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Published in: BMC Health Services Research 1/2015

Open Access 01-06-2015 | Research article

Assessing feasibility and acceptability of study procedures: getting ready for implementation of national stroke guidelines in out-patient health care

Authors: Susanne Palmcrantz, Malin Tistad, Ann Catrine Eldh, Lotta Widén Holmqvist, Anna Ehrenberg, Göran Tomson, Christina B. Olsson, Lars Wallin

Published in: BMC Health Services Research | Issue 1/2015

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Abstract

Background

Even though Swedish national guidelines for stroke care (SNGSC) have been accessible for nearly a decade access to stroke rehabilitation in out-patient health care vary considerably. In order to aid future interventions studies for implementation of SNGSC, this study assessed the feasibility and acceptability of study procedures including analysis of the context in out-patient health care settings.

Methods

The feasibility and acceptability of recruitment, observations and interviews with managers, staff and patients were assessed, as well as the feasibility of surveying health care records.

Results

To identify patients from the the hospitals was feasible but not from out-patient care where a need to relieve clinical staff of the recruitment process was identified. Assessing adherence to guidelines and standardized evaluations of patient outcomes through health care records was found to be feasible and suitable assessment tools to evaluate patient outcome were identified. Interviews were found to be a feasible and acceptable tool to survey the context of the health care setting.

