Implementation of contextualized clinical practice guidelines for motor rehabilitation post-stroke in India- the CLAIM INDIA study

This 3 phased mixed methods study is aimed at studying the impact of clinical and implementation outcomes of a multi-component intervention on contextualized motor rehabilitation Clinical Practice Guidelines (CPGs) for stroke rehabilitation in India. Phase 1 will include a qualitative (focus group discussions), co-design method to contextualize existing stroke rehabilitation guidelines for the Indian context, following the methodology for contextualization provided by Grimmer etal. Phase 2 will include a 4-phased qualitative design (survey) to prioritize top recommendations from contextualized CPGs developed in Phase 1 that are most feasible and relevant to be implemented. This phase will also be co-design and based on a prioritization model followed in Australia by Lynch etal. Phase 3 will follow the Hybrid-2 implementation study design to  study the impact of implementing the prioritized recommendations from phase-2 across 2 tertiary hospitals in India. Outcomes will be: the RE-AIM i.e. Reach, Effectiveness, adoption, implementation & maintenance of the intervention/prioritized recommendations.