The difficulty of studying race-ethnic stroke rehabilitation disparities in a community.
Lynda D Lisabeth, Susan D Horn, Nneka L Ifejika and 5 others
PMID 30187831WHAT IT FOUND
Community stroke rehabilitation data collection across physical, occupational and speech therapy venues was feasible to set up, but only 13 of 63 partners used the forms and 20 of 48 patients contributed data.
This pilot cannot yet answer disparity questions.
Key findings
01The pilot identified local stroke rehabilitation venues and 63 (80%) agreed to partner.
02During the three-month pilot, 545 forms were collected from 20 of the 48 enrolled patients who received rehabilitation, and 13 of the 63 partners used the forms.
03Because the sample was small, the study did not present data on rehabilitation activities.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only 20 of 48 patients who received rehabilitation contributed forms, and only 13 of 63 partners used the forms, so the pilot did not provide enough data to describe rehabilitation activities or disparities. The study did not present data on rehabilitation activities because the sample was small. Data collection relied on therapists using forms during or shortly after sessions without project-related resources, which may have limited uptake. Uptake outside inpatient rehabilitation was minimal, and Mexican Americans in this community are less likely to receive inpatient rehabilitation, so the forms may miss settings where disparities could occur. The pilot was conducted in one county in south Texas, so it may not apply to other communities or rehabilitation systems. The forms included interventions specific to some sites and not used by all, so standardization across venues was limited.
Declared interests
The supplied article text does not include a conflicts-of-interest or funding declaration. The publication types note NIH extramural research support.
The easy way to misread this
Do not conclude that community stroke rehabilitation data can be collected reliably by asking therapists to complete forms without additional resources. In this pilot, only 13 of 63 partners used the forms and 20 of 48 patients contributed data, and no rehabilitation activity data were presented.