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REVIHR Study

Research to Implement EVidence Based In-Hospital Stroke Rehabilitation

What we are doing:

We are exploring the delivery of evidence-based stroke rehabilitation in four stroke units in the East Midlands. We will examine the activities stroke survivors are engaged in and how much time they spend practising activities of daily living. We will also seek the opinions of healthcare professionals and service users in order to find out what works well in rehabilitation practice and identify areas for improvement. The information we gather will be used to facilitate the delivery of evidence-based-stroke rehabilitation.

Why are we doing it:

In the UK around 150,000 people have a stroke each year, with people over 65 years old most at risk. Having a stroke can leave many patients with long lasting disabilities. There is robust research evidence showing that early and appropriately delivered stroke rehabilitation leads to better outcomes for stroke patients. However, the provision of in-hospital rehabilitation in the UK is variable, occurs much less than in other European countries and is not always evidence based. This project aims to understand why these differences occur in order to facilitate improvements in the delivery of evidence based stroke rehabilitation.

What the benefits will be:

What we find in our study will improve our understanding of the delivery of specialist rehabilitation early after stroke and offer insights into the factors that facilitate or obstruct evidence-based practice. In partnership with key stakeholders we will develop interventions to target specific problems we identify and we will work together to improve local service provision. If successful, our programme could be rolled out on a regional and national basis within the framework of Academic Health Science Networks and/or Local Education Training Boards.

Who we are working with:

We will focus on the delivery of rehabilitation in four stroke units in the East Midlands. We intend to work with colleagues from:

  • Royal Derby Hospital Stroke Unit
  • University Hospitals of Leicester
  • Lincoln County Hospital
  • Northampton General Hospital

In addition, we will work with the Nottingham Stroke Research Consumer Group to involve stroke patients and their carers in shaping the study.

Study lead:

Professor Marion Walker, Professor in Stroke Rehabilitation. University of Nottingham

Contact:

Yvonne R Simpson yvonne.price@nottingham.ac.uk