Evidence map›Paper›PMID 33926440›Full record

ArticleBMC health services research2021

What would 'upscaling' involve? A qualitative study of international variation in stroke rehabilitation.

Kimberley Elizabeth Watkins, William Mark Magnus Levack, Farooq Azam Rathore, Elizabeth Jean Carleton Hay-Smith

Registry-linked trialAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05158543 (Intensity-dependent Effects of 'Functional Activities Specific Training-Table' on Physical Performance in Stroke), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT05158543 nacompletednot on this mapstarted 2023, after this paper: background citation

Intensity-dependent Effects of 'Functional Activities Specific Training-Table' on Physical Performance in Stroke

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2024Enrolled90ConditionsStrokeArmsconventional therapy, Task oriented training (moderate intensity), Task oriented training (high intensity)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  4. Review
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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

4 authors.

Kimberley Elizabeth WatkinsDepartment of Medicine, Rehabilitation Teaching and Research Unit, University of Otago, Mein St, Newtown, PO Box 7343, Wellington, 6242, New Zealand. kim.watkins.pt@gmail.com.ORCID http://orcid.org/0000-0002-7087-5027
William Mark Magnus LevackDepartment of Medicine, Rehabilitation Teaching and Research Unit, University of Otago, Mein St, Newtown, PO Box 7343, Wellington, 6242, New Zealand.
Farooq Azam RathoreDepartment of Rehabilitation Medicine PNS Shifa Hospital DHA-II, Karachi, Pakistan.
Elizabeth Jean Carleton Hay-SmithDepartment of Medicine, Rehabilitation Teaching and Research Unit, University of Otago, Mein St, Newtown, PO Box 7343, Wellington, 6242, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDemand for stroke rehabilitation is expected to grow dramatically; with the estimated prevalence of stroke survivors rising to 70 million worldwide by 2030. The World Health Organization's (WHO) report - Rehabilitation 2030: A call for action - has introduced the objective of 'upscaling' rehabilitation globally to meet demand. This research explored what upscaling stroke rehabilitation might mean for health professionals from countries at different stages of economic development.

methodsQualitative descriptive study design using semi-structured interviews was employed. Purposively sampled, clinical leaders in stroke rehabilitation were recruited for interviews from low through to high-income countries.

resultsTwelve rehabilitation professionals (medicine, physical therapy, occupational therapy, and speech and language therapy) from high (United States of America, Germany, United Kingdom, United Arab Emirates, New Zealand), upper-middle (Colombia and Turkey), lower-middle (Vietnam, Pakistan, Ghana), and low-income countries (Nepal and Sierra Leone) were interviewed. Upscaling was seen as a necessity. Successful scaling up will require initiatives addressing: political governance and managerial leadership, increasing knowledge and awareness of the value of rehabilitation, financial support, workforce developments, physical space and infrastructure, and the development of community services and reintegration.

conclusionAlthough there have been many gains within the development of stroke rehabilitation internationally, further investment is required to ensure that this patient population group continues to receive the best quality services. For the WHO to be successful in implementing their objective to upscale rehabilitation, specific attention will need to be paid to political, professional, economic, and sociocultural issues at global and local levels.

Indexed as

StrokeStroke RehabilitationColombiaGermanyGhanaHumansNepalNew ZealandPakistanSierra LeoneTurkeyUnited Arab EmiratesUnited KingdomVietnamDeveloping countriesPhysical and rehabilitation medicineRehabilitationStroke rehabilitationWorld Health Organization

Identifiers

PMID33926440
PMCPMC8082958

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Registered trials

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.