Abstract
Objective
To examine the use and effect of the Battery of Rehabilitation Assessments and Interventions
on evidence-based practice (EBP) over 6 years.
Design
Successive independent samples study.
Setting
Large rehabilitation system.
Participants
Successive samples of allied health clinicians (N=372) in 2009 (n=136), 2012 (n=115),
and 2015 (n=121).
Interventions
The Battery of Rehabilitation Assessments and Interventions includes 2 components:
(1) a process to synthesize, adapt, and make recommendations about the application
of evidence; and (2) a process to implement the recommended practices in 3 levels
of care.
Main Outcome Measures
To assess the effect of the project, surveys on EBP perspectives, use, and barriers
were conducted before Battery of Rehabilitation Assessments and Interventions implementation
and 3 and 6 years after implementation. Questions about effect of the project on clinical
practice were included 3 and 6 years postimplementation.
Results
Survey data indicate the Battery of Rehabilitation Assessments and Interventions resulted
in a significant increase in use of EBPs to make clinical decisions and justify care.
As a result of the project, survey participants reported a substantial increase in
use of outcome measures in 2012 (74%) and 2015 (91%) and evidence-based interventions
in 2012 (62%) and 2015 (82%). In 2012, significant differences (P≤.01) in effect of the Battery of Rehabilitation Assessments and Interventions on
practice were identified between therapists who were directly involved in the project
and Interventions compared with uninvolved therapists. In 2015, no significant differences
existed between involved and uninvolved therapists.
Conclusions
After 6 years of sustained implementation efforts, the Battery of Rehabilitation Assessments
and Interventions expedited the adoption of EBPs throughout a large system of care
in rehabilitation.
Keywords
List of abbreviations:
EBP (evidence-based practice), KT (knowledge translation), RIC (Rehabilitation Institute of Chicago)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 16, 2017
Footnotes
Supported by the Henry B. Betts Award for Innovation at the Rehabilitation Institute of Chicago.
Disclosures: none.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
