Implementing evidence-based practice: A context analysis to examine use of task-based approaches to upper-limb rehabilitation

Abstract

Statement of context

Many occupational therapists experience challenges in implementing evidence-based practice, which may be best approached as a context-specific enterprise.

Critical reflection on practice

This practice analysis article reports the results of analyzing 24 home programs that occupational therapists issued to rehabilitation inpatients with stroke upon their discharge home. Home programs did not reflect a task-based approach to upper-limb recovery, even though this is supported by established evidence. Examination of contextual factors provides a framework to facilitate evidence implementation.

Implications for practice

Occupational therapists may optimize evidence-based practice implementation by first evaluating and addressing practice-specific contextual factors.