Conclusion

In this feasibility study a variety of qualitative and quantitative data collection procedures and measures were tested. The results indicate what can be used as a set of feasible and acceptable data collection procedures and suitable measures for studying implementation of stroke guidelines in an out-patient health care context.
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Literature
1.
go back to reference Norrving B, Wester P, Sunnerhagen KS, Terent A, Sohlberg A, Berggren F, et al. Beyond conventional stroke guidelines: setting priorities. Stroke. 2007;38:2185–90.CrossRefPubMed Norrving B, Wester P, Sunnerhagen KS, Terent A, Sohlberg A, Berggren F, et al. Beyond conventional stroke guidelines: setting priorities. Stroke. 2007;38:2185–90.CrossRefPubMed
8.
go back to reference Walker MF, Fisher RJ, Korner-Bitensky N, McCluskey A, Carey LM. From what we know to what we do: translating stroke rehabilitation research into practice. Int J Stroke. 2013;8:11–7.CrossRefPubMed Walker MF, Fisher RJ, Korner-Bitensky N, McCluskey A, Carey LM. From what we know to what we do: translating stroke rehabilitation research into practice. Int J Stroke. 2013;8:11–7.CrossRefPubMed
9.
go back to reference Rycroft-Malone J, Harvey G, Seers K, Kitson A, McCormack B, Titchen A. An exploration of the factors that influence the implementation of evidence into practice. J Clin Nurs. 2004;13:913–24.CrossRefPubMed Rycroft-Malone J, Harvey G, Seers K, Kitson A, McCormack B, Titchen A. An exploration of the factors that influence the implementation of evidence into practice. J Clin Nurs. 2004;13:913–24.CrossRefPubMed
10.
go back to reference Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.CrossRefPubMedPubMedCentral Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.CrossRefPubMedPubMedCentral
11.
go back to reference Rycroft-Malone J, Kitson A, Harvey G, McCormack B, Seers K, Titchen A, et al. Ingredients for change: revisiting a conceptual framework. Qual Saf Health Care. 2002;11:174–80.CrossRefPubMedPubMedCentral Rycroft-Malone J, Kitson A, Harvey G, McCormack B, Seers K, Titchen A, et al. Ingredients for change: revisiting a conceptual framework. Qual Saf Health Care. 2002;11:174–80.CrossRefPubMedPubMedCentral
12.
go back to reference Kitson AL, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A. Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implement Sci. 2008;3:1.CrossRefPubMedPubMedCentral Kitson AL, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A. Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implement Sci. 2008;3:1.CrossRefPubMedPubMedCentral
13.
go back to reference Ovretveit J. Improvement leaders: what do they and should they do? A summary of a review of research. Qual Saf Health Care. 2010;19:490–2.PubMed Ovretveit J. Improvement leaders: what do they and should they do? A summary of a review of research. Qual Saf Health Care. 2010;19:490–2.PubMed
16.
go back to reference Whitehead AL, Sully BG, Campbell MJ. Pilot and feasibility studies: is there a difference from each other and from a randomised controlled trial? Contemp Clin Trials. 2014;38:130–3.CrossRefPubMed Whitehead AL, Sully BG, Campbell MJ. Pilot and feasibility studies: is there a difference from each other and from a randomised controlled trial? Contemp Clin Trials. 2014;38:130–3.CrossRefPubMed
17.
go back to reference Richards DA. Complex interventions in health. An overview of research methods. London & New York: Routledge; 2015. Richards DA. Complex interventions in health. An overview of research methods. London & New York: Routledge; 2015.
18.
go back to reference Feeley N, Cossette S, Cote J, Heon M, Stremler R, Martorella G, et al. The importance of piloting an RCT intervention. Can J Nurs Res. 2009;4:85–99. Feeley N, Cossette S, Cote J, Heon M, Stremler R, Martorella G, et al. The importance of piloting an RCT intervention. Can J Nurs Res. 2009;4:85–99.
19.
go back to reference Seers K, Cox K, Crichton NJ, Edwards RT, Eldh AC, Estabrooks CA, et al. FIRE (Facilitating Implementation of Research Evidence): a study protocol. Implement Sci. 2012;7:25.CrossRefPubMedPubMedCentral Seers K, Cox K, Crichton NJ, Edwards RT, Eldh AC, Estabrooks CA, et al. FIRE (Facilitating Implementation of Research Evidence): a study protocol. Implement Sci. 2012;7:25.CrossRefPubMedPubMedCentral
21.
go back to reference Spradley JP. Participant observation. USA: Wandsworth Thompson Learning; 1980. Spradley JP. Participant observation. USA: Wandsworth Thompson Learning; 1980.
22.
go back to reference Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–98.CrossRefPubMed Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–98.CrossRefPubMed
23.
24.
go back to reference Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24:105–12.CrossRefPubMed Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24:105–12.CrossRefPubMed
25.
go back to reference Ross S, Grant A, Counsell C, Gillespie W, Russell I, Prescott R. Barriers to participation in randomised controlled trials: a systematic review. J Clin Epidemiol. 1999;52:1143–56.CrossRefPubMed Ross S, Grant A, Counsell C, Gillespie W, Russell I, Prescott R. Barriers to participation in randomised controlled trials: a systematic review. J Clin Epidemiol. 1999;52:1143–56.CrossRefPubMed
26.
go back to reference Donnellan C, Sweetman S, Shelley E. Health professionals’ adherence to stroke clinical guidelines: a review of the literature. Health Policy. 2013;11:245–63.CrossRef Donnellan C, Sweetman S, Shelley E. Health professionals’ adherence to stroke clinical guidelines: a review of the literature. Health Policy. 2013;11:245–63.CrossRef
27.
go back to reference Donnellan C, Sweetman S, Shelley E. Implementing clinical guidelines in stroke: a qualitative study of perceived facilitators and barriers. Health Policy. 2013;111:234–44.CrossRefPubMed Donnellan C, Sweetman S, Shelley E. Implementing clinical guidelines in stroke: a qualitative study of perceived facilitators and barriers. Health Policy. 2013;111:234–44.CrossRefPubMed
28.
29.
go back to reference Blackburn DJ, Walters S, Harkness K. Letter by Blackburn et al regarding article, “Is the Montreal cognitive assessment superior to the mini-mental state examination to detect poststroke cognitive impairment? A study with neuropsychological evaluation”. Stroke. 2011;42:e582. author reply e583.CrossRefPubMed Blackburn DJ, Walters S, Harkness K. Letter by Blackburn et al regarding article, “Is the Montreal cognitive assessment superior to the mini-mental state examination to detect poststroke cognitive impairment? A study with neuropsychological evaluation”. Stroke. 2011;42:e582. author reply e583.CrossRefPubMed
30.
go back to reference Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61–5.PubMed Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61–5.PubMed
31.
go back to reference Duncan PW, Bode RK, Min Lai S, Perera S. Rasch analysis of a new stroke-specific outcome scale: the Stroke Impact Scale. Arch Phys Med Rehabil. 2003;84:950–63.CrossRefPubMed Duncan PW, Bode RK, Min Lai S, Perera S. Rasch analysis of a new stroke-specific outcome scale: the Stroke Impact Scale. Arch Phys Med Rehabil. 2003;84:950–63.CrossRefPubMed
32.
go back to reference Duncan PW, Lai SM, Bode RK, Perera S, DeRosa J. Stroke impact scale-16: a brief assessment of physical function. Neurology. 2003;60:291–6.CrossRefPubMed Duncan PW, Lai SM, Bode RK, Perera S, DeRosa J. Stroke impact scale-16: a brief assessment of physical function. Neurology. 2003;60:291–6.CrossRefPubMed
33.
go back to reference Berg K, Wood-Dauphinee S, Williams JI. The balance scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27:27–36.PubMed Berg K, Wood-Dauphinee S, Williams JI. The balance scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27:27–36.PubMed
34.
go back to reference Hsieh CL, Hsueh IP, Mao HF. Validity and responsiveness of the rivermead mobility index in stroke patients. Scand J Rehabil Med. 2000;32:140–2.CrossRefPubMed Hsieh CL, Hsueh IP, Mao HF. Validity and responsiveness of the rivermead mobility index in stroke patients. Scand J Rehabil Med. 2000;32:140–2.CrossRefPubMed
35.
go back to reference Kosak M, Smith T. Comparison of the 2-, 6-, and 12-min walk tests in patients with stroke. J Rehabil Res Dev. 2005;42:103–7.PubMed Kosak M, Smith T. Comparison of the 2-, 6-, and 12-min walk tests in patients with stroke. J Rehabil Res Dev. 2005;42:103–7.PubMed
36.
go back to reference Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14:377–81.PubMed Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14:377–81.PubMed
37.
go back to reference Sonn U, Asberg KH. Assessment of activities of daily living in the elderly. A study of a population of 76-year-olds in Gothenburg, Sweden. Scand J Rehabil Med. 1991;23:193–202.PubMed Sonn U, Asberg KH. Assessment of activities of daily living in the elderly. A study of a population of 76-year-olds in Gothenburg, Sweden. Scand J Rehabil Med. 1991;23:193–202.PubMed
38.
go back to reference Duncan PW, Wallace D, Lai SM, Johnson D, Embretson S, Laster LJ. The stroke impact scale version 2.0. Evaluation of reliability, validity, and sensitivity to change. Stroke. 1999;30:2131–40.CrossRefPubMed Duncan PW, Wallace D, Lai SM, Johnson D, Embretson S, Laster LJ. The stroke impact scale version 2.0. Evaluation of reliability, validity, and sensitivity to change. Stroke. 1999;30:2131–40.CrossRefPubMed
Metadata
Title
Assessing feasibility and acceptability of study procedures: getting ready for implementation of national stroke guidelines in out-patient health care
Authors
Susanne Palmcrantz
Malin Tistad
Ann Catrine Eldh
Lotta Widén Holmqvist
Anna Ehrenberg
Göran Tomson
Christina B. Olsson
Lars Wallin
Publication date
01-06-2015
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2015
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-015-1177-5

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