Activating stroke survivors in acute care is challenging. Engaging the care team to meet the challenge is complex. Canadian Stroke Best Practices advocate for early patient activation to promote recovery. Our team is currently implementing a multi-pronged strategy to promote patient activation for stroke patients during their hospital stay. Objectives: 1) Assess the effect of a music-enhanced movement program on a) amount of time patients are active during their hospital stay, b) length of stay and c) satisfaction with care received. 2) Determine to what extent a series of education capsules for patient care attendants (PCA) will improve knowledge, enhance skills and change practice behaviors related to patient activation on an acute stroke unit. Methods: The music-enhanced program is currently delivered by student volunteers, with supervision from a recreational therapist. Volunteers track patient-related outcomes. Program-related outcomes such as length of stay and satisfaction with care will be analysed pre/post two iterations. The education capsules will be evaluated using a multiple time series design. Results: A first iteration of the music-enhanced movement program resulted in 109 visits by student volunteers and in 21 hours of additional activation for patients. The effect on length of stay and satisfaction of care are currently being examined. The education capsules for the patient care attendants are well-received to date. Conclusions: Patient-related and organizational factors need to be considered when developing innovative approaches in order to enhance their probability of sustainability. Patient activation can begin early after stroke, in acute care, with results that impact care.

ENGAGING THE HEALTH CARE TEAM TO PROMOTE PATIENT ACTIVATION FOR ENHANCED STROKE RECOVERY