Clinicians’ perspectives on the impact of the Oxford Visual Perception Screen in stroke care: a mixed methods study.

AbstractPurpose: The study investigates the clinical impact of the Oxford Visual Perception Screen (OxVPS), a standardised assessment for post-stroke visual perception difficulties. Methods: In this mixed-method study, OxVPS use, benefits, and changes to practice were explored through repeated cross-sectional user surveys 3 (n=234), 6 (n=136), and 12 months (n=70) post-registration and interviews with 33 health professionals. Results: The use of OxVPS increased from 85% of participants at 3-6 months to 94% at 12 months and for 54%-67% OxVPS changed their clinical practice. The survey data revealed that OxVPS amplified awareness of visual perception difficulties in 89%-98% of participants and interviews highlighted increased knowledge. For 48% of participants OxVPS had become the standard screening tool. Both interviews and surveys showed ease of implementation: participants found OxVPS quicker (71%-76%), easier to use (72%-81%), more suitable for their patients (77%- 85%), and more user-friendly (74%-78%) than other screening tools. OxVPS allowed 93%-94% of participants to screen patients in a more standardised way and supported rehabilitation planning. Ninety-four percent would recommend OxVPS to a colleague. Conclusions: Clinicians find OxVPS quicker, easier to use compared to other assessments, and supportive of rehabilitation planning. As a result, more patients are assessed in a standardised way.