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Investigating the Implementation of Community-Based Stroke Telerehabilitation in England; A Realist Synthesis Study Protocol

Chouliara, Niki; Cameron, Trudi; Ballard-Ridley, Scott; Fisher, Rebecca J.; Kettlewell, Jade; Kidd, Lisa; Luxton, Leanna; Pomeroy, Valerie; Stockley, Rachel C.; Thomas, Shirley; Gordon, Adam L.

Investigating the Implementation of Community-Based Stroke Telerehabilitation in England; A Realist Synthesis Study Protocol Thumbnail


Authors

Scott Ballard-Ridley

Rebecca J. Fisher

Lisa Kidd

Leanna Luxton

Valerie Pomeroy

Rachel C. Stockley

ADAM GORDON Adam.Gordon@nottingham.ac.uk
Professor of The Care of Older People



Abstract

Telerehabilitation (TR) shows promise as a method of remote service delivery, yet there is little guidance to inform implementation in the context of the National Health Service (NHS) in England. This paper presents the protocol for a realist synthesis study aiming to investigate how TR can be implemented to support the provision of high-quality, equitable community-based stroke rehabilitation, and under what conditions. Using a realist approach, we will synthesise information from (1) an evidence review, (2) qualitative interviews with clinicians (n ≤ 30), and patient–family carer dyads (n ≤ 60) from three purposively selected community stroke rehabilitation services in England. Working groups including rehabilitation professionals, service-users and policy-makers will co-develop actionable recommendations. Insights from the review and the interviews will be synthesised to test and refine programme theories that explain how TR works and for whom in clinical practice, and draw key messages for service implementation. This protocol highlights the need to improve our understanding of TR implementation in the context of multidisciplinary, community-based stroke service provision. We suggest the use of a realist methodology and co-production to inform evidence-based recommendations that consider the needs and priorities of clinicians and people affected by stroke.

Journal Article Type Article
Acceptance Date May 13, 2024
Online Publication Date May 15, 2024
Publication Date 2024-05
Deposit Date May 21, 2024
Publicly Available Date May 21, 2024
Journal Healthcare
Electronic ISSN 2227-9032
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 12
Issue 10
Article Number 1027
DOI https://doi.org/10.3390/healthcare12101027
Keywords stroke telerehabilitation; realist synthesis; community stroke rehabilitation services; co-production; implementation
Public URL https://nottingham-repository.worktribe.com/output/34874696
Publisher URL https://www.mdpi.com/2227-9032/12/10/1027

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