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European Journal of Physical and Rehabilitation Medicine 2010 September;46(3):369-76


lingua: Inglese

The perception of involved professionals towards research feasibility and usefulness: lessons from the Multi-Site Trial on Efficacy of Constraint Induced Movement Therapy in Children with Hemiplegia

Rosa-Rizzotto M. 1, Visonà Dalla Pozza L. 1, Turconi A. C. 2, Tornetta L. 3, Andreucci E. 4, Zambonin F. 5, Fedrizzi E. 4, Facchin P. 1

1 Epidemiology and Community Medicine Unit, Pediatrics department, Padua University, Padua, Italy; 2 Scientific Research Institute Eugenio Medea, Bosisio Parini, Lecco, Italy; 3 Child and Adolescent Psichyatry Department, Sant’Anna Hospital OIRM, Turin, Italy; 4 Division of Developmental Neurology, National Neurological Institute Carlo Besta, Milan, Italy; 5 Child Neurology Rehabilitation Center, Hospital Macchi, Velate, Varese, Italy


BACKGROUND: In the last decades, the world of rehabilitation has been more and more calling for clear evidence to support intervention and numerous research programs have been developed. At stake, relatively little research on opinions and attitude of rehabilitation personnel involved in research conducted in real clinical settings has been carried out.
AIM: To explore the opinion of professionals involved in a national clinical trial on research.
DESIGN: Multicentre cross-sectional study.
SETTING: 19 rehabilitation centres/services (4 research institutes, 15 local rehabilitation services).
POPULATION: All professional participating to a multi-centre clinical trial on the effects of Constraint Induced Movement Therapy on children with hemiplegic cerebral palsy.
METHODS: A 15-questions questionnaire inquiring feasibility, usefulness, products, costs, judgement and perceptions about clinical research in rehabilitation was admistered.
RESULTS: Among those working in one of the 19 rehabilitation centres part of the multicentric study, 76 professionals were asked to fill in the questionnarie. 68 professionals answered (89.4% of response rate). More than 75% of the sample thinks that its rehabilitation centre is suited to develop clinical research. Research results useful for the development of their daily activities (new tools for the assessment of children, to demonstrate the efficacy of a new treatment option and to learn a new way of working, and to strengthen the ties within the working team). Research is costly in terms of personal time and effort, but it can modify the rehabilitation praxis (assessment tools, the relationship with colleagues/patients). 98% of the interviewees declared the willingness to participate to other research projects.
CONCLUSION AND CLINICAL REHABILITATION IMPACT: This survey highlights the importance of conducting research in local rehabilitation services, not only in terms of generation of new evidences, but also in terms of building networks, sharing experiences and knowledge, connecting with centers of excellence and providing a specific training for research conduction.

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