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
Autor: | Claire Stewart, Emma Power, Suzanne Kuys, Meryl Lovarini, Annie McCluskey |
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Rok vydání: | 2020 |
Předmět: |
Male
Occupational therapy knowledge translation medicine.medical_specialty Behaviour change Attitude of Health Personnel medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation self-directed practice Motor Activity Phase (combat) occupational therapy Intervention (counseling) Knowledge translation Humans Medicine implementation Stroke 11 Medical and Health Sciences physiotherapy Aged Aged 80 and over Rehabilitation business.industry Books Australia Stroke Rehabilitation cerebrovascular disorders Middle Aged medicine.disease Hospitalization Practice Psychological Physical therapy Female Observational study business |
Zdroj: | Clinical Rehabilitation. 34:607-616 |
ISSN: | 1477-0873 0269-2155 |
Popis: | Objective: The aim of this study was to evaluate a staff behaviour change intervention to increase the use of ward-based practice books and active practice by stroke inpatients. Design: This is a pre–post observational study. Setting: This study was conducted in a inpatient rehabilitation unit in Australia. Subjects: Stroke inpatients participated in the study. Intervention: A staff behaviour change intervention was designed to support staff to implement practice books. The intervention included staff training on motivation and coaching, and weekly audit and feedback for six months. The environment was restructured to bring staff together weekly at the bedside to review audit data and share skills. Main measures: Medical record audit and behavioural mapping were used to compare the number of stroke participants with/using a practice book pre- and post-intervention. Pre- and post-intervention, the percentage of observations where a stroke participant was actively practising, repetitions of practice recorded and type of supervision were compared. Results: A total of 24 participants were observed ( n = 12 pre, n = 12 post). Post-intervention, the number of participants with practice books increased from one to six (OR = 11, 95% CI = (0.9, 550.7)), but this change was not statistically significant ( P = 0.069). Five participants recorded repetitions in their practice books post-intervention, three were observed using practice books. There was no change in median repetitions recorded ( rpbs = 0.00, 95% CI = (−0.4, 0.4), P = 1.000) or observed active practice ( rpbs = –0.02, 95% CI = (−0.4, 0.4), P = 0.933). Active practice was often fully supervised by a therapist. Conclusion: 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. |
Databáze: | OpenAIRE |
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