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Identifying clinicians' priorities for the implementation of best practices in cognitive rehabilitation post-acquired brain injury.

Valérie PoulinAlexandra JeanMarie-Eve LamontagneMarc-André PellerinAnabelle Viau-GuayMarie-Christine Ouellet
Published in: Disability and rehabilitation (2020)
TRIAGE consensus-building methodology can be used to engage stakeholders and support clinicians' decision-making regarding the identification of implementation priorities in cognitive rehabilitation post-ABI in order to tailor the implementation process to local needs.IMPLICATIONS FOR REHABILITATIONThe Technique for Research of Information by Animation of a Group of Experts (TRIAGE) can be used to support clinicians' decision-making regarding the identification of implementation priorities in cognitive rehabilitation post-ABI.The combination of individual consultations followed by consensual in-person group discussions, as part of the TRIAGE process, may help clinicians in defining and operationalizing best practices into more specific intervention components to implement.Effective implementation strategies are needed to support the use of specific cognitive rehabilitation interventions in prioritized areas, such as executive function and self-awareness retraining, as well as generalization of skills.Some differences in clinicians' perceived priorities point up the importance of tailoring implementation to local needs and contexts from the early stages in the process.
Keyphrases
  • primary care
  • healthcare
  • brain injury
  • emergency department
  • quality improvement
  • decision making
  • palliative care
  • subarachnoid hemorrhage
  • physical activity
  • clinical practice
  • cerebral ischemia