Evidence Based PracticeNCT07044817
Adherence to Stroke Rehabilitation Guidelines Among Physical Therapists and Internship Students
An observational study of Evidence Based Practice and Stroke, run by Medipol University at 1 site in Turkey (Türkiye).
Trial summary
The goal of this observational study is to learn about adherence to the 2024 VA/DoD Clinical Practice Guidelines for Stroke Rehabilitation among Turkish physiotherapists and internship students treating post-stroke patients. The main questions it aims to answer are: 1. Read more about this study
- Who is it for?
- Ages 21 to 75 yearsHealthy volunteers can take part
- Conditions the study is for
- Evidence Based Practice, Stroke, Physical Therapist
- What is being tested?
- Stroke Rehabilitation Guideline Adherence Survey
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 106 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Jul 2025to 1 Sep 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 to 75 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Licensed physical therapists and final-year physiotherapy internship students from diverse clinical and academic settings across Turkey will be recruited via email invitations, academic program coordinators, and online professional forums such as WhatsApp and LinkedIn, ensuring a representative community-based sample of practitioners and trainees involved in post-stroke care.
Who may be able to join
- Licensed physiotherapists with ≥1 year of clinical experience.
- 4th-year physiotherapy students enrolled in accredited Turkish universities.
Who cannot join
- Incomplete survey responses (<80% completion).
- Participants outside Turkey.
- Licensed therapists working in non-clinical roles (e.g., administrative, research-only).
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Medipol University
Istanbul, Beykoz/İstanbul, 34810
About this study
Official title: Determining the Compliance With the Guidelines of Physiotherapists' and Physiotherapy Internship Students' Attitudes Regarding the Treatment Approach of Post-Stroke Patients
The goal of this observational study is to learn about adherence to the 2024 VA/DoD Clinical Practice Guidelines for Stroke Rehabilitation among Turkish physiotherapists and internship students treating post-stroke patients. The main questions it aims to answer are:
- What is the level of adherence to these evidence-based stroke rehabilitation guidelines?
- How does guideline adherence differ between licensed physiotherapists and internship students?
- What are the most significant barriers to using these guidelines (e.g., lack of time or resources)?
Read more
Researchers will compare responses from:
- Licensed physiotherapists** (with ≥1 year of experience)
- 4th-year physiotherapy students** (during internships) to understand differences in compliance.
Participants will:
- Complete an online survey about their:
- Use of guideline-recommended interventions (e.g., task-specific training, technology).
- Attitudes toward evidence-based practice.
- Perceived barriers to applying the guidelines.
- Conditions
- Evidence Based Practice, Stroke, Physical Therapist
- Being tested
- Stroke Rehabilitation Guideline Adherence Survey
- Keywords
- Stroke Rehabilitation, Evidence Based Practice, Clinical Practice Guidelines, Physical Therapists, Internship and Residency, Professional Practice Gaps, Health Knowledge, Attitudes, Practice, Turkey, Cross Sectional Studies, Treatment Adherence and Compliance, Health Services Accessibility, Physical Therapy Modalities, Clinical Competence, Practice Guidelines, Physical Therapy
- Medical subject headings
- Stroke, Behavior, Treatment Adherence and Compliance
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Stroke Rehabilitation Guideline Adherence SurveyBehavioural
This intervention consists of a structured online survey, the Stroke Rehabilitation Guideline Adherence Survey, designed to assess physiotherapists' and physiotherapy internship students' adherence to stroke rehabilitation clinical practice guidelines, their attitudes toward implementing evidence-based post-stroke care, and the perceived barriers-such as time constraints, limited resources, or insufficient training-that influence their compliance. No clinical treatments or procedures are administered; the sole "intervention" is the delivery of this comprehensive questionnaire.
| Study group | Role | What they receive |
|---|---|---|
| Licensed Physiotherapists | This group includes licensed physiotherapists in Turkey with at least one year of clinical experience treating post-stroke patients. Participants will complete a survey assessing their adherence to clinical practice guidelines, attitudes toward evidence-based practice, and perceived barriers in stroke rehabilitation. Receives: Behavioral: Stroke Rehabilitation Guideline Adherence Survey | |
| Physiotherapy Internship Students | This group includes final-year physiotherapy students currently completing their clinical internships in Turkey. Participants will complete a survey evaluating their knowledge, attitudes, and challenges related to stroke rehabilitation and the use of evidence-based guidelines. Receives: Behavioral: Stroke Rehabilitation Guideline Adherence Survey |
What is being measured
The primary outcome is the main question the study is designed to answer.
