Opening the black box of stroke rehabilitation with clinical practice improvement methodology

Top Stroke Rehabil. 2005 Spring;12(2):36-48. doi: 10.1310/L3X7-9Y2R-AABF-NF5M.

Abstract

Although stroke survivors are the largest consumer group for postacute rehabilitation services, there has been little quantification of the details of poststroke rehabilitation (PSR), with the major exception of the AHCPR Clinical Practice Guidelines #16 of 1995. The gold standard research methodology of a randomized controlled trial cannot practically encompass PSR. Using clinical practice improvement (CPI), a statistically based, validated research methodology, a mathematical representation of the inpatient stroke rehabilitation experience has been constructed. This article examines the principle aspects of CPI methodology and how it was adapted to a multicenter study of inpatient PSR.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Evidence-Based Medicine
  • Humans
  • Practice Patterns, Physicians'*
  • Randomized Controlled Trials as Topic
  • Rehabilitation / standards*
  • Rehabilitation / trends
  • Stroke Rehabilitation*