292
Contact name
Marion Walker
Contact email
Sponsor organisation
Research Innovation Services,University of Nottingham
Research summary
High intensity, specialist rehabilitation early post stroke leads to better outcomes for stroke patients. The provision of in-hospital rehabilitation in the UK is variable, occurs much less than in Europe and is not always evidence based. This project aims to understand why these differences occur with the view to facilitating improvements in the delivery of evidence-based stroke rehabilitation. We will focus on the delivery of rehabilitation in four stroke units in the East Midlands region. Following a mixed methods design we will draw information from the following sources:
1.a) We will access anonymised clinical data from the SSNAP stroke audit data set to assess whether our participants reflect the typical casemix of the stroke units.
b) We will also seek consent from patient participants to use information from their medical records. We will explore whether certain patient characteristics (e.g. motor performance) influence activity levels.2. We will recruit stroke patients within a month of their stroke and observe their activity in stroke units focusing on the amount of time spent practicing activities of daily living.
3. We will ask occupational therapists, physiotherapists, nurses, healthcare and rehabilitation assistants caring for our patient participants to complete an activity log of their routine activities.
We will also compare the way patients’ and therapists’ time is spent across the four hospital sites in order to explore where differences occur.
4. We will interview patients, MDT staff members, service managers and commissioners involved with the stroke units.We will explore patients' experience of stroke rehabilitation. Interviews with healthcare professionals will investigate the care processes which help or hinder the delivery of good evidence-based stroke rehabilitation. Patient interviews will last approximately 30 minutes. Staff interviews will last approximately 1 hour.
The proposed research programme will last approximately 14 months.
REC name
East Midlands - Nottingham 1 Research Ethics Committee
REC reference
14/EM/1129
Date of REC Opinion
31 Oct 2014
REC opinion
Further Information Favourable Opinion