Evidence map›Paper›PMID 30698783›Full record

Observational studyPhysical therapy2019

Building a Bridge to the Community: An Integrated Knowledge Translation Approach to Improving Participation in Community-Based Exercise for People After Stroke.

Marie-Louise Bird, B William Mortenson, Francis Chu, Nicole Acerra, Eric Bagnall, Angela Wright, Karen Hayley, Jennifer Yao, Janice J Eng

Abstract readObservational Study
In one paragraph

Observational study in Physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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.

Marie-Louise BirdDepartment of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
B William MortensonDepartment of Occupational Science and Occupational Therapy, University of British Columbia.
Francis ChuVancouver Coastal Health Authority, Community, Vancouver, British Columbia, Canada.
Nicole AcerraVancouver Coastal Health Authority, Division of Physical Therapy.
Eric BagnallWest Vancouver Community Centre, Health and Wellness, Vancouver, British Columbia, Canada.
Angela WrightVancouver Coastal Health Authority, Community.
Karen HayleyVancouver Coastal Health Authority, Community.
Jennifer YaoVancouver Coastal Health Authority, Division of Physical Medicine and Rehabilitation.
Janice J EngDepartment of Physical Therapy, University of British Columbia, 212-2177 Westbrook Mall, Vancouver, BC, V6T 1Z3 Canada.

Funding

CIHR FDN 143340
6 · The paper itself

Abstract

backgroundPeople who have had a stroke and are living in the community have low levels of physical activity, which reduces their functional capacity and increases risks of developing secondary comorbid conditions. Exercise delivered in community centers can address these low levels of physical activity; however, implementing evidence-based programs to meet the needs of all community stakeholders is challenging.

objectivesThe objective of this study was to determine implementation factors to facilitate participation in relevant exercise and physical activity for people with chronic health conditions, like stroke.

designThe design consisted of a qualitative observational study using an integrated knowledge translation approach.

methodsSupported by an integrated knowledge translation approach, a series of focus groups-with stakeholder group representation that included people who had had a stroke and care partners, community organizations (ie, support groups, community center staff), health care providers, and exercise deliverers-was conducted. During the focus groups, participants provided perspectives on factors that could influence implementation effectiveness. Focus groups were recorded, transcribed, and thematically analyzed.

resultsForty-eight stakeholders participated. Based on the themes, a new implementation model that describes the importance of relationships between community centers, clinicians, and people who have had a stroke is proposed. The development of partnerships facilitates the implementation and delivery of exercise programs for people with ongoing health needs. These partnerships address unmet needs articulated in the focus groups and could fill a gap in the continuity of care.

conclusionsData from this study support the need for the community sector to offer a continuing service in partnership with the health system and people with chronic health needs. It indicates the potential of clinicians to partner with people with chronic health conditions and empower them to improve participation in relevant health behaviors, like community-based exercise.

Indexed as

Exercise TherapyIndependent LivingStakeholder ParticipationTranslational Research, BiomedicalCross-Sectional StudiesFemaleFocus GroupsHealth PersonnelHumansMaleMiddle AgedQualitative ResearchStroke Rehabilitation

Identifiers

PMID30698783
PMCPMC6383711

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.