Adherence to Stroke Rehabilitation Guidelines Among Physical Therapists and Internship Students

NCT ID: NCT07044817

Last Updated: 2025-09-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

106 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-07-15

Study Completion Date

2025-09-01

Brief Summary

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The goal of this observational study is to learn about adherence to the 2024 VA/DoD Clinical Practice Guidelines for Stroke Rehabilitation among Turkish physiotherapists and internship students treating post-stroke patients. The main questions it aims to answer are:

1. What is the level of adherence to these evidence-based stroke rehabilitation guidelines?
2. How does guideline adherence differ between licensed physiotherapists and internship students?
3. What are the most significant barriers to using these guidelines (e.g., lack of time or resources)?

Researchers will compare responses from:

* Licensed physiotherapists\*\* (with ≥1 year of experience)
* 4th-year physiotherapy students\*\* (during internships) to understand differences in compliance.

Participants will:

* Complete an online survey about their:
* Use of guideline-recommended interventions (e.g., task-specific training, technology).
* Attitudes toward evidence-based practice.
* Perceived barriers to applying the guidelines.

Detailed Description

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Conditions

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Evidence Based Practice Stroke Physical Therapist

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Licensed Physiotherapists

This group includes licensed physiotherapists in Turkey with at least one year of clinical experience treating post-stroke patients. Participants will complete a survey assessing their adherence to clinical practice guidelines, attitudes toward evidence-based practice, and perceived barriers in stroke rehabilitation.

Stroke Rehabilitation Guideline Adherence Survey

Intervention Type BEHAVIORAL

This intervention consists of a structured online survey, the Stroke Rehabilitation Guideline Adherence Survey, designed to assess physiotherapists' and physiotherapy internship students' adherence to stroke rehabilitation clinical practice guidelines, their attitudes toward implementing evidence-based post-stroke care, and the perceived barriers-such as time constraints, limited resources, or insufficient training-that influence their compliance. No clinical treatments or procedures are administered; the sole "intervention" is the delivery of this comprehensive questionnaire.

Physiotherapy Internship Students

This group includes final-year physiotherapy students currently completing their clinical internships in Turkey. Participants will complete a survey evaluating their knowledge, attitudes, and challenges related to stroke rehabilitation and the use of evidence-based guidelines.

Stroke Rehabilitation Guideline Adherence Survey

Intervention Type BEHAVIORAL

This intervention consists of a structured online survey, the Stroke Rehabilitation Guideline Adherence Survey, designed to assess physiotherapists' and physiotherapy internship students' adherence to stroke rehabilitation clinical practice guidelines, their attitudes toward implementing evidence-based post-stroke care, and the perceived barriers-such as time constraints, limited resources, or insufficient training-that influence their compliance. No clinical treatments or procedures are administered; the sole "intervention" is the delivery of this comprehensive questionnaire.

Interventions

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Stroke Rehabilitation Guideline Adherence Survey

This intervention consists of a structured online survey, the Stroke Rehabilitation Guideline Adherence Survey, designed to assess physiotherapists' and physiotherapy internship students' adherence to stroke rehabilitation clinical practice guidelines, their attitudes toward implementing evidence-based post-stroke care, and the perceived barriers-such as time constraints, limited resources, or insufficient training-that influence their compliance. No clinical treatments or procedures are administered; the sole "intervention" is the delivery of this comprehensive questionnaire.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Licensed physiotherapists with ≥1 year of clinical experience.
* 4th-year physiotherapy students enrolled in accredited Turkish universities.

