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Development, Implementation and Use of a Process to Promote Knowledge Translation in Rehabilitation.

Arch Phys Med Rehabil; 2017 Sep 16.
Article in English | MEDLINE | ID: mdl-28928025

OBJECTIVE:

To examine the use and impact of the BRAIN on evidence-based practice (EBP) over 6 years.

DESIGN:

A successive independent samples study.SETTING: A large rehabilitation system.PARTICIPANTS: Successive samples of allied health clinicians in 2009 (n=136), 2012 (n=115), and 2015 (n=121).INTERVENTIONS: The BRAIN includes two components: 1) a process to synthesize, adapt and make recommendations about the application of evidence; and 2) a process to implement the recommended practices in 3 levels of care.

MAIN OUTCOME MEASURES:

To assess the impact of the project, surveys on EBP perspectives, use, and barriers were conducted before BRAIN implementation and 3 and 6 years after implementation. Questions about impact of the BRAIN on clinical practice were included 3 and 6 years post-implementation.

RESULTS:

Survey data indicate the BRAIN resulted in a significant increase in use of EBPs to make clinical decisions and justify care. As a result of the BRAIN, survey participants reported a substantial increase in use of outcome measures in 2012 (74%) and 2015 (91%) and evidence-based interventions in 2012 (62%) and 2015 (82%). In 2012, significant differences (p < .01) in impact of the BRAIN on practice were identified between therapists who were directly involved in the BRAIN as compared to uninvolved therapists. In 2015, no significant differences existed between involved and uninvolved therapists.

CONCLUSIONS:

After 6 years of sustained implementation, the BRAIN expedited the adoption of EBPs throughout a large system of care in rehabilitation.