The research to practice gap is a significant problem across all disciplines of healthcare. A major challenge associated with the adoption of evidence into routine clinical care is the disconnect between findings that are identified in a controlled research setting, and the needs and challenges of a real-world clinical practice setting. Implementation Science, which is the study of methods to promote research into clinical practice, provides frameworks to promote the translation of findings into practice. To begin to bridge the research-practice gap in assessing recovery in individuals with aphasia in the acute phases of recovery following stroke, clinicians in an acute care hospital and an inpatient rehabilitation hospital followed an implementation science framework to select and implement a standardized language assessment to evaluate early changes in language performance across multiple timepoints. Using a secure online database to track patient data and language metrics, clinically-accessible information was examined to identify predictors of recovery in the acute phases of stroke. We report on the feasibility of implementing such standardized assessments into routine clinical care via measures of adherence. We also report on initial analyses of the data within the database that provide insights into the opportunities to track change. This initiative highlights the feasibility of collecting clinical data using a standardized assessment measure across acute and inpatient rehabilitation care settings. Practice-based evidence may inform future research by contributing pilot data and systematic observations that may lead to the development of empirical studies, which can then feed back into clinical practice.

中文翻译：

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在失语症的急性期实施标准化的语言评估：将基于证据的实践与基于实践的证据联系起来。

实践差距的研究是所有医疗保健领域的重要问题。与在常规临床护理中采用证据相关的主要挑战是，在受控研究环境中发现的发现与现实世界临床实践环境的需求和挑战之间存在脱节。实施科学是对促进临床实践研究的方法的研究，它提供了将发现转化为实践的框架。为了弥合研究在评估中风后急性恢复期失语症患者恢复方面的研究与实践之间的差距，急诊医院和住院康复医院的临床医生遵循实施科学框架来选择和实施标准化语言评估，以评估跨多个时间点的语言表现的早期变化。使用安全的在线数据库跟踪患者数据和语言指标，检查了临床可访问的信息，以确定中风急性期恢复的预测指标。我们报告了通过依从性措施将这种标准化评估纳入常规临床护理的可行性。我们还将报告对数据库中数据的初步分析，这些分析提供了有关跟踪变更机会的见解。该计划强调了在急性和住院康复护理机构中使用标准化评估方法收集临床数据的可行性。基于实践的证据可能会通过提供试验数据和系统观察来为未来的研究提供信息，这可能会导致实证研究的发展，然后可将其反馈给临床实践。