Research to Implement EVidence Based In-Hospital Stroke Rehabilitation (REVIHR study)

East MidlandsStroke
Start Date: 1 Jan 2014

Study aims

The REVIHR study aims to develop and evaluate an  intervention to facilitate the delivery of evidence-based stroke rehabilitation in four hospitals across the East Midlands. The study will address the following questions:

  • What is being delivered? We are particularly interested in the amount of time spent in the treatment of basic activities of daily living.
  • Why do differences occur? We will ask staff about barriers and facilitators to providing evidence-based rehabilitation, and seek service user opinions regarding therapy they receive.
  • How can we facilitate evidence based practice? We will develop interventions to target specific problems we identify. The information we gathered on what worked well and areas of challenge will be fed back to healthcare professionals and we will work together to improve evidence based stroke rehabilitation.

Relevance

In the UK around 150,000 people have a stroke each year, with people over 65 years old most at risk. The outcomes of stroke can leave many patients with enduring disabilities. Research has shown that early and appropriately delivered rehabilitation can increase stroke survivors’ independence in performing everyday activities and improve their quality of life. Therefore, it is important that optimal rehabilitation services are offered to reduce the possible long term effects of stroke.

National stroke audit data suggests that some centres are delivering rehabilitation care more effectively than others. There are additional indications that care does not always comply with research evidence recommendations. Our study will attempt to understand why these matters occur.

Our research will generate a number of key outputs that will lead to improvements in service quality and delivery. Firstly, our findings will help inform clinicians’ use of routine hospital data collection and improve methods by which stroke units can monitor and improve the quality of therapy they provide. Secondly, if the evaluation of the change programme proves to be effective in facilitating evidence-based stroke rehabilitation, this programme could be rolled out on a regional and national basis within the framework of Academic Health Science Networks and/or Local Education Training Boards.

Contact 
Prof Marion Walker
marion.walker@nottingham.ac.uk