Comparison of Guideline Adherence Between Licensed Physical Therapists and Internship Students
Analysis of differences in adherence scores between licensed physical therapists and internship students to identify any significant variation in guideline implementation practices.
Measured: At the time of survey completion (Baseline)
Secondary outcomes (2)
Adherence to Stroke Rehabilitation Guidelines Among Licensed Physical Therapists and Internship Students
Assessment of the level of adherence to evidence-based stroke rehabilitation guidelines among licensed physical therapists and 4th-year internship students. This is measured by responses to a structured questionnaire evaluating compliance with specific clinical practice recommendations.
Measured: At the time of survey completion (Baseline)
Identification of Barriers to Implementing Evidence-Based Stroke Rehabilitation Guidelines
Evaluation of the challenges and barriers reported by physical therapists and internship students in applying evidence-based stroke rehabilitation guidelines and advanced techniques, as collected through the survey.
Measured: At the time of survey completion (Baseline)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2025
- Study start15 Jul 2025
- Primary completion15 Aug 2025
- Study completion1 Sep 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for Evidence Based PracticeStudies of the same condition, open and under way.
- More trials run by Medipol UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Cross-sectional
- Enrolment
- 106 participants (actual)
Sponsor and investigators
- Lead sponsor
- Medipol University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ibrahim Magdy Ibrahim Ibrahim Elboraey, Medipol University
- Investigators
- Gizem Ergezen Şahin, Dr. Assistant Professor, Study director, Department of Physiotherapy and Rehabilitation/Istanbul Medipol University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07044817
- Sponsor's protocol ID
- E-10840098-202.3.02-2920
- Status last verified
- Sep 2025
- First submitted
- 30 May 2025
- Last updated
- 26 Sep 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Cormican A, Hirani SP, McKeown E. Healthcare professionals' perceived barriers and facilitators of implementing clinical practice guidelines for stroke rehabilitation: A systematic review. Clin Rehabil. 2023 May;37(5):701-712. doi: 10.1177/02692155221141036. Epub 2022 Dec 7.
PubMed 36475911Iles R, Davidson M. Evidence based practice: a survey of physiotherapists' current practice. Physiother Res Int. 2006 Jun;11(2):93-103. doi: 10.1002/pri.328.
PubMed 16808090Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, Hill JC, Ogilvie L, Volk D. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther. 2003 Sep;83(9):786-805.
PubMed 12940766Korner-Bitensky N, Desrosiers J, Rochette A. A national survey of occupational therapists' practices related to participation post-stroke. J Rehabil Med. 2008 Apr;40(4):291-7. doi: 10.2340/16501977-0167.
PubMed 18382825Rochette A, Korner-Bitensky N, Desrosiers J. Actual vs best practice for families post-stroke according to three rehabilitation disciplines. J Rehabil Med. 2007 Sep;39(7):513-9. doi: 10.2340/16501977-0082.
PubMed 17724549Dumoulin C, Korner-Bitensky N, Tannenbaum C. Urinary incontinence after stroke: identification, assessment, and intervention by rehabilitation professionals in Canada. Stroke. 2007 Oct;38(10):2745-51. doi: 10.1161/STROKEAHA.107.486035. Epub 2007 Sep 6.
PubMed 17823380Paci M, Faedda G, Ugolini A, Pellicciari L. Barriers to evidence-based practice implementation in physiotherapy: a systematic review and meta-analysis. Int J Qual Health Care. 2021 Jun 26;33(2):mzab093. doi: 10.1093/intqhc/mzab093.
PubMed 34110410Salbach NM, Guilcher SJ, Jaglal SB, Davis DA. Determinants of research use in clinical decision making among physical therapists providing services post-stroke: a cross-sectional study. Implement Sci. 2010 Oct 14;5:77. doi: 10.1186/1748-5908-5-77.
