Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 1 , Pages 10-15 , January 2008

Team Training and Stroke Rehabilitation Outcomes: A Cluster Randomized Trial

  • Dale C. Strasser, MD

      Affiliations

    • Department of Rehabilitation Medicine, Emory University, and Atlanta VA Medical Center, Atlanta, GA
    • Corresponding Author InformationReprint requests to Dale C. Strasser, MD, 1441 Clifton Rd NE, Atlanta, GA 30322
    • ,
  • Judith A. Falconer, PhD

      Affiliations

    • Northwestern University, Feinberg School of Medicine, Chicago, IL
    • ,
  • Alan B. Stevens, PhD

      Affiliations

    • Scott & White Memorial Hospital, Texas A&M University System Health Science Center, Temple, TX
    • ,
  • Jay M. Uomoto, PhD

      Affiliations

    • Center for Polytrauma Care, VA Puget Sound Health Care System (Seattle Division), Seattle, WA
    • ,
  • Jeph Herrin, PhD

      Affiliations

    • Yale University, New Haven, CT
    • Flying Buttress Associates, Charlottesville, VA
    • ,
  • Susan E. Bowen, PhD

      Affiliations

    • TREP – HSR&D, Atlanta VA Medical Center, Decatur, GA
    • ,
  • Andrea B. Burridge, PhD

      Affiliations

    • Department of Educational Psychology, University of Houston, Houston, TX.

References 

  1. Centers for Medicare & Medicaid Services. Documentation requirements for inpatient rehabilitation (A18990). http://www.wvtra.org/conference/2006/Veritus_IRF.docAccessed September 22, 2007
  2. Commission on Accreditation of Rehabilitation Facilities. Medical rehabilitation standards manual. Tucson: CARF; 2005;
  3. Institute of Medicine. Crossing the quality chasm. In: Washington (DC): Natl Acad Pr; 2001;p. 337
  4. Fernandopulle R, Ferris T, Epstein A, et al. A research agenda for bridging the “quality chasm”. Health Aff (Millwood). 2003;22:178–190
  5. Von Korff M, Gruman J, Schaefer J, Curry SJ, Wagner EH. Collaborative management of chronic illness: essential elements. Ann Intern Med. 1997;127:1097–1102
  6. Boult C, Kane RL, Pacala JT, Wagner EH. Innovative healthcare for chronically ill older persons: results of a national survey. Am J Manag Care. 1999;5:1162–1172
  7. Rich MW, Beckham V, Wittenberg C, Leven CL, Freedland KE, Carney RM. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med. 1995;333:1190–1195
  8. Young GJ, Charns MP, Desai K, et al. Patterns of coordination and clinical outcomes: a study of surgical services. Health Serv Res. 1998;33(5 Pt 1):1211–1236
  9. Shortell SM, Zimmerman JE, Rousseau DM, et al. The performance of intensive care units: does good management make a difference?. Med Care. 1994;32:508–525
  10. Langhorne P, Dennis MS. Stroke units: the next 10 years. Lancet. 2004;363:834–835
  11. Callahan CM, Boustani MA, Unverzagt FW, et al. Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial. JAMA. 2006;295:2148–2157
  12. Rummans TA, Clark MM, Sloan JA, et al. Impacting quality of life for patients with advanced cancer with a structured multidisciplinary intervention: a randomized controlled trial. J Clin Oncol. 2006;24:635–642
  13. Walders N, Kercsmar C, Schluchter M, Redline S, Kirchner HL, Drotar D. An interdisciplinary intervention for undertreated pediatric asthma. Chest. 2006;129:292–299
  14. Strasser DC, Falconer JA. Linking treatment to outcomes through teams: building a conceptual model of rehabilitation effectiveness. Top Stroke Rehabil. 1997;4(1):15–27
  15. Strasser DC, Falconer JA. Rehabilitation team process. Top Stroke Rehabil. 1997;4(2):34–39
  16. Strasser DC, Smits SJ, Falconer JA, Herrin JS, Bowen SE. The influence of hospital culture on rehabilitation team functioning in VA hospitals. J Rehabil Res Dev. 2002;39:115–125
  17. Smits SJ, Falconer JA, Herrin J, Bowen SE, Strasser DC. Patient-focused rehabilitation team cohesiveness in Veterans Administration hospitals. Arch Phys Med Rehabil. 2003;84:1332–1338
  18. Strasser DC, Falconer JA, Herrin JS, Bowen SE, Stevens AB, Uomoto J. Team functioning and patient outcomes in stroke rehabilitation. Arch Phys Med Rehabil. 2005;86:403–409
  19. Reker DM, Reid K, Duncan PW, et al. Development of an integrated stroke outcomes database within Veterans Health Administration. J Rehabil Res Dev. 2005;42:77–92
  20. Hamilton BB, Granger CV, Sherwin FS, Zielezny M, Tashman JS. A uniform national data system for medical rehabilitation. In:  Fuhrer MJ editors. Rehabilitation outcomes: analysis and measurement. Baltimore: Brookes; 1987;p. 137–147
  21. Granger CV, Fiedler RC. The measurement of disability. In:  Fuhrer MJ editors. Assessing medical rehabilitation practices: the promise of outcomes research. Baltimore: Brookes; 1997;p. 103–126
  22. Sebastia E, Duarte E, Boza R, et al. Cross-validation of a model for predicting functional status and length of stay in patients with stroke. J Rehabil Med. 2006;38:204–206
  23. Hinkle J. Variables explaining functional recovery following motor stroke. J Neurosci Nurs. 2006;38:6–12
  24. Lichstein KL, Riedel BW, Grieve R. Fair tests of clinical trials: a treatment implementation model. Adv Behav Res Ther. 1994;16:1–29
  25. Stevens AR, Strasser DC, Uomoto J, Bowen SE, Falconer JA. Utility of treatment implementation methods in a clinical trial with rehabilitation teams. J Rehabil Res Dev. 2007;44:537–546
  26. Uniform Data System for Medical Rehabilitation. Guide for the Uniform Data System for Medical Rehabilitation. New York: UB Foundation Activities; 1996;
  27. Stineman MG, Jette A, Fiedler R, et al. Impairment-specific dimensions within the Functional Independence Measure. Arch Phys Med Rehabil. 1997;78:636–643
  28. Stineman MG, Granger CV. Outcome, efficiency, and time-trend pattern analysis for stroke rehabilitation. Am J Phys Med Rehabil. 1998;77:193–201
  29. Donner A, Klar N. Cluster-randomization trials in health research. London: Arnold; 2000;
  30. Murray D. Design and analysis of group-randomized trials. Oxford: Oxford Univ Pr; 1998;
  31. Omar R, Thompson S. Analysis of a cluster randomized trial with binary outcome data using a multi-level model. Stat Med. 2000;19:2675–2688
  32. Kizer KM. Health care, not hospitals: transforming the Veterans’ Health Administration. Washington (DC): U.S. Department of Veterans Affairs; 1998;
  33. Strasser D, Burridge A, Herrin JS, et al. Measuring team functioning to enhance patient outcomes. Poster presented to: Health Services Research and Development National Meeting; 2005 Feb 16-18; Baltimore (MD). Poster no. 3091.

 Supported by the Veterans Administration Rehabilitation Research and Development Service (Merit Review Grants B2367R, O3225R).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(07)01606-1

doi: 10.1016/j.apmr.2007.08.127

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 1 , Pages 10-15 , January 2008

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