Real-World Experiences of Therapy Staff Implementing an Intensive Rehabilitation Protocol in Canadian Stroke Inpatient Rehabilitation Settings: A Multi-Site Survey Study.

The survey was self-administered and self-reported, which may introduce self-selection bias if staff with strong opinions about intensive rehabilitation were more likely to respond. Social desirability bias may have influenced responses, as participants might have reported more positive experiences than they actually held. The survey instrument was not validated for this specific purpose, which could affect the reliability of the findings. The study did not include qualitative interviews or focus groups, which might have provided deeper insights into the staff's experiences.

The study was funded by Canadian Institutes of Health Research, Canada Research Chair Program, Canada Brain Research Fund, Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, and Michael Smith Health Research BC Fellowship. The funders played no role in the design, conduct, or reporting of the study.

Do not assume that wearable devices accurately measure step counts or heart rate for all stroke patients, especially those with slower or atypical gaits. Staff concerns about accuracy were significant, and only about half planned to continue using these devices in practice.