{"title":"Knowledge Translation Interventions to Increase the Uptake of Evidence-Based Practice Among Pediatric Rehabilitation Professionals: A Systematic Review.","authors":"Raquel Lazarowitz, Doaa Taqi, Cassandra Lee, Jill Boruff, Kimberly McBain, Annette Majnemer, André Bussières, Noémi Dahan-Oliel","doi":"10.1080/01942638.2024.2421854","DOIUrl":"https://doi.org/10.1080/01942638.2024.2421854","url":null,"abstract":"<p><strong>Aims: </strong>To summarize evidence on effective knowledge translation (KT) interventions to increase evidence-based practice among pediatric rehabilitation professionals.</p><p><strong>Methods: </strong>The PRISMA 2020 Checklist was used for search, selection, and data extraction. The Mixed Methods Appraisal Tool assessed quality, while the Cochrane Effective Practice and Organization of Care described KT interventions.</p><p><strong>Results: </strong>Our search yielded 7233 records; 29 met the inclusion criteria. Two studies used educational materials alone. The remaining 27 studies used multifaceted KT interventions, combining education with local opinion leaders or knowledge brokers (<i>n</i> = 12), continuous quality improvement (<i>n</i> = 11), reminders (<i>n</i> = 6), communities of practice (<i>n</i> = 6), provider performance monitoring (<i>n</i> = 5), audit and feedback (<i>n</i> = 2), information and communication technology (<i>n</i> = 2), clinical practice guideline (<i>n</i> = 1), or routine patient-reported outcome measures (<i>n</i> = 1). Significant improvements in knowledge (<i>n</i> = 10), skills (<i>n</i> = 6), adherence and use (<i>n</i> = 4), perceptions (<i>n</i> = 3), intentions of use (<i>n</i> = 2), confidence level (<i>n</i> = 1), beliefs and attitudes (<i>n</i> = 3), and professional behavior change (<i>n</i> = 2) were reported. Included studies had a moderate to high-risk bias.</p><p><strong>Conclusion: </strong>Educational and local opinion leaders were common in multifaceted KT interventions, the majority resulting in improved professional knowledge, skills, attitudes and beliefs, and behaviors. Rigorous study designs are needed to confirm these findings.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-34"},"PeriodicalIF":1.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter to the Editor.","authors":"Vialu Carlo, Peggy Morris","doi":"10.1080/01942638.2024.2420987","DOIUrl":"https://doi.org/10.1080/01942638.2024.2420987","url":null,"abstract":"","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-4"},"PeriodicalIF":1.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and Validation of the Participation Questionnaire for Preschoolers with Autism Spectrum Disorder: Structural Validity, Internal Consistency, and Construct Validity.","authors":"Takuto Nakamura, Hirofumi Nagayama, Satoshi Sasada","doi":"10.1080/01942638.2024.2421856","DOIUrl":"https://doi.org/10.1080/01942638.2024.2421856","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to develop the Participation Questionnaire for Preschoolers (PQP) and validate its psychometric properties as a disability-specific tool designed to assess participation in preschool-aged children with autism spectrum disorder (ASD).</p><p><strong>Methods: </strong>This cross-sectional study recruited caregivers of 412 children, including those diagnosed with ASD and those at risk for neurodevelopmental disorders. Participants were recruited from child development facilities, medical institutions, and developmental support websites across Japan. Data from 287 children diagnosed with ASD were analyzed for item reduction, followed by exploratory factor analysis and the calculation of Cronbach's alpha to evaluate internal consistency. Five hypotheses were tested to assess construct validity.</p><p><strong>Results: </strong>Item reduction resulted in the removal of seven items and the identification of four factors: Friendship and Education, Family Satisfaction, Daily Living and Independence, and Leisure and Community Life. Cronbach's alpha values for these factors ranged from 0.74 to 0.88, indicating acceptable internal consistency. Three of the five hypotheses related to construct validity were supported, aligning with expectations.</p><p><strong>Conclusion: </strong>The PQP exhibited structural validity, internal consistency, and construct validity. However, further longitudinal studies are needed to validate its measurement properties over time.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adriana Neves Dos Santos, Tatiane Schlichting, Nelci Adriana Cicuto Ferreira Rocha
