1. Objectifs

Intentions :
« Thus, the objectives of this study were to identify: (i) the extent to which rehabilitation clinicians recognize family-related issues as a problem when they exist, (ii) clinicians’ actual use of family-related assessments and interventions, (iii) desired use of family-related assessments and interventions in an ideal world and, (iv) the clinician and environmental variables associated with being a family-related ’problem-identifier’ or ’intervention-user’. » (p. 514)

2. Méthode

Échantillon/Matériau :
« A Canadian cross-sectional telephone survey was conducted on 1755 clinicians. » (p. 513)

Instruments :
« Using rigorous focus group methodology (22), 3 vignettes each corresponding to a different phase of stroke rehabilitation [...] were developed by 3 separate groups of stroke clinicians and researchers. Focus group participants were instructed to describe a typical client with stroke. Vignettes were further validated by experts to insure that a typical case had been created [...]. » (p. 514)

Type de traitement des données :
Analyse statistique

3. Résumé

The present study « [...] investigate[s] occupational therapists’, physiotherapists’ and speech language pathologists’ family-related rehabilitation practice post-stroke and its association with clinician and environmental variables. [...] Three case studies describing typical patients after stroke receiving acute care, in-patient rehabilitation, or community rehabilitation, and including specific descriptors regarding family stress and concern, were used to elicit information on patient management. [...] One-third of the sample identified a family-related problem and offered a related intervention, but only 12/1755 clinicians indicated that they would typically use a standardized assessment of family functioning. Working in the community out-patient setting was associated (OR 9.16), whereas working in a rehabilitation in-patient setting was negatively associated (OR 0.58) with being a problem identifier, the reference group being acute care. Being a PT (OR 0.53) or an SLP (OR 0.49) vs an OT was negatively associated with being a problem identifier, whereas being older (OR 1.02 ) or working in Ontario (OR 1.58) was associated with being a problem identifier. To work in a community out-patient setting (OR 2.43), being older clinicians (OR 1.02) or not perceiving their work environment being supportive of an on-going professional learning (OR 1.72) was associated with being an intervention user, whereas being a PT (OR 0.50) was negatively associated with being a user. [...] For these 3 disciplines, the prevalence of a family-related focus is low post-stroke. Given the increasing evidence regarding the effectiveness of family-related interventions on stroke outcomes, it is imperative that best practice is implemented. » (p. 513)