Background: Patients with cognitive impairment (CI) and stroke are often denied access to inpatient rehabilitation due to lack of skills and knowledge to treat stroke patients with CI. To address these issues, we implemented a knowledge translation intervention designed to increase rehabilitation team knowledge and self-efficacy based on the Cognitive Orientation to daily Occupational Performance (CO-OP) approach. The aim of this project is to estimate the odds of achieving minimal clinically important difference (MCID) in functional independence relative to sample cohort, rehabilitation hospital, and cognitive impairment severity in people with stroke.
Methods: Five inpatient rehabilitation teams from Toronto, Canada, participated in the intervention that consisted of a 2 day workshop, 4 months of implementation support, health system support, and a sustainability plan. Functional Independence Measure (FIM®) data were extracted from the E-Stroke electronic rehabilitation referral system. Twelve months of data pre-intervention and 6 months post-intervention were analyzed. A logistic regression was performed to determine the odds ratios for achieving MCID based on sample cohort (historical control vs post-intervention), controlling for severity of CI.
Results: Odds of achieving MCID were 1.18 for the post-intervention group relative to the historical control; ranged from 0.17 to 0.47 for the rehabilitation hospitals relative to the most successful site; and were 1.23 for mild CI, 1.04 for moderate CI, and 0.50 for severe CI relative to no cognitive impairment. 
Conclusions: Additional work is required to improve functional independence in people with stroke and severe CI.

EVALUATING FUNCTIONAL INDEPENDENCE IN PEOPLE WITH STROKE AND COGNITIVE IMPAIRMENT AFTER AN INTERPROFESSIONAL KNOWLEDGE TRANSLATIONS INTERVENTION, CO-OP KT