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The goal of this observational study is to learn about adherence to the 2024 VA/DoD Clinical Practice Guidelines for Stroke Rehabilitation among Turkish physiotherapists and internship students treating post-stroke patients. The main questions it aims to answer are:
Researchers will compare responses from:
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Licensed Physiotherapists | This group includes licensed physiotherapists in Turkey with at least one year of clinical experience treating post-stroke patients. Participants will complete a survey assessing their adherence to clinical practice guidelines, attitudes toward evidence-based practice, and perceived barriers in stroke rehabilitation. |
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| Physiotherapy Internship Students | This group includes final-year physiotherapy students currently completing their clinical internships in Turkey. Participants will complete a survey evaluating their knowledge, attitudes, and challenges related to stroke rehabilitation and the use of evidence-based guidelines. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stroke Rehabilitation Guideline Adherence Survey | Behavioral | This intervention consists of a structured online survey, the Stroke Rehabilitation Guideline Adherence Survey, designed to assess physiotherapists' and physiotherapy internship students' adherence to stroke rehabilitation clinical practice guidelines, their attitudes toward implementing evidence-based post-stroke care, and the perceived barriers-such as time constraints, limited resources, or insufficient training-that influence their compliance. No clinical treatments or procedures are administered; the sole "intervention" is the delivery of this comprehensive questionnaire. |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of Guideline Adherence Between Licensed Physical Therapists and Internship Students | Analysis of differences in adherence scores between licensed physical therapists and internship students to identify any significant variation in guideline implementation practices. | At the time of survey completion (Baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence to Stroke Rehabilitation Guidelines Among Licensed Physical Therapists and Internship Students | Assessment of the level of adherence to evidence-based stroke rehabilitation guidelines among licensed physical therapists and 4th-year internship students. This is measured by responses to a structured questionnaire evaluating compliance with specific clinical practice recommendations. | At the time of survey completion (Baseline) |
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Inclusion Criteria:
Exclusion Criteria:
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Licensed physical therapists and final-year physiotherapy internship students from diverse clinical and academic settings across Turkey will be recruited via email invitations, academic program coordinators, and online professional forums such as WhatsApp and LinkedIn, ensuring a representative community-based sample of practitioners and trainees involved in post-stroke care.
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| Name | Affiliation | Role |
|---|---|---|
| Gizem Ergezen Åžahin, Dr. Assistant Professor | Department of Physiotherapy and Rehabilitation/Istanbul Medipol University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medipol University | Istanbul | Beykoz/İstanbul | 34810 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36475911 | Background | Cormican A, Hirani SP, McKeown E. Healthcare professionals' perceived barriers and facilitators of implementing clinical practice guidelines for stroke rehabilitation: A systematic review. Clin Rehabil. 2023 May;37(5):701-712. doi: 10.1177/02692155221141036. Epub 2022 Dec 7. | |
| 16808090 | Background | Iles R, Davidson M. Evidence based practice: a survey of physiotherapists' current practice. Physiother Res Int. 2006 Jun;11(2):93-103. doi: 10.1002/pri.328. |
| Label | URL |
|---|---|
| This website provides clinical practice guidelines on stroke rehabilitation published by the Veterans Affairs/Department of Defense (VA/DoD). It offers evidence-based recommendations relevant to the study protocol on post-stroke rehabilitation adherence | View source |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D001519 | Behavior |
| D000074822 | Treatment Adherence and Compliance |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
| Identification of Barriers to Implementing Evidence-Based Stroke Rehabilitation Guidelines | Evaluation of the challenges and barriers reported by physical therapists and internship students in applying evidence-based stroke rehabilitation guidelines and advanced techniques, as collected through the survey. | At the time of survey completion (Baseline) |
| 12940766 | Background | Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, Hill JC, Ogilvie L, Volk D. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther. 2003 Sep;83(9):786-805. |
| 18382825 | Background | Korner-Bitensky N, Desrosiers J, Rochette A. A national survey of occupational therapists' practices related to participation post-stroke. J Rehabil Med. 2008 Apr;40(4):291-7. doi: 10.2340/16501977-0167. |
| 17724549 | Background | Rochette A, Korner-Bitensky N, Desrosiers J. Actual vs best practice for families post-stroke according to three rehabilitation disciplines. J Rehabil Med. 2007 Sep;39(7):513-9. doi: 10.2340/16501977-0082. |
| 17823380 | Background | Dumoulin C, Korner-Bitensky N, Tannenbaum C. Urinary incontinence after stroke: identification, assessment, and intervention by rehabilitation professionals in Canada. Stroke. 2007 Oct;38(10):2745-51. doi: 10.1161/STROKEAHA.107.486035. Epub 2007 Sep 6. |
| 34110410 | Background | Paci M, Faedda G, Ugolini A, Pellicciari L. Barriers to evidence-based practice implementation in physiotherapy: a systematic review and meta-analysis. Int J Qual Health Care. 2021 Jun 26;33(2):mzab093. doi: 10.1093/intqhc/mzab093. |
| 20946678 | Background | Salbach NM, Guilcher SJ, Jaglal SB, Davis DA. Determinants of research use in clinical decision making among physical therapists providing services post-stroke: a cross-sectional study. Implement Sci. 2010 Oct 14;5:77. doi: 10.1186/1748-5908-5-77. |
| 19190426 | Background | Gale BV, Schaffer MA. Organizational readiness for evidence-based practice. J Nurs Adm. 2009 Feb;39(2):91-7. doi: 10.1097/NNA.0b013e318195a48d. |
| 8555924 | Background | Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71-2. doi: 10.1136/bmj.312.7023.71. No abstract available. |
| 30598741 | Background | Donkor ES. Stroke in the 21st Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Res Treat. 2018 Nov 27;2018:3238165. doi: 10.1155/2018/3238165. eCollection 2018. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D015438 | Health Behavior |