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- Title
Process for developing rehabilitation practice recommendations for individuals with traumatic brain injury.
- Authors
Callender, Librada; Brown, Rachel; Driver, Simon; Dahdah, Marie; Collinsworth, Ashley; Shafi, Shahid
- Abstract
<bold>Background: </bold>Attempts at measuring quality of rehabilitation care are hampered by a gap in knowledge translation of evidence-based approaches and lack of consensus on best practices. However, adoption of evidence-based best practices is needed to minimize variations and improve quality of care. Therefore, the objective of this project was to describe a process for assessing the quality of evidence of clinical practices in traumatic brain injury (TBI) rehabilitative care.<bold>Methods: </bold>A multidisciplinary team of clinicians developed discipline-specific clinical questions using the Population, Intervention, Control, Outcome process. A systematic review of the literature was conducted for each question using Pubmed, CINAHL, PsychInfo, and Allied Health Evidence databases. Team members assessed the quality, level, and applicability of evidence utilizing a modified Oxford scale, the Agency for Healthcare Research and Quality Methods Guide, and a modified version of the Grading of Recommendations, Assessment, Development, and Evaluation scale.<bold>Results: </bold>Draft recommendations for best-practice were formulated and shared with a Delphi panel of clinical representatives and stakeholders to obtain consensus.<bold>Conclusion: </bold>Evidence-based practice guidelines are essential to improve the quality of TBI rehabilitation care. By using a modified quality of evidence assessment tool, we established a process to gain consensus on practice recommendations for individuals with TBI undergoing rehabilitation.
- Subjects
REHABILITATION for brain injury patients; BRAIN injury treatment; MEDICAL quality control; EVIDENCE-based medicine; MEDICAL rehabilitation; CONSENSUS (Social sciences); DELPHI method; EVALUATION of medical care; MEDICAL protocols; SYSTEMATIC reviews; STANDARDS
- Publication
BMC Neurology, 2017, Vol 17, p1
- ISSN
1471-2377
- Publication type
journal article
- DOI
10.1186/s12883-017-0828-z