ArticleBMJ open2021
Factors influencing allied health professionals' implementation of upper limb sensory rehabilitation for stroke survivors: a qualitative study to inform knowledge translation.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions for people with perceptual disorders after stroke: the PIONEER scoping review, Cochrane systematic review and priority setting project.Health technology assessment (Winchester, England) · 2024Pooled it
- Healthcare professionals' perceived barriers and facilitators of implementing clinical practice guidelines for stroke rehabilitation: A systematic review.Clinical rehabilitation · 2023Pooled it
- Increasing Access to FASD-Informed Care: Bringing an Adapted Intervention to Mental Health Providers.Evidence-based practice in child and adolescent mental health · 2026Article
- Using the Theoretical Domains Framework to identify strategies to support the implementation of the guidelines for the physiotherapy management of people with spinal cord injury: a qualitative study.Spinal cord series and cases · 2025Article
- The use of robotic upper limb therapy in routine clinical practice for stroke survivors: Insights from Australian therapists.Australian occupational therapy journal · 2025Article
- Relearning Upper Limb Proprioception After Stroke Through Robotic Therapy: A Feasibility Analysis.Journal of clinical medicine · 2025Article
- Article
- Evaluating the implementation of a digital coordination centre in an Australian hospital setting: a mixed method study protocol.BMJ health & care informatics · 2025Article
- Effects of a Distributed Form of Constraint-Induced Movement Therapy for Clinical Application: The Keys Treatment Protocol.Brain sciences · 2025Article
- Telerehabilitation Implementation: Perspectives from Physiotherapists Working in Complex Care.Physiotherapy Canada. Physiotherapie Canada · 2024Article
- The impact of education/training on nurses caring for patients with stroke: a scoping review.BMC nursing · 2024Article
- Assessment of sensory impairment of the upper limb post-stroke by occupational therapists within the acute setting: A mixed methods study exploring current clinical practice.The British journal of occupational therapy · 2023Article
- Understanding the Barriers of Implementing a Self-Awareness Assessment in Occupational Therapy Practice within a Brain Injury Population: An Exploratory Study.Occupational therapy international · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSomatosensory loss is common after stroke with one-in-two individuals affected. Although clinical practice guidelines recommend providing somatosensory rehabilitation, this impairment often remains unassessed and untreated. To address the gap between guideline recommendations and clinical practice, this study sought to understand the factors influencing delivery of evidence-based upper limb sensory rehabilitation after stroke.
designQualitative study involving focus groups and interviews. Data analysis used an inductive approach (thematic analysis) and deductive analysis using implementation theory (the Theoretical Domains Framework and Normalisation Process Theory).
settingEight healthcare organisations in metropolitan and regional areas of Victoria and New South Wales, Australia.
participantsEighty-seven rehabilitation therapists (79% occupational therapists and 21% physiotherapists) were purposively sampled and participated in a knowledge translation study with staggered recruitment from 2014 to 2018.
resultsThree types of factors influenced therapists' delivery of upper limb somatosensory rehabilitation: individual ('The uncertain, unskilled therapist'), patient ('Patient understanding and priorities
conclusionsOccupational therapists and physiotherapists hold valuable insights towards practice change in somatosensory rehabilitation from the 'frontline'. Therapists experience barriers to change including a lack of knowledge and skills, lack of resources and organisational pressures. Facilitators for change were identified, including social support and therapists' perceived legitimacy in using new somatosensory rehabilitation approaches. Results will inform the design of a tailored implementation strategy to increase the use of evidence-based somatosensory rehabilitation in Australia. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN12615000933550).
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