PubMed 20946678Gale BV, Schaffer MA. Organizational readiness for evidence-based practice. J Nurs Adm. 2009 Feb;39(2):91-7. doi: 10.1097/NNA.0b013e318195a48d.
PubMed 19190426Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71-2. doi: 10.1136/bmj.312.7023.71. No abstract available.
PubMed 8555924Donkor ES. Stroke in the 21st Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Res Treat. 2018 Nov 27;2018:3238165. doi: 10.1155/2018/3238165. eCollection 2018.
PubMed 30598741
Study at a glance
From the registry record, last updated by the sponsor on 26 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Determining the Compliance With the Guidelines of Physiotherapists' and Physiotherapy Internship Students' Attitudes Regarding the Treatment Approach of Post-Stroke Patients
- ClinicalTrials.gov ID
- NCT07044817
- Acronym / sponsor ID
- E-10840098-202.3.02-2920
- Conditions
- Evidence Based Practice, Stroke, Physical Therapist
- Keywords
- Stroke Rehabilitation, Evidence Based Practice, Clinical Practice Guidelines, Physical Therapists, Internship and Residency, Professional Practice Gaps, Health Knowledge, Attitudes
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 106 participants (actual)
- Lead sponsor
- Medipol UniversityUniversity, hospital or other
- Study start
- 15 Jul 2025 (actual)
- Primary completion
- 15 Aug 2025 (actual)
- Study completion
- 1 Sep 2025 (actual)
- First posted
- 1 Jul 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this observational study is to learn about adherence to the 2024 VA/DoD Clinical Practice Guidelines for Stroke Rehabilitation among Turkish physiotherapists and internship students treating post-stroke patients. The main questions it aims to answer are:
- What is the level of adherence to these evidence-based stroke rehabilitation guidelines?
- How does guideline adherence differ between licensed physiotherapists and internship students?
- What are the most significant barriers to using these guidelines (e.g., lack of time or resources)?
Researchers will compare responses from:
- Licensed physiotherapists** (with ≥1 year of experience)
- 4th-year physiotherapy students** (during internships) to understand differences in compliance.
Participants will:
- Complete an online survey about their:
- Use of guideline-recommended interventions (e.g., task-specific training, technology).
- Attitudes toward evidence-based practice.
- Perceived barriers to applying the guidelines.
Study design
- Observational model
- Case only
- Time perspective
- Cross-sectional
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Licensed Physiotherapists | – | Behavioral: Stroke Rehabilitation Guideline Adherence SurveyThis group includes licensed physiotherapists in Turkey with at least one year of clinical experience treating post-stroke patients. Participants will complete a survey assessing their adherence to clinical practice guidelines, attitudes toward evidence-based practice, and perceived barriers in stroke rehabilitation. |
| Physiotherapy Internship Students | – | Behavioral: Stroke Rehabilitation Guideline Adherence SurveyThis group includes final-year physiotherapy students currently completing their clinical internships in Turkey. Participants will complete a survey evaluating their knowledge, attitudes, and challenges related to stroke rehabilitation and the use of evidence-based guidelines. |
Who may qualify
- Ages
- 21 to 75 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Licensed physical therapists and final-year physiotherapy internship students from diverse clinical and academic settings across Turkey will be recruited via email invitations, academic program coordinators, and online professional forums such as WhatsApp and LinkedIn, ensuring a representative community-based sample of practitioners and trainees involved in post-stroke care.
Key inclusion criteria (2 listed)
- Licensed physiotherapists with ≥1 year of clinical experience.
- 4th-year physiotherapy students enrolled in accredited Turkish universities.
Key exclusion criteria (3 listed)
- Incomplete survey responses (<80% completion).
- Participants outside Turkey.
