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Process for developing rehabilitation practice recommendations for individuals with traumatic brain injury
Librada Callender1, Rachel Brown2, Simon Driver3
1Clinical Research Coordinator, Baylor Institute for Rehabilitation, 909 N. Washington Ave, Dallas, TX, 75246, USA. Librada.Callender@BSWHealth.org.
BMC Neurology
|March 22, 2017
Summary
Developing evidence-based guidelines for traumatic brain injury (TBI) rehabilitation is crucial for consistent, high-quality care. This study outlines a process to assess evidence and achieve consensus on best practices for TBI recovery.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Evidence-Based Practice
Background:
- Measuring the quality of rehabilitation care faces challenges due to limited knowledge translation and lack of consensus on best practices.
- Adopting evidence-based best practices is vital for reducing variations and enhancing care quality in rehabilitation.
- There is a need for standardized methods to evaluate clinical practices in traumatic brain injury (TBI) rehabilitation.
Purpose of the Study:
- To describe a systematic process for assessing the quality of evidence for clinical practices in TBI rehabilitation.
- To establish a framework for developing consensus-based recommendations for TBI rehabilitation.
Main Methods:
- A multidisciplinary team formulated clinical questions using the Population, Intervention, Control, Outcome (PICO) framework.
- Systematic literature reviews were conducted across multiple databases (PubMed, CINAHL, PsychInfo, Allied Health Evidence).
- Evidence quality, level, and applicability were assessed using modified Oxford, AHRQ Methods Guide, and GRADE scales.
Main Results:
- Draft best-practice recommendations were developed based on the systematic evidence assessment.
- A Delphi panel of clinicians and stakeholders reviewed and provided consensus on the draft recommendations.
Conclusions:
- Evidence-based practice guidelines are fundamental for improving the quality of TBI rehabilitation.
- The study successfully established a process using a modified quality of evidence tool to gain consensus on TBI rehabilitation practice recommendations.
