Research Poster 305268 Efficacy of Stroke Elderly with Unconsciousness Movement during Non-REM Sleep on Vascular- Health in 5 Years Akira Kimura (Graduate School of Health Science Gunma Paz University) Research Objectives: To clarify the effectiveness of body movement time during non - REM sleep on the hardness of the blood vessel of the elderly stroke patient during 5 years. Design: Prospective cohort study. Setting: Long-Term Nursing Care Health Facility. Participants: A stroke patient of elderly who is over 75 years old. Eigh- teen participants. (average 82 years old, weighing 47 kg). Participation criteria are that the physical activities of the day are maintained at 1200 to 1400 Cal and that they can stand independently. Interventions: The focused intervention is that the body movement time during non-REM sleep is maintained for 80 minutes or more. The control group(CG) was determined to be 79 minutes or less. Main Outcome Measure(s): End point is the first pulse wave veloc- ity(PWV), brachial-ankle artery blood pressure ratio(ABI) and whether or not deterioration of the value after five years has passed. (PWV, Omron PE 203). Muscle mass (Tanita-body composer). Physical activity (Actigraph). Results: The non-aggravation rate on the paralyzed side of the endpoint was the PWV at 3/18 and the ABI at 2/18. This was in the range of deterioration rate with general aging. On the paralyzed side PWV, the likelihood ratio is 5.635, p Z 0.028, significant difference 3/8 in the CG in which the body movement time during non-REM sleep is maintained for 80 minutes or more and the CG that does not satisfy showed. The 95% Confidential Interval of the bootstrapped model was -0.775 to -0.228. Combination effect was diminished. Conclusion/Discussion: Ensuring body movement time during non-REM sleep may be effective in keeping the hardness of blood vessels and in 5 years of paralyzed limbs. From now on, attention should be paid to the influence of unconscious movement during sleep. Key Words: Unconsciousness Movement, Non-REM Sleep, Vascular- Health, Stroke Disclosures: None. Research Poster 305159 Engaging Our Patients to the Highest Peak with Up To Date Clinical Practice Kaitlyn Renfro (VAPAHCS), Virginia Yu Research Objectives: Examine and update VA Palo Alto HCS (VAPAHCS) SCI indwelling catheter policy to reflect current PVA guidelines and to align with at home urinary catheter care; implement the policy change in SCI; determine adherence to policy and; examine the impact on CAUTI rates. Design: 1) Developed standard work for management of urinary catheters based on PVA guidelines; 2) Developed and delivered innovative educa- tional material consisting of interactive in-services and worksheets. Setting: Veteran population, specifically spinal cord injury patients. This unit that our policy change was implemented on is in Palo Alto, California. We are an impatient unit. Participants: Any patient that had an indwelling catheter took place in the change. This is not a study, rather a policy change. Interventions: The policy in the other areas of the hospital already followed the monthly change. Patients at home do monthly changes, as well. In order to match the practices at home and inpatient our policy was changed. Education was done for the entire unit: patients, health care providers, and family. Main Outcome Measure(s): The hospital follows nursing National Data- base of Nursing Quality Indicators. This is how we measured our out- comes. The author also created a spreadsheet for monthly audits. By auditing the charting, nursing was able to identify if monthly changes were done each week. Results: Education was delivered to 100% (nZ63) SCI staff nurses over 6 months. Monthly point prevalence adherence was 100% to policy change. Quarterly (Q) CAUTI rates were Q1: 3.15 cases, Q2: 3.16. NDNQI TM CAUTI benchmark Z 4.91. Conclusion/Discussion: This project demonstrates the importance of critical appraisal of current practices and policies. Further, innovative educational strategies combined with routine audits are effective in sus- taining staff nurse engagement and long term practice. Key Words: SCI, Bladder Management, NDNQI Disclosures: None. Research Poster 298706 Enhancing Speech Pathology Clinical Competencies Through Motivational Interviewing Katandria Johnson (Childrens Hospital/Cook Childrens Hospital/K&K Services), Nicole Carter Research Objectives: Describe the healthcare provider (HCP) training to include a web-based application. Explain the feasibility and outcomes of the HCP training program. Discuss quarterly HCP feedback and subsequent training program modifications. A multi-modal, didactic MI training program was implemented in CCMC’s Physical Medicine and Rehabilitation department. Speech pathologists learned how to: 1) ask open-ended questions; 2) reflectively listen; 3) develop goals; and 4) summarize the HCP-client interaction. Participants: Cook Childrens Medical Center (CCMC) Speech-Language Pathologists and Assistants (SLP/SLP-A) elected to participate in the Motivational Interviewing (MI) training program. Online training module of YouTubes, worksheets and in- person practice with colleagues. Main Outcome Measure(s): 1. Multi-modal, didactic and interactive training in the area of health behavior counseling at the graduate school and profes- sional levels is needed to address health care reform changes and improve patient outcomes. 2. Graduate curricula and professional continuing education courses should include behavioral health change mechanisms for improved patient/family treatment adherence and compliance. 3. Evidence-based and inter-professional clinical competencies in patient/family education is an in- surance mandated and institutional requirement that should be operationalized in SLP/SLP-A student training and professional continuing education. Results: About 71.42% of therapists disagreed with the statement, I am confident in my understanding of Motivational Interviewing and stages of change whereas 14.28% strongly disagreed with the statement. All thera- pists felt they were not confident in their ability to use MI techniques when seeing patients in need of health behavior change. Conclusion/Discussion: MI as a professional training tool was deemed feasible and useful by the CCMC SLP/SLP-As when training was inter- active and allowed for ongoing feedback. Key Words: Patient-Centered Care, Public Health Curricula, Motivational Interviewing Disclosures: None. Research Poster 304863 Epidemiology of Moderate-to-Severe TBI in Cyprus: Preliminary Findings from CREACTIVE study Mikaella Kokkinou (University of Cyprus), Fofi Constantinidou, Theodoros Kyprianou, Ioannis Taliadoros, Nikos Ioannides, Eraclis Kyriakides Research Objectives: To describe moderate-to-severe Traumatic Brain Injury in Cyprus, a major public health challenge, associated with sig- nificant socioeconomic burden. Clinical outcome data include acute Hos- pital admission to post-acute follow up (6 months). Design: Observational, national cohort study and follow up to 6-months. Setting: National reference tertiary trauma center - 23-beds multidisci- plinary ICU/HDU. Context: CREACTIVE EU co-funded project. Participants: Patients cohort > age-15, admitted in the ICU with the diagnosis of moderate-to-severe TBI (GCS < 13), between 2013-2015. Exclusion of patients in peri-morbid state. e64 Research Posters www.archives-pmr.org