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From What We Know to What We Do: Translating Stroke Rehabilitation Research into Practice

2012· review· en· W2113123187 on OpenAlexaffabout
Marion Walker, Rebecca J Fisher, Nicol Korner‐Bitensky, Annie McCluskey, Leeanne M. Carey

Bibliographic record

VenueInternational Journal of Stroke · 2012
Typereview
Languageen
FieldMedicine
TopicClinical practice guidelines implementation
Canadian institutionsMcGill University
FundersNational Institute for Health and Care Research
KeywordsMedicineKnowledge translationRehabilitationAuditClinical PracticeGuidelineMedical educationIdentification (biology)Best practiceEvidence-based practiceProcess managementKnowledge managementNursingAlternative medicinePhysical therapyComputer science

Abstract

fetched live from OpenAlex

Despite the recent advances in stroke rehabilitation research, the translation of research evidence into practice remains a challenge. The purpose of this article is to communicate practical experience and describe research methodologies used to promote change and implementation of stroke rehabilitation research in three international settings. In England, the development of an evidence-based consensus document, combined with qualitative and quantitative methods, was used to promote practice change in community-based stroke services. The Canadian research program involved synthesis of evidence, creation of user friendly information, and development of multimodal knowledge transfer strategies to promote change at an individual clinician level. Australian researchers followed a multistep process, involving audit and feedback, identification of barriers, and tailored education to improve implementation of one clinical guideline recommendation. Reducing the evidence-practice gap requires the development of active management strategies. This article highlights the importance of close collaboration between stakeholders - both in terms of the transfer of evidence into clinical practice and for optimizing future Phase IV implementation research endeavours.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.062
metaresearch head score (Gemma)0.163
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.062
Threshold uncertainty score0.328

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0620.163
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0050.002
Bibliometrics0.0080.008
Science and technology studies0.0020.006
Scholarly communication0.0110.017
Open science0.0030.007
Research integrity0.0060.010
Insufficient payload (model declined to judge)0.0040.003

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.404
GPT teacher head0.613
Teacher spread0.209 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations56
Published2012
Admission routes2
Has abstractyes

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