Abstract
Background: The identification, contextualisation and uptake of evidence-based stroke rehabilitation strategies are important to optimise the patient and healthcare system outcomes.
Aim: This chapter aims to report on the innovative methods used to produce the SA-cSRG 2017–2018 (2019) and summarises the evidence-based recommendations for implementation in the African context.
Methods: The methodology consisted of eight steps: ask clinically relevant questions; acquire evidence; appraise the evidence; extract the evidence; extracting data; grade the evidence level; endorsement and stakeholder feedback. The quality of the included component guidelines, which answered these questions, was scored using the Appraisal of Guidelines Research and Evaluation, Version II (AGREE II). The extracted
recommendations were graded according to a standardised strength of the body of evidence (SoBE) method. The recommendations were then contextualised to the local context based on stakeholder input.
Findings: Seventy-eight composite recommendations were developed. Twenty-three (29%) recommendations were supported by strong evidence. Thirty-six recommendations were supported by moderate evidence (46%) and 19 recommendations were supported by low levels of evidence, no evidence or contradictory evidence.
Conclusion: This chapter outlines steps undertaken to contextualise recommendations to the African setting. These steps provide a blueprint for future guideline writers in LMIC settings to efficiently produce evidence-based guidance for other conditions that can be implemented despite local barriers to evidence uptake.
Aim: This chapter aims to report on the innovative methods used to produce the SA-cSRG 2017–2018 (2019) and summarises the evidence-based recommendations for implementation in the African context.
Methods: The methodology consisted of eight steps: ask clinically relevant questions; acquire evidence; appraise the evidence; extract the evidence; extracting data; grade the evidence level; endorsement and stakeholder feedback. The quality of the included component guidelines, which answered these questions, was scored using the Appraisal of Guidelines Research and Evaluation, Version II (AGREE II). The extracted
recommendations were graded according to a standardised strength of the body of evidence (SoBE) method. The recommendations were then contextualised to the local context based on stakeholder input.
Findings: Seventy-eight composite recommendations were developed. Twenty-three (29%) recommendations were supported by strong evidence. Thirty-six recommendations were supported by moderate evidence (46%) and 19 recommendations were supported by low levels of evidence, no evidence or contradictory evidence.
Conclusion: This chapter outlines steps undertaken to contextualise recommendations to the African setting. These steps provide a blueprint for future guideline writers in LMIC settings to efficiently produce evidence-based guidance for other conditions that can be implemented despite local barriers to evidence uptake.
| Original language | English |
|---|---|
| Title of host publication | Collaborative capacity development to complement stroke rehabilitation in Africa |
| Editors | Quinette Louw |
| Publisher | AOSIS Publishing |
| Chapter | 10 |
| Pages | 389–420 |
| Number of pages | 32 |
| ISBN (Electronic) | 978-1-928523-87-1, 978-1-928523-86-4 |
| ISBN (Print) | 978-1-928523-85-7 |
| Publication status | Published - 2020 |
| Externally published | Yes |
Publication series
| Name | Human Functioning, Technology and Health |
|---|---|
| Volume | 1 |
Keywords
- Evidence-based
- Rehabilitation
- Africa
- Contextual barriers
- Service performance
- Evidence levels
- Recommendations
