Evidence map›Paper›PMID 26220778›Full record

Observational studyBMC health services research2015

Compliance with Australian stroke guideline recommendations for outdoor mobility and transport training by post-inpatient rehabilitation services: An observational cohort study.

Annie McCluskey, Louise Ada, Patrick J Kelly, Sandy Middleton, Stephen Goodall, Jeremy M Grimshaw, Pip Logan, Mark Longworth, Aspasia Karageorge

Abstract readObservational Study
In one paragraph

Observational study in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Predictors of return to work among stroke survivors in south-west Nigeria.Hong Kong journal of occupational therapy : HKJOT · 2021
    Article
  5. Article
  6. Article
  7. Evidence-Based Practice Implementation in Stroke Rehabilitation: A Scoping Review of Barriers and Facilitators.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Annie McCluskeyDiscipline of Occupational therapy, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia. annie.mccluskey@sydney.edu.au.
Louise AdaDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia. louise.ada@sydney.edu.au.
Patrick J KellySydney School of Public Health, The University of Sydney, Sydney, NSW, Australia. patrick.kelly@sydney.edu.au.
Sandy MiddletonNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Level 5, DeLacey Building, St Vincent's Hospital, Darlinghurst, NSW, 2010, Australia. sandy.middleton@acu.edu.au.
Stephen GoodallCentre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia. stephen.goodall@chere.uts.edu.au.
Jeremy M GrimshawOttawa Health Research Institute and Department of Medicine, Clinical Epidemiology Program, University of Ottawa, Ottawa, Canada. jgrimshaw@ohri.ca.
Pip LoganUniversity of Nottingham, England, UK. pip.logan@nottingham.ac.uk.
Mark LongworthNSW Agency for Clinical Innovation, Sydney, NSW, Australia. mark.longworth@aci.health.nsw.gov.au.
Aspasia KarageorgeDiscipline of Occupational therapy, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia. aspasia.karageorge@sydney.edu.au.

Funding

Department of Health 08/14/51
6 · The paper itself

Abstract

backgroundCommunity participation is often restricted after stroke, due to reduced confidence and outdoor mobility. Australian clinical guidelines recommend that specific evidence-based interventions be delivered to target these restrictions, such as multiple escorted outdoor journeys. The aim of this study was to describe post-inpatient outdoor mobility and transport training delivered to stroke survivors in New South Wales, Australia and whether therapy differed according to type, sector or location of service provider.

methodsUsing an observational retrospective cohort study design, 24 rehabilitation service providers were audited. Provider types included outpatient (n = 8), day therapy (n = 9), home-based rehabilitation (n = 5) and transitional aged care services (TAC, n = 2). Records of 15 stroke survivors who had received post-hospital rehabilitation were audited per service, for wait time, duration, amount of therapy and outdoor-related therapy.

resultsA total of 311 records were audited. Median wait time for post-hospital therapy was 13 days (IQR, 5-35). Median duration of therapy was 68 days (IQR, 35-109), consisting of 11 sessions (IQR 4-19). Overall, a median of one session (IQR 0-3) was conducted outdoors per person. Outdoor-related therapy was similar across service providers, except that TAC delivered an average of 5.4 more outdoor-related sessions (95% CI 4.4 to 6.4), and 3.5 more outings into public streets (95% CI 2.8 to 4.3) per person, compared to outpatient services.

conclusionThe majority of service providers in the sample delivered little evidence-based outdoor mobility and travel training per stroke participant, as recommended in national stroke guidelines.

trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12611000554965.

Indexed as

Guideline AdherenceMobility LimitationStroke RehabilitationSurvivorsAgedAged, 80 and overAustraliaFemaleHealth ServicesHumansInpatientsMaleMedical AuditMiddle AgedOccupational TherapyRetrospective Studies

Identifiers

PMID26220778
PMCPMC4518528

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.