Division of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK.
Int J Stroke. 2013 Jan;8(1):11-7. doi: 10.1111/j.1747-4949.2012.00974.x.
Despite the recent advances in stroke rehabilitation research, the translation of research evidence into practice remains a challenge. The purpose of this article is to communicate practical experience and describe research methodologies used to promote change and implementation of stroke rehabilitation research in three international settings. In England, the development of an evidence-based consensus document, combined with qualitative and quantitative methods, was used to promote practice change in community-based stroke services. The Canadian research program involved synthesis of evidence, creation of user friendly information, and development of multimodal knowledge transfer strategies to promote change at an individual clinician level. Australian researchers followed a multistep process, involving audit and feedback, identification of barriers, and tailored education to improve implementation of one clinical guideline recommendation. Reducing the evidence-practice gap requires the development of active management strategies. This article highlights the importance of close collaboration between stakeholders - both in terms of the transfer of evidence into clinical practice and for optimizing future Phase IV implementation research endeavours.
尽管中风康复研究近年来取得了进展，但将研究证据转化为实践仍然是一个挑战。本文的目的是交流实践经验，并描述在三个国际环境中促进中风康复研究变革和实施所采用的研究方法。在英格兰，结合定性和定量方法，制定基于证据的共识文件，用于促进社区中风服务中的实践变革。加拿大的研究计划包括综合证据、创建用户友好的信息以及开发多模式知识转移策略，以促进个体临床医生层面的变革。澳大利亚研究人员遵循多步骤的过程，包括审核和反馈、确定障碍以及有针对性的教育，以改进一项临床指南建议的实施。缩小证据与实践之间的差距需要制定积极的管理策略。本文强调了利益相关者之间密切合作的重要性，无论是将证据转化为临床实践，还是优化未来第四阶段实施研究工作。
