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Original Research

From theory to practice: a conceptual framework to facilitate implementation of evidence in stroke rehabilitation for local context in Saudi Arabia

Pages 515-525 | Published online: 05 Jul 2019

Figures & data

Figure 1 Knowledge to action (KTA) framework.

Figure 1 Knowledge to action (KTA) framework.

Figure 2 A plan chart of the study method.

Figure 2 A plan chart of the study method.

Figure 3 Excel sheet that shows cross between national clinical guideline for stroke (horizontal column) and key domains/concepts of panel meeting (vertical column).

Figure 3 Excel sheet that shows cross between national clinical guideline for stroke (horizontal column) and key domains/concepts of panel meeting (vertical column).

Figure 4 This part of the questionnaire asks participants to think about how relevant potential recommendations of national clinical guidelines may be in the management of stroke patients. For each item, participants have been asked to rate how strongly they agree or disagree with each item being included in the real practice.

Figure 4 This part of the questionnaire asks participants to think about how relevant potential recommendations of national clinical guidelines may be in the management of stroke patients. For each item, participants have been asked to rate how strongly they agree or disagree with each item being included in the real practice.

Figure 5 An example of the frequency of response to each recommendation was presented for the members of the focus group, focusing primarily on those that were the source of most agreement/disagreement. This allowed the challenges of implementing this recommendation in real practice to be understood.

Notes: Red box indicates to the spread of participants agreement about the recommendation; Red number indicates the rating of the individual participant on the recommendation of national clinical guideline for stroke.

Figure 5 An example of the frequency of response to each recommendation was presented for the members of the focus group, focusing primarily on those that were the source of most agreement/disagreement. This allowed the challenges of implementing this recommendation in real practice to be understood.Notes: Red box indicates to the spread of participants agreement about the recommendation; Red number indicates the rating of the individual participant on the recommendation of national clinical guideline for stroke.

Table 1 Demographic characteristics of the study participants

Figure 6 The conceptual framework for enhancing implemention of national clinical guidelines for stroke in real practice for stroke specialist physiotherapists in the Kingdom of Saudi Arabia. The idea of the first component of the KTA framework (knowledge creation) was used here by using the UK national clinical guideline for stroke. The second component of the KTA framework (action cycle) was clarified by using a focus group to identify and understand different challenges of implementation of national clinical guidelines for stroke in real physiotherapist practice.

Figure 6 The conceptual framework for enhancing implemention of national clinical guidelines for stroke in real practice for stroke specialist physiotherapists in the Kingdom of Saudi Arabia. The idea of the first component of the KTA framework (knowledge creation) was used here by using the UK national clinical guideline for stroke. The second component of the KTA framework (action cycle) was clarified by using a focus group to identify and understand different challenges of implementation of national clinical guidelines for stroke in real physiotherapist practice.