Exclusion Criteria

* Incomplete survey responses (\<80% completion).
* Participants outside Turkey.
* Licensed therapists working in non-clinical roles (e.g., administrative, research-only).
Minimum Eligible Age

21 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Medipol University

OTHER

Sponsor Role lead

Responsible Party

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Ibrahim Magdy Ibrahim Ibrahim Elboraey

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gizem Ergezen Şahin, Dr. Assistant Professor

Role: STUDY_DIRECTOR

Department of Physiotherapy and Rehabilitation/Istanbul Medipol University

Locations

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Medipol University

Istanbul, Beykoz/İstanbul, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Cormican A, Hirani SP, McKeown E. Healthcare professionals' perceived barriers and facilitators of implementing clinical practice guidelines for stroke rehabilitation: A systematic review. Clin Rehabil. 2023 May;37(5):701-712. doi: 10.1177/02692155221141036. Epub 2022 Dec 7.

Reference Type BACKGROUND
PMID: 36475911 (View on PubMed)

Iles R, Davidson M. Evidence based practice: a survey of physiotherapists' current practice. Physiother Res Int. 2006 Jun;11(2):93-103. doi: 10.1002/pri.328.

Reference Type BACKGROUND
PMID: 16808090 (View on PubMed)

Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, Hill JC, Ogilvie L, Volk D. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther. 2003 Sep;83(9):786-805.

Reference Type BACKGROUND
PMID: 12940766 (View on PubMed)

Korner-Bitensky N, Desrosiers J, Rochette A. A national survey of occupational therapists' practices related to participation post-stroke. J Rehabil Med. 2008 Apr;40(4):291-7. doi: 10.2340/16501977-0167.

Reference Type BACKGROUND
PMID: 18382825 (View on PubMed)

Rochette A, Korner-Bitensky N, Desrosiers J. Actual vs best practice for families post-stroke according to three rehabilitation disciplines. J Rehabil Med. 2007 Sep;39(7):513-9. doi: 10.2340/16501977-0082.

Reference Type BACKGROUND
PMID: 17724549 (View on PubMed)

Dumoulin C, Korner-Bitensky N, Tannenbaum C. Urinary incontinence after stroke: identification, assessment, and intervention by rehabilitation professionals in Canada. Stroke. 2007 Oct;38(10):2745-51. doi: 10.1161/STROKEAHA.107.486035. Epub 2007 Sep 6.

Reference Type BACKGROUND
PMID: 17823380 (View on PubMed)

Paci M, Faedda G, Ugolini A, Pellicciari L. Barriers to evidence-based practice implementation in physiotherapy: a systematic review and meta-analysis. Int J Qual Health Care. 2021 Jun 26;33(2):mzab093. doi: 10.1093/intqhc/mzab093.

Reference Type BACKGROUND
PMID: 34110410 (View on PubMed)

Salbach NM, Guilcher SJ, Jaglal SB, Davis DA. Determinants of research use in clinical decision making among physical therapists providing services post-stroke: a cross-sectional study. Implement Sci. 2010 Oct 14;5:77. doi: 10.1186/1748-5908-5-77.

Reference Type BACKGROUND
PMID: 20946678 (View on PubMed)

Gale BV, Schaffer MA. Organizational readiness for evidence-based practice. J Nurs Adm. 2009 Feb;39(2):91-7. doi: 10.1097/NNA.0b013e318195a48d.

Reference Type BACKGROUND
PMID: 19190426 (View on PubMed)

Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71-2. doi: 10.1136/bmj.312.7023.71. No abstract available.

Reference Type BACKGROUND
PMID: 8555924 (View on PubMed)

Donkor ES. Stroke in the 21st Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Res Treat. 2018 Nov 27;2018:3238165. doi: 10.1155/2018/3238165. eCollection 2018.

Reference Type BACKGROUND
PMID: 30598741 (View on PubMed)

Related Links

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https://www.healthquality.va.gov/guidelines/rehab/stroke/

This website provides clinical practice guidelines on stroke rehabilitation published by the Veterans Affairs/Department of Defense (VA/DoD). It offers evidence-based recommendations relevant to the study protocol on post-stroke rehabilitation adherence

Other Identifiers

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E-10840098-202.3.02-2920

Identifier Type: -

Identifier Source: org_study_id

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