Evidence map›Paper›PMID 36924817›Full record

ArticleArchives of physical medicine and rehabilitation2023

Promoting Evidence-Based Practice: The Influence of Novel Structural Change to Accelerate Translational Rehabilitation.

Miriam Rafferty, Laura Stoff, Justin D Smith, Piper Hansen, Melissa Briody, Carmen Diaz, Leslie O'Donnell, Allen W Heinemann, C Hendricks Brown, Richard L Lieber

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

10 authors.

Miriam RaffertyShirley Ryan AbilityLab, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL; Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: mrafferty@sralab.org.
Laura StoffShirley Ryan AbilityLab, Chicago, IL.
Justin D SmithDepartment of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL; Department of Population Health Sciences, University of Utah Eccles School of Medicine, Salt Lake City, UT.
Piper HansenShirley Ryan AbilityLab, Chicago, IL; Occupational Therapy Department, Rush University, Chicago, IL.
Melissa BriodyShirley Ryan AbilityLab, Chicago, IL.
Carmen DiazNorthwestern University, Kellogg School of Management, Chicago, IL.
Leslie O'DonnellShirley Ryan AbilityLab, Chicago, IL.
Allen W HeinemannShirley Ryan AbilityLab, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL.
C Hendricks BrownDepartment of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Richard L LieberShirley Ryan AbilityLab, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL; Hines V.A. Medical Center, Hines, IL.

Funding

The Claude D. Pepper Older Americans Independence Center (OAIC) at Northwestern UniversityP30AG059988 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CELLA, DAVID · 2020 to 2024
$7.1M
Physical Therapy Delivery Models for Long-Term Parkinsons Disease ManagementF32HS025077 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI RAFFERTY, MIRIAM ROSE · 2016 to 2017
$137k
RR&D Senior Research Career Scientist Award ApplicationIK6RX003351 · VA · EDWARD HINES JR VA HOSPITAL · PI LIEBER, RICHARD L. · 2020 to 2025
–
AHRQ HHS F32 HS025077NIA NIH HHS P30 AG059988RRD VA IK6 RX003351
6 · The paper itself

Abstract

objectiveTo evaluate changes in clinicians' use of evidence-based practice (EBP), openness toward EBP, and their acceptance of organizational changes after a rehabilitation hospital transitioned to a new facility designed to accelerate clinician-researcher collaborations.

designThree repeated surveys of clinicians before, 7-9 months, and 2.5 years after transition to the new facility.

settingInpatient rehabilitation hospital.

participantsPhysicians, nurses, therapists, and other health care professionals (n=410, 442, and 448 respondents at Times 1, 2, and 3, respectively).

interventionsImplementation of physical (architecture, design) and team-focused (champions, leaders, incentives) changes in a new model of care to promote clinician-researcher collaborations.

main outcome measuresAdapted versions of the Evidence-Based Practice Questionnaire (EBPQ), the Evidence-Based Practice Attitudes Scale (EBPAS), and the Organizational Change Recipients' Beliefs Scale (OCRBS) were used. Open-ended survey questions were analyzed through exploratory content analysis.

resultsResponse rates at Times 1, 2, and 3 were 67% (n=410), 69% (n=422), and 71% (n=448), respectively. After accounting for familiarity with the model of care, there was greater reported use of EBP at Time 3 compared with Time 2 (adjusted mean

conclusionsAccelerating clinician-researcher collaborations in a rehabilitation setting requires sustained effort for successful implementation beyond novel physical changes. Organizations must be responsive to clinicians' changing concerns to adapt and sustain a collaborative translational medicine model and allow sufficient time, probably years, for such transitions to occur.

Indexed as

Attitude of Health PersonnelPhysiciansEvidence-Based PracticeHealth PersonnelHumansSurveys and QuestionnairesEvidence-based practiceHehabilitationHospitalImplementation scienceInterdisciplinary communicationInterdisciplinary health teamLearning health systemPhysical medicine and rehabilitationRehabilitation centersRehabilitation researchTranslational research

Identifiers

PMID36924817
PMCPMC10502191

What OpenQuestion holds

Textmetadata
LicenceTDM
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.