Real world implementation of a group-based memory rehabilitation program into stroke services: A knowledge...

Area of Science:

• Neuroscience
• Rehabilitation Medicine
• Health Services Research

Background:

• Memory difficulties are a significant unmet need for stroke survivors.
• Memory skills group training using compensatory strategies can improve daily memory function.
• Access to effective memory rehabilitation services is currently limited.

Purpose of the Study:

• To evaluate the fidelity, acceptability, and effectiveness of an evidence-based memory group program in real-world clinical settings.
• To establish a potentially scalable implementation model for stroke memory rehabilitation.
• To assess the feasibility of implementing a memory skills group within existing healthcare services.

Main Methods:

• The memory skills program was implemented in acute and community-based rehabilitation settings.
• Three clinical neuropsychologists received comprehensive training in program facilitation.
• Implementation utilized the Knowledge to Action framework, measuring fidelity, acceptability, and goal attainment (Goal Attainment Scaling).

Main Results:

• Clinician training ensured full adherence to program content and essential competencies.
• The program was found to be acceptable and enjoyable for both clinicians and participants (n=19).
• Participants achieved high levels of memory-specific goals (over 80% at follow-up), comparable to controlled trials.

Conclusions:

• The stroke memory skills program demonstrates potential for successful real-world implementation.
• The Knowledge to Action framework and comprehensive clinician training are key to successful implementation.
• This approach offers a scalable model to improve memory function for stroke survivors.