Year, Volume, Issue, Page(s):17, 17, 54,
Article describes the development of a process for assessing the quality of evidence of clinical practices in traumatic brain injury (TBI) rehabilitative care. A multidisciplinary team of clinicians developed discipline-specific clinical questions using the Population, Intervention, Control, Outcome (PICO) process. A systematic review of the literature was conducted for each PICO question using Pubmed, CINAHL, PsychInfo, and Allied Health Evidence databases. Team members assessed the quality, level, and applicability of evidence utilizing a modified Oxford scale, the Agency for Healthcare Research and Quality Methods Guide, and a modified version of the Grading of Recommendations, Assessment, Development, and Evaluation scale. Draft recommendations for best-practice were formulated and shared with a Delphi panel of clinical representatives and stakeholders to obtain consensus. Evidence-based practice guidelines are essential to improve the quality of TBI rehabilitation care. Using a modified quality of evidence assessment tool, researchers established a process to gain consensus on practice recommendations for individuals with TBI undergoing rehabilitation.