and 2 other(s)
Background: Intensive rehabilitation is important to optimize recovery in inpatient stroke rehabilitation. In Ontario Canada, rehabilitation intensity (RI) includes active goal directed one-to-one therapy, which is monitored or guided by a therapist. Stroke RI is measured in minutes and collected, monitored and publicly reported. Through stakeholder engagement, a need was identified to develop a provincial resource to support ongoing RI education. Methods: A standard learning module was developed to provide RI education and evaluate clinician knowledge across the province. The draft module was piloted, refined and validated by clinicians and other stakeholders. The final module included an educational slide deck, 12-item quiz and feedback form. The dissemination process began in December 2017 through an existing infrastructure, with dissemination methods varying by region. Quiz results and feedback informed continuous improvement of the module. Results: Within the first three months, 115 clinicians from 18 organizations completed this module. Scores ranged from 62-100% (median: 92%; mean: 91%). Preliminary data indicate that most errors occurred with questions related to recording of therapy assistant time or collaborative treatment. More organizations and clinicians are expected to complete the module as it is implemented across the province. Initial feedback did not necessitate extensive changes to module format or content. Conclusion: Although data are still being collected, preliminary findings suggest a need for further education related to the measurement of therapy assistant time and collaborative treatment. To support sustainability of RI, results from this work will inform the ongoing development of new RI education or knowledge translation tools.
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