Implementing Clinical Practice Guidelines for Improving Function in Cerebral Palsy: Development of a Fidelity Tool.

IF 1.3 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2024-10-09 DOI:10.1097/PEP.0000000000001155

Michelle Jackman, Megan Thorley, Rachel Toovey, Andrea Burgess, Remy Blatch-Williams, Leanne Sakzewski, Roslyn N Boyd, Iona Novak

{"title":"Implementing Clinical Practice Guidelines for Improving Function in Cerebral Palsy: Development of a Fidelity Tool.","authors":"Michelle Jackman, Megan Thorley, Rachel Toovey, Andrea Burgess, Remy Blatch-Williams, Leanne Sakzewski, Roslyn N Boyd, Iona Novak","doi":"10.1097/PEP.0000000000001155","DOIUrl":null,"url":null,"abstract":"Purpose: To develop a fidelity tool to support the implementation of clinical practice guidelines to improve physical function for children and young people with cerebral palsy.Methods: Fidelity tool development followed a 5-step process: the pilot study, using a mixed-methods action research approach, and including focus groups, questionnaires, and field notes.Results: A 21-item fidelity tool representing the core components of the clinical practice guidelines was developed, including subsections of goal setting, intervention, and elements seen throughout therapeutic intervention. Clinicians and supervisors reported this tool as acceptable and feasible, especially when used as a self-reflection tool.Conclusions: A fidelity tool has been developed that clinicians, supervisors and organizations can use to reflect on current practice and plan for changes to align practice with guidelines to improve function in children with cerebral palsy.","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Physical Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PEP.0000000000001155","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To develop a fidelity tool to support the implementation of clinical practice guidelines to improve physical function for children and young people with cerebral palsy.

Methods: Fidelity tool development followed a 5-step process: the pilot study, using a mixed-methods action research approach, and including focus groups, questionnaires, and field notes.

Results: A 21-item fidelity tool representing the core components of the clinical practice guidelines was developed, including subsections of goal setting, intervention, and elements seen throughout therapeutic intervention. Clinicians and supervisors reported this tool as acceptable and feasible, especially when used as a self-reflection tool.

Conclusions: A fidelity tool has been developed that clinicians, supervisors and organizations can use to reflect on current practice and plan for changes to align practice with guidelines to improve function in children with cerebral palsy.

查看原文本刊更多论文

实施临床实践指南以改善脑瘫患者的功能：开发保真度工具。

目的：开发一种忠实性工具，以支持临床实践指南的实施，从而改善脑瘫儿童和青少年的身体功能：忠实度工具的开发分为 5 个步骤：试点研究、混合方法行动研究、焦点小组、问卷调查和实地记录：结果：开发出了一个 21 个项目的忠实性工具，代表了临床实践指南的核心内容，包括目标设定、干预和整个治疗干预过程中可见的要素等子部分。临床医生和督导人员都认为该工具是可接受的、可行的，尤其是在用作自我反省工具时：结论：我们开发了一种 "忠实度 "工具，临床医生、督导人员和机构可利用该工具反思当前的实践，并计划做出改变，使实践与指南保持一致，从而改善脑瘫儿童的功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.