{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:16:59Z","timestamp":1787836619371,"version":"build-2784847793"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate how Centres of Clinical Excellence criteria align with routine clinical practice in international stroke rehabilitation centres and explore the factors influencing practices across diverse health systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed-methods study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>International stroke rehabilitation centres across diverse geographic and economic contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Clinicians and service leaders representing 15 centres from 10 countries (two lower-middle-income, two upper-middle-income, and six high-income).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Evaluation of how international stroke rehabilitation centres demonstrate performance that aligns with the multidimensional Centre of Clinical Excellence criteria, and exploration of the contextual factors influencing practices across diverse health systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>Survey responses and semi-structured interview data examining patient-centred care, interprofessional practice, workforce development, research, mentorship and organisational structures supporting clinical excellence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Strong alignment was observed for patient-centred outcomes, interprofessional teamwork, and staff education, supported by established clinical pathways and outcome measurement processes. High-income and metropolitan centres more frequently reported protected time, funding, and formal workforce development structures. Centres in low- and middle-income and regional settings relied more on informal processes due to resource constraints. Across all contexts, leadership development, mentorship, advocacy, research engagement, and continuity of care were inconsistently implemented and documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Core domains of stroke rehabilitation are well established internationally; however, system-level supports that sustain evidence-based practice vary considerably. Embedding structured leadership, workforce development, research engagement, and advocacy mechanisms alongside routine care may strengthen sustainability, improve consistency of evidence-based practice, and reduce inequities in rehabilitation outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155261478023","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:17:57Z","timestamp":1787671077000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Towards global standards in stroke rehabilitation and recovery: An international evaluation of practice alignment"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4431-7045","authenticated-orcid":false,"given":"Thoshenthri","family":"Kandasamy","sequence":"first","affiliation":[{"name":"Riverland Mallee Coorong Local Health Network, SA Health"},{"name":"Flinders University"},{"name":"Flinders University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4441-6860","authenticated-orcid":false,"given":"Rachel C","family":"Stockley","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, University of Lancashire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4326-9256","authenticated-orcid":false,"given":"Jeroen M","family":"Hendriks","sequence":"additional","affiliation":[{"name":"Maastricht University Medical Centre"},{"name":"Maastricht University"},{"name":"Centre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1656-7944","authenticated-orcid":false,"given":"Shamala","family":"Thilarajah","sequence":"additional","affiliation":[{"name":"Singapore General Hospital"},{"name":"Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noorazah Azah","family":"Abd Aziz","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, UKM Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7210-1295","authenticated-orcid":false,"given":"Erin","family":"Godecke","sequence":"additional","affiliation":[{"name":"Perron Institute for Neurological and Translational Science"},{"name":"Allied Health Research, Sir Charles Gairdner and Osborne Park Health Care Group, Perth, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4516-4629","authenticated-orcid":false,"given":"Jie","family":"Jia","sequence":"additional","affiliation":[{"name":"Huashan Hospital Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3192-7787","authenticated-orcid":false,"given":"Margit","family":"Alt Murphy","sequence":"additional","affiliation":[{"name":"University of Gothenburg"},{"name":"Department of Neurological Rehabilitation, Sahlgrenska University Hospital, Gothenburg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8756-1051","authenticated-orcid":false,"given":"Elizabeth A","family":"Lynch","sequence":"additional","affiliation":[{"name":"Flinders University"},{"name":"Flinders University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/17474930241308142"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00252-0"},{"key":"e_1_3_3_4_2","first-page":"89","volume-title":"Rehabilitation is a global health priority","author":"Heinemann AW","year":"2020","unstructured":"Heinemann AW, Feuerstein M, Frontera WR, et al. 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