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Development and implementation of evidence-based stroke rehabilitation

Associate Professor Natasha Lannin, Institution: Monash University

2018 Future Leader Fellowship

Years funded: 2019-2022


While research has led to important advances in stroke recovery, stroke remains one of the leading causes of adult disability globally. To reduce the long-term burden of stroke we need both a detailed knowledge of the efficacy of rehabilitation interventions, and we need existing knowledge to be translated into clinical practice. My fellowship proposal will build on my reputation as a stroke rehabilitation researcher embedded in the clinical setting and test interventions in large-scale effectiveness trials that are embedded in the clinical rehabilitation setting; and increase the uptake of evidence and develop models of long-term sustainable support for rehabilitation clinicians to provide effective interventions based on implementation science theories.

The overall hypothesis that I will test is that embedded research leadership in the clinical setting can improve the efficacy effectiveness of research translation in stroke rehabilitation. To address this, I will draw together my two themes of research using three methodologies (clinical trials, health services research and implementation science):

Theme 1: Testing efficacious rehabilitation interventions in large-scale effectiveness trials, embedded within the clinical setting.

Theme 2: Transforming rehabilitation approaches to translate evidence into practice and improve long-term outcomes for people living with stroke.

I lead a multidisciplinary research group who focus on how to implement best and promising care models and practices within rehabilitation. Embedded within a healthcare setting, my secured funding, my qualification in Implementation Science, and my strong relationships with consumers and policymakers strengthen the potential for this fellowship to lead to lasting change in stroke rehabilitation; bridging the gap between evidence and clinical care, to improve the outcomes attained for patients.

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