Implementing Outcome Measures in Stroke Rehabilitation

NCT04888416 | Active Not Recruiting

• 2 other identifiers: 2021H0162AOTFIR21JUCKETT
• Study Type: interventional
• Target: 484
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objective of this study is to tailor and test implementation strategies to support the adoption of two upper extremity motor outcome measures for stroke: the Fugl-Meyer Assessment and the Action Research Arm Test. The study's interdisciplinary team will address this objective through the following specific aims: (a) Tailor a package of implementation strategies (referred to as I-STROM-Implementation STRategies for Outcome Measurement) to promote outcome measure use across the care continuum, (b) Determine the effectiveness of I-STROM on outcome measure adoption and (c) Evaluate the appropriateness, acceptability, and feasibility of I-STROM in rehabilitation settings across the country. The mixed-methods study design is informed by implementation science methodologies, and the tailoring of I-STROM will be guided by input from stakeholders, including occupational therapy practitioners and administrators. The investigators will collect robust quantitative and qualitative data by means of retrospective chart reviews, electronic surveys, and stakeholder focus groups. This study, "Strategies to Promote the Implementation of Outcome Measures in Stroke Rehabilitation," will address core barriers to outcome measure use through a package of implementation strategies, thus laying the groundwork for I-STROM scale-up in health systems nationwide.

Conditions

Stroke; Upper Extremity Dysfunction; Hemiplegia; Hemiparesis; Knowledge, Attitudes, Practice

Keywords

Implementation science; Knowledge translation; Evidence-based practice; Clinical practice guidelines

Outcome Measures

Primary Outcomes (1)

• Change in the adoption of outcome measures

  Proportion of patients who are administered the outcome measures

  12-months

Secondary Outcomes (3)

• Change in acceptability

  12-months

• Change in appropriateness

  12-months

• Change in feasibility

  12-months

Study Arms (3)

Acute care

EXPERIMENTAL

Acute care practitioners who will receive the I-STROM intervention

Behavioral: I-STROM

Inpatient

EXPERIMENTAL

Inpatient practitioners who will receive the I-STROM intervention

Behavioral: I-STROM

Outpatient

EXPERIMENTAL

Outpatient practitioners who will receive the I-STROM intervention

Behavioral: I-STROM

Interventions

I-STROM BEHAVIORAL

I-STROM is a combination of the following implementation strategies: (a) initial and ongoing training, (b) learning collaboratives/knowledge sharing meetings, and (c) outcome measure champions

Acute care; Inpatient; Outpatient

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Occupational therapist with license in Ohio or administrator who oversees therapists; employed at OSUWMC; completes initial evaluations with stroke patients; oversees evaluations at OSUWMC; for chart audits, patients will have a stroke diagnosis, receive occupational therapy services at OSUWMC, and undergone an evaluation with an occupational therapist

You may not qualify if:

• Employees not involved in the evaluation/oversight of stroke survivor care

Sponsors & Collaborators

• Ohio State University: lead

Study Sites (1)

The Ohio State University Wexner Medical Center

Columbus, Ohio, 43210, United States

Location

Related Publications (2)

• Juckett LA, Wengerd LR, Faieta J, Griffin CE. Evidence-Based Practice Implementation in Stroke Rehabilitation: A Scoping Review of Barriers and Facilitators. Am J Occup Ther. 2020 Jan/Feb;74(1):7401205050p1-7401205050p14. doi: 10.5014/ajot.2020.035485.

  PMID: 32078516 BACKGROUND

• Juckett LA, Banhos M, Howard ML, Walters T, Horn LM, Kinney AR, Wengerd LR. Bundling implementation strategies supports outcome measure adoption in stroke rehabilitation: preliminary findings. Implement Sci Commun. 2024 Sep 19;5(1):102. doi: 10.1186/s43058-024-00643-3.

  PMID: 39300555 DERIVED

MeSH Terms

Conditions

Stroke; Hemiplegia; Paresis; Behavior

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Paralysis; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Lisa Juckett, PhD

  Ohio State University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Instructor

Model Details: Interrupted time series

Study Record Dates

• First Submitted: May 6, 2021
• First Posted: May 17, 2021
• Study Start: October 1, 2021
• Primary Completion: March 31, 2025
• Study Completion: May 1, 2026
• Last Updated: August 11, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)