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Increasing knowledge of best practices for occupational therapists treating post-stroke unilateral spatial neglect : results of a knowledge-translation intervention study

The aim of this study was to investigate: (i) the feasibility of
delivering a multi-modal knowledge translation intervention specific to the
management of acute post-stroke unilateral spatial neglect; and (ii) the impact
of the knowledge translation intervention on occupational therapists' knowledge
of evidence-based unilateral spatial neglect problem identification, assessment
and treatment, and self-efficacy related to evidence-based practice
implementation. DESIGN: A 3-period (pre-post) repeated measures design. SUBJECTS:
Acute care occupational therapists treating patients with post-stroke unilateral
spatial neglect were recruited from two major Canadian cities. METHODS:
Participants completed two pre-intervention assessments, took part in a day-long
interactive multi-modal knowledge translation intervention and a subsequent
8-week follow-up, and completed a post-intervention assessment. Knowledge of
evidence-based problem identification, assessment and treatment of unilateral
spatial neglect, and self-efficacy to perform evidence-based practice activities
were measured using standard scales. RESULTS: The intervention was tested on 20
occupational therapists. Results indicate a significant improvement in knowledge
of best practice unilateral spatial neglect management (p < 0.000) and
evidence-based practice self-efficacy in carrying out evidence-based practice
activities (p < 0.045) post-intervention. CONCLUSION: Use of a multi-modal
knowledge translation intervention is feasible and can significantly improve
occupational therapists' knowledge of unilateral spatial neglect best practices
and self-efficacy. The findings should help advance best practices specific to
the management of post-stroke unilateral spatial neglect as well as informing
knowledge translation studies in other areas of practice.

Langue : ANGLAIS

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