- Licensed therapists working in non-clinical roles (e.g., administrative, research-only).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Stroke Rehabilitation Guideline Adherence SurveyThis intervention consists of a structured online survey, the Stroke Rehabilitation Guideline Adherence Survey, designed to assess physiotherapists' and physiotherapy internship students' adherence to stroke rehabilitation clinical practice guidelines, their attitudes toward implementing evidence-based post-stroke care, and the perceived barriers-such as time constraints, limited resources, or insufficient training-that influence their compliance. No clinical treatments or procedures are administered; the sole "intervention" is the delivery of this comprehensive questionnaire. | Behavioural | Licensed Physiotherapists, Physiotherapy Internship Students |
Primary outcome
Comparison of Guideline Adherence Between Licensed Physical Therapists and Internship Students
Time frame: At the time of survey completion (Baseline)
Analysis of differences in adherence scores between licensed physical therapists and internship students to identify any significant variation in guideline implementation practices.
2 secondary outcomes
Adherence to Stroke Rehabilitation Guidelines Among Licensed Physical Therapists and Internship Students
Time frame: At the time of survey completion (Baseline)
Identification of Barriers to Implementing Evidence-Based Stroke Rehabilitation Guidelines
Time frame: At the time of survey completion (Baseline)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Sep 2025.
- Background: PubMed 36475911Cormican A, Hirani SP, McKeown E. Healthcare professionals' perceived barriers and facilitators of implementing clinical practice guidelines for stroke rehabilitation: A systematic review. Clin Rehabil. 2023 May;37(5):701-712. doi: 10.1177/02692155221141036. Epub 2022 Dec 7.
- Background: PubMed 16808090Iles R, Davidson M. Evidence based practice: a survey of physiotherapists' current practice. Physiother Res Int. 2006 Jun;11(2):93-103. doi: 10.1002/pri.328.
- Background: PubMed 12940766Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, Hill JC, Ogilvie L, Volk D. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther. 2003 Sep;83(9):786-805.
- Background: PubMed 18382825Korner-Bitensky N, Desrosiers J, Rochette A. A national survey of occupational therapists' practices related to participation post-stroke. J Rehabil Med. 2008 Apr;40(4):291-7. doi: 10.2340/16501977-0167.
- Background: PubMed 17724549Rochette A, Korner-Bitensky N, Desrosiers J. Actual vs best practice for families post-stroke according to three rehabilitation disciplines. J Rehabil Med. 2007 Sep;39(7):513-9. doi: 10.2340/16501977-0082.
- Background: PubMed 17823380Dumoulin C, Korner-Bitensky N, Tannenbaum C. Urinary incontinence after stroke: identification, assessment, and intervention by rehabilitation professionals in Canada. Stroke. 2007 Oct;38(10):2745-51. doi: 10.1161/STROKEAHA.107.486035. Epub 2007 Sep 6.
- Background: PubMed 34110410Paci M, Faedda G, Ugolini A, Pellicciari L. Barriers to evidence-based practice implementation in physiotherapy: a systematic review and meta-analysis. Int J Qual Health Care. 2021 Jun 26;33(2):mzab093. doi: 10.1093/intqhc/mzab093.
- Background: PubMed 20946678Salbach NM, Guilcher SJ, Jaglal SB, Davis DA. Determinants of research use in clinical decision making among physical therapists providing services post-stroke: a cross-sectional study. Implement Sci. 2010 Oct 14;5:77. doi: 10.1186/1748-5908-5-77.
- Background: PubMed 19190426Gale BV, Schaffer MA. Organizational readiness for evidence-based practice. J Nurs Adm. 2009 Feb;39(2):91-7. doi: 10.1097/NNA.0b013e318195a48d.
- Background: PubMed 8555924Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71-2. doi: 10.1136/bmj.312.7023.71. No abstract available.
- Background: PubMed 30598741Donkor ES. Stroke in the 21st Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Res Treat. 2018 Nov 27;2018:3238165. doi: 10.1155/2018/3238165. eCollection 2018.
- This website provides clinical practice guidelines on stroke rehabilitation published by the Veterans Affairs/Department of Defense (VA/DoD). It offers evidence-based recommendations relevant to the study protocol on post-stroke rehabilitation adherenceLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gizem Ergezen Şahin, Dr. Assistant Professor study director
Department of Physiotherapy and Rehabilitation/Istanbul Medipol University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Evidence Based Practice and Stroke, run by Medipol University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Comparison of Guideline Adherence Between Licensed Physical Therapists and Internship Students (time frame: At the time of survey completion (Baseline)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07044817, which also lists 11 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Sep 2025.