Ignite Creation Date:
2024-05-05 @ 4:57 PM
Last Modification Date:
2024-10-26 @ 9:26 AM
Study NCT ID:
NCT00359593
Status:
UNKNOWN
Last Update Posted:
2008-03-20
First Post:
2006-07-31
Brief Title:
Stroke Canada Optimization of Rehabilitation by Evidence Implementation Trial SCORE-IT
Sponsor:
Toronto Rehabilitation Institute
Organization:
Toronto Rehabilitation Institute
Study Overview
Official Title:
Stroke Canada Optimization of Rehabilitation by Evidence Implementation Trial SCORE IT
Status:
UNKNOWN
Status Verified Date:
2006-07
Last Known Status:
RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this project is to evaluate whether using an implementation intervention promotes use of best practices by rehabilitation professionals and leads to improvements in patient outcomes for individuals with stroke
Detailed Description:
Stroke is a leading cause of disability in Canada and frequently causes hemiparesis upper limb and lower limb weakness on one side of the body Approximately one third of stroke survivors require physical rehabilitation to improve their motor and functional recovery 1 Although many strategies have been shown to be effective in promoting recovery after stroke the uptake of evidence-based practice by rehabilitation professionals across Canada is variable The aim of this project is to evaluate whether using an implementation intervention promotes use of best practices by rehabilitation professionals and leads to improvements in patient outcomes for individuals with stroke
This project is a cluster randomized implementation trial for upper and lower limb interventions Rehabilitation centres across Canada will be randomized to receive either an outcome-oriented implementation strategy OOI to facilitate implementation of the EIPRs or a process-oriented implementation strategy POI At the onset rehabilitation professionals practicing in all centres will receive education in using best practice outcome measures related to stroke rehabilitation All centres will be assessed for baseline adherence to the EIPRs Centres in the OOI will receive usual care ie passive dissemination of the written protocols and information about outcome measures Centres in the POI arm will receive a combination of strategies to facilitate EIPR uptake ie use of a local facilitator practice audits with feedback reminder systems and educational sessions Following exposure to the EIPRs all centres will document adherence to the EIPRs and patient outcomes as assessed by the measures An analysis of the costs associated with rehabilitation interventions and the incremental expense of a POI strategy will be undertaken These data will be used to compare the OOI and POI centres with respect to the level of uptake and implementation of EIPRs and related expenses
This project is a cluster randomized implementation trial for upper and lower limb interventions Rehabilitation centres across Canada will be randomized to receive either an outcome-oriented implementation strategy OOI to facilitate implementation of the EIPRs or a process-oriented implementation strategy POI At the onset rehabilitation professionals practicing in all centres will receive education in using best practice outcome measures related to stroke rehabilitation All centres will be assessed for baseline adherence to the EIPRs Centres in the OOI will receive usual care ie passive dissemination of the written protocols and information about outcome measures Centres in the POI arm will receive a combination of strategies to facilitate EIPR uptake ie use of a local facilitator practice audits with feedback reminder systems and educational sessions Following exposure to the EIPRs all centres will document adherence to the EIPRs and patient outcomes as assessed by the measures An analysis of the costs associated with rehabilitation interventions and the incremental expense of a POI strategy will be undertaken These data will be used to compare the OOI and POI centres with respect to the level of uptake and implementation of EIPRs and related expenses
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None