Clinician Adherence to a Standardized Assessment Battery Across Settings and Disciplines in a Poststroke Rehabilitation Population

被引：32

作者：

Bland, Marghuretta D. ^{[1
,2
]}

Sturmoski, Audra ^{[3
]}

Whitson, Michelle ^{[4
]}

Harris, Hilary ^{[4
]}

Connor, Lisa Tabor ^{[2
,5
,6
]}

Fucetola, Robert ^{[2
]}

Edmiaston, Jeff ^{[4
]}

Huskey, Thy ^{[2
]}

Carter, Alexandre ^{[2
]}

Kramper, Marian ^{[3
]}

Corbetta, Maurizio ^{[2
,6
]}

Lang, Catherine E. ^{[1
,2
,6
]}

机构：

[1] Washington Univ, Program Phys Therapy, St Louis, MO 63108 USA

[2] Washington Univ, Dept Neurol, St Louis, MO 63108 USA

[3] Rehabil Inst St Louis, St Louis, MO USA

[4] Barnes Jewish Hosp Rehabil Serv, St Louis, MO USA

[5] Washington Univ, Program Occupat Therapy, St Louis, MO 63108 USA

[6] Washington Univ, Dept Radiol, St Louis, MO 63108 USA

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2013年 / 94卷 / 06期

关键词：

Outcome assessment (health care); Rehabilitation; Stroke; HEALTH-STATUS MEASURES; OUTCOME MEASURES; PHYSICAL-THERAPY; STROKE REHABILITATION; ACUTE-CARE; IMPLEMENTATION; BARRIERS; GUIDELINES; FACILITATORS; RECOVERY;

D O I：

10.1016/j.apmr.2013.02.004

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objectives: (1) To examine clinician adherence to a standardized assessment battery across settings (acute hospital, inpatient rehabilitation facilities [IRFs], outpatient facility), professional disciplines (physical therapy [PT], occupational therapy, speech-language pathology), and time of assessment (admission, discharge/monthly), and (2) to evaluate how specific implementation events affected adherence. Design: Retrospective cohort study. Setting: Acute hospital, IRF, and outpatient facility with approximately 118 clinicians (physical therapists, occupational therapists, speech-language pathologists). Participants: Participants (N=2194) with stroke who were admitted to at least 1 of the above settings. All persons with stroke underwent standardized clinical assessments. Interventions: Not applicable. Main Outcome Measures: Adherence to Brain Recovery Core assessment battery across settings, professional disciplines, and time. Visual inspections of 17 months of time-series data were conducted to see if the events (eg, staff meetings) increased adherence >= 5% and if so, how long the increase lasted. Results: Median adherence ranged from .52 to .88 across all settings and professional disciplines. Both the acute hospital and the IRF had higher adherence than the outpatient setting (P <=.001), with PT having the highest adherence across all 3 disciplines (P<.004). Of the 25 events conducted across the 17-month period to improve adherence, 10 (40%) resulted in a >= 5% increase in adherence the following month, with 6 services (60%) maintaining their increased level of adherence for at least 1 additional month. Conclusions: Actual adherence to a standardized assessment battery in clinical practice varied across settings, disciplines, and time. Specific events increased adherence 40% of the time with those gains maintained for >1 month 60% of the time. (C) 2013 by the American Congress of Rehabilitation Medicine

引用

页码：1048 / 1053

页数：6