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触知项目:一项针对脑瘫患儿治疗师的触觉评估知识、障碍和实践的知识转化干预的结果。

Getting inTOUCH: outcomes of a knowledge translation intervention for tactile assessment knowledge, barriers, and practice in paediatric therapists working with children with cerebral palsy.

机构信息

a School of Health and Rehabilitation Sciences , The University of Queensland , Brisbane , Australia.

b CPL - Choice, Passion, Life , Brisbane , Australia.

出版信息

Disabil Rehabil. 2019 Sep;41(19):2350-2358. doi: 10.1080/09638288.2018.1466202. Epub 2018 Apr 25.

Abstract

Tactile impairments are common in children with cerebral palsy (CP), however assessment is not routinely carried out by therapists. We investigated a multi-faceted intervention to improve remove and enhance of tactile assessments by paediatric therapists. Twelve therapists from a state-wide service for children with CP (seven physiotherapists, five occupational therapists; 12 female) received: written information, demonstration videos, a face-to-face workshop, equipment provision, and on-call mentoring. Therapists completed pre-post-intervention questionnaires reporting their perceived tactile assessment current and implementation . Following intervention, therapists improved of correct (1) tactile impairment prevalence in children with CP (pre 3/12; post 9/12), (2) tactile assessment items (e.g. Registration - pre 1/12; post 9/12; Localisation - pre 2/12; post 10/12), and (3) equipment choice (e.g. Monofilaments - pre 1/12; post 10/12). Tactile assessment improved slightly. All major clinician-level implementation were resolved and less obvious organisational-level were identified for follow-up. A 12-month multi-faceted intervention can improve tactile assessment resolve major clinician-level implementation , and identify less obvious organisational-level to be addressed to achieve maximum improvement. Ongoing multi-faceted knowledge translation processes are essential for high-performing organisations. Implications for rehabilitation A multi-faceted knowledge translation intervention significantly improved paediatric therapists' of the items and equipment necessary for tactile assessment. A 12-month intervention can address clinician-level of knowledge, confidence, and access to equipment and assist in the identification of less obvious organisational-level barriers. Consideration of motivational readiness for change, intervention timelines, monitoring of emergent barriers, and fitting tactile assessment into a broader assessment framework are critical for improving uptake of tactile assessment in .

摘要

触觉障碍在脑瘫(CP)儿童中很常见,但治疗师并未常规进行评估。我们研究了一种多方面的干预措施,以改善儿科治疗师进行的触觉评估。来自全州 CP 儿童服务机构的 12 名治疗师(7 名物理治疗师,5 名职业治疗师;12 名女性)接受了以下培训:书面信息、示范视频、面对面研讨会、设备提供和随叫随到的指导。治疗师在干预前后完成了调查问卷,报告了他们对触觉评估的感知,包括当前的触觉评估和实施情况。干预后,治疗师提高了正确评估 CP 儿童触觉障碍(1)患病率的能力(干预前为 3/12,干预后为 9/12),(2)触觉评估项目(例如,登记 - 干预前为 1/12,干预后为 9/12;定位 - 干预前为 2/12,干预后为 10/12),以及(3)设备选择(例如,单丝 - 干预前为 1/12,干预后为 10/12)。触觉评估略有改善。所有主要的临床医生层面的实施问题都得到了解决,并确定了不太明显的组织层面的问题需要跟进。为期 12 个月的多方面知识转化干预可以提高触觉评估,解决主要的临床医生层面的实施问题,并确定不太明显的组织层面的问题,以实现最大的改进。持续的多方面知识转化过程对于高绩效组织至关重要。对康复的意义 多方面的知识转化干预显著提高了儿科治疗师对触觉评估所需项目和设备的理解。为期 12 个月的干预可以解决临床医生层面的知识、信心和设备获取问题,并有助于确定不太明显的组织层面障碍。考虑改变的动机准备、干预时间安排、监测新出现的障碍以及将触觉评估纳入更广泛的评估框架,对于提高触觉评估在实践中的应用至关重要。

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