Barriers and Facilitators of Implementing Arabic-Validated Standardised Outcome Measures for Chronic Stroke Rehabilitation Among Physical Therapists

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-02-10 DOI:10.1111/jep.70018

Maha Almarwani, Reham Alhamyani

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引用次数: 0

Abstract

Background

Implementing standardised outcome measures (SOMs) in stroke rehabilitation practices enhances patient care, communication, and overall clinical effectiveness. However, the implementation of Arabic-validated SOMs in stroke rehabilitation practices among Arabic-speaking patients has not been fully explored.

Aims

To examine the use, facilitators, and barriers of implementing Arabic-validated SOMs for chronic stroke rehabilitation among physical therapists.

Methods

A cross-sectional survey was conducted among 262 physical therapists managing patients with chronic stroke. The survey evaluated the use, facilitators, and barriers to implementing Arabic-validated SOMs. Descriptive statistics summarised demographic and professional characteristics, while multivariate logistic regression identified independent predictors of SOM use, with adjusted odds ratios and 95% confidence intervals calculated.

Results

The use of Arabic-validated SOMs in chronic stroke rehabilitation was reported by 54% of therapists within the first week of physical therapy services and 64% at discharge. The Berg Balance Scale and the Timed Up and Go test were the two most commonly employed scales. Facilitators for implementing SOMs included facilitating adherence to clinical practice guidelines, providing valuable patient insights, and supporting balanced assessments. Barriers included time constraints, financial limitations, and time demands on both patients and therapists. Familiarity with clinical practice guidelines was significantly associated with increased use of Arabic-validated SOMs.

Conclusions

Implementing Arabic-validated SOMs is essential to ensure culturally appropriate and linguistically accurate evaluations that support evidence-based decision-making and enhance patient management in stroke rehabilitation among Arabic-speaking patients. Enhancing familiarity with clinical practice guidelines and addressing barriers such as time constraints and financial challenges can further promote the implementation of Arabic-validated SOMs into routine practice, ultimately improving patient outcomes.

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在物理治疗师中实施阿拉伯验证的慢性卒中康复标准化结果测量的障碍和促进因素

背景：在脑卒中康复实践中实施标准化结果测量（SOMs）可提高患者护理、沟通和整体临床效果。然而，阿拉伯语验证的som在阿拉伯语患者中风康复实践中的实施尚未得到充分探索。目的研究物理治疗师在慢性中风康复中实施阿拉伯语验证的SOMs的使用、促进因素和障碍。方法对262名慢性脑卒中物理治疗师进行横断面调查。该调查评估了实施阿拉伯语验证的som的使用、促进因素和障碍。描述性统计总结了人口统计学和专业特征，而多元逻辑回归确定了SOM使用的独立预测因素，并计算了调整后的优势比和95%置信区间。结果54%的治疗师在物理治疗服务的第一周内和64%的出院时报告了在慢性卒中康复中使用阿拉伯语验证的SOMs。Berg平衡量表和Timed Up and Go测试是两种最常用的量表。实施SOMs的促进因素包括促进遵守临床实践指南，提供有价值的患者见解，并支持平衡评估。障碍包括时间限制、资金限制以及对患者和治疗师的时间要求。熟悉临床实践指南与增加使用阿拉伯语验证的SOMs显著相关。实施阿拉伯语验证的som对于确保文化适宜和语言准确的评估至关重要，从而支持基于证据的决策，并加强对阿拉伯语患者卒中康复的患者管理。加强对临床实践指南的熟悉，解决时间限制和资金挑战等障碍，可以进一步促进阿拉伯语验证的SOMs在常规实践中的实施，最终改善患者的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.