Overcoming practical challenges to conducting clinical research in the inpatient stroke rehabilitation setting

Top Stroke Rehabil. 2015 Oct;22(5):386-95. doi: 10.1179/1074935714Z.0000000045. Epub 2015 Mar 17.

Abstract

Background: There is a shortage of published empirical studies conducted in acute inpatient stroke rehabilitation, though such studies are greatly needed in order to shed light on the most efficacious inpatient stroke rehabilitation interventions. The inherent challenges of inpatient research may dissuade researchers from undertaking this important work.

Objective: This paper describes our institution's experience devising practical solutions to research barriers in this setting.

Method: Through concentrated efforts to overcome research barriers, such as by cultivating collaborative relationships and capitalizing on unanticipated benefits, we successfully facilitated conduct of five simultaneous inpatient stroke studies.

Results: Tangible benefits realized include increased effectiveness of research participant identification and enrollment, novel collaborative projects, innovative clinical care initiatives, and enhanced emotional and practical support for patients and their families. We provide recommendations based on lessons learned during our experience, and discuss benefits of this collaboration for our research participants, clinical staff, and the research team.

Keywords: Interprofessional relations; Rehabilitation,; Research design,; Research methodology,; Stroke,.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aphasia / etiology
  • Aphasia / rehabilitation
  • Attitude of Health Personnel
  • Humans
  • Inpatients*
  • Mental Fatigue / etiology
  • Mental Fatigue / psychology
  • Muscle Fatigue
  • Patient Admission / standards
  • Patient Selection
  • Rehabilitation Centers
  • Rehabilitation*
  • Research*
  • Stroke / complications
  • Stroke Rehabilitation*