Authors

  1. Swaine, Bonnie PhD
  2. Bayley, Mark Theodore MD
  3. Marshall, Shawn MD, MSc (Epi), FRCPC
  4. Kua, Ailene MSc, PMP
  5. Marier-Deschenes, Pascale BSW
  6. Allaire, Anne-Sophie MSc
  7. Kagan, Corinne BA, BPS Cert
  8. Truchon, Catherine PhD, MSc Adm
  9. Janzen, Shannon MSc
  10. Teasell, Robert MD, FRCPC
  11. Lamontagne, Marie-Eve PhD

Abstract

Objective: Clinical practice guidelines (CPGs) aim to improve quality and consistency of healthcare services. A Canadian group of researchers, clinicians, and policy makers developed/adapted a CPG for rehabilitation post-moderate to severe traumatic brain injury (MSTBI) to respond to end users' needs in acute care and rehabilitation settings.

 

Methods: The rigorous CPG development process began assessing needs and expectations of end users, then appraised existing CPGs, and, during a consensus conference, produced fundamental and priority recommendations. We also surveyed end users' perceptions of implementation gaps to determine future implementation strategies to optimize adherence to the CPG.

 

Results: The unique bilingual (French and English) CPG consists of 266 recommendations (of which 126 are new recommendations), addressing top priorities for MSTBI, rationale, process indicators, and implementations tools (eg, algorithms and benchmarks).

 

Conclusion: The novel approach of consulting and working with end users to develop a CPG for MSTBI should influence knowledge uptake for clinicians wanting to provide evidence-based care.