{"title":"Telehealth of Infants at Risk During the COVID-19 Pandemic: Physical Therapists' and Caregiver's Perceptions and Costs.","authors":"Adriana Neves Dos Santos, Tatiane Schlichting, Nelci Adriana Cicuto Ferreira Rocha","doi":"10.1080/01942638.2024.2419646","DOIUrl":"https://doi.org/10.1080/01942638.2024.2419646","url":null,"abstract":"<p><strong>Aim: </strong>We aimed to describe telehealth used to detect infants at risk of neurodevelopmental delay and assess the assessors' and caregivers' perceptions and costs.</p><p><strong>Methods: </strong>This was an observational study in which five physical therapists applied the General Movement Assessment, the neurological exam based on the Hammersmith Infant Neurological Examination, and the Alberta Infant Motor Scale <i>via</i> telehealth in 65 infants at risk of neurologic delay during the COVID-19 pandemic. The perceptions of assessors and caregivers were assessed using a questionnaire. We tabulated the family's costs (internet access) and the therapist's expenses (internet access and professional fees).</p><p><strong>Results: </strong>In general, assessors felt comfortable and reported good quality of teleassessment. They highlighted the significant effort they and caregivers required for synchronous methods, challenges in clearly guiding caregivers on infant positioning, difficulties in adjusting the camera's position, and unstable internet connections. Most assessors expressed a willingness to continue using telehealth. Caregivers displayed high satisfaction, and the costs were minimal.</p><p><strong>Conclusion: </strong>Teleassessment during the COVID-19 pandemic was feasible, although implementing this method of health service in general clinical practice still requires further scrutiny.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatriz Helena Brugnaro, Raissa Wanderley Ferraz de Abreu, Bruna Nayara Verdério, Camila Resende Gâmbaro Lima, Olaf Kraus de Camargo, Rachel Teplicky, Mariana Martins Dos Santos, Mary A Khetani, Nelci Adriana Cicuto Ferreira Rocha
{"title":"Home Participation of Infants With and Without Biological Risk in the First Year of Life: A Cross-Sectional and Comparative Study.","authors":"Beatriz Helena Brugnaro, Raissa Wanderley Ferraz de Abreu, Bruna Nayara Verdério, Camila Resende Gâmbaro Lima, Olaf Kraus de Camargo, Rachel Teplicky, Mariana Martins Dos Santos, Mary A Khetani, Nelci Adriana Cicuto Ferreira Rocha","doi":"10.1080/01942638.2024.2419643","DOIUrl":"https://doi.org/10.1080/01942638.2024.2419643","url":null,"abstract":"<p><strong>Aim: </strong>To compare caregiver-reported current and desired home participation of infants with and without biological risk in the first year of life.</p><p><strong>Method: </strong>Observational, cross-sectional and comparative study. Caregivers of 48 infants with (mean corrected age = 5.6(±2.3) months) and 32 without (mean corrected age = 5.8(±1.9) months) biological risk completed the Young Children's Participation and Environment Measure home section. Caregivers reported on their infant's current participation (frequency and involvement) in 13 activities within the domains of basic care routines, household chores, interactive and organized play, and socializing with friends and family, as well as their desire for change(s) in their infant's home participation. We compared groups using comparative tests (Bonferroni's correction for multiple comparisons; <i>p</i> < 0.0125).</p><p><strong>Results: </strong>Infants with biological risk participated less frequently in the domain household chores (<i>U</i> = 383.000; <i>p</i> < 0.001); and were less involved in the domain household chores (<i>U</i> = 407.000; <i>p</i> < 0.001). No significant group differences were found in desire for change.</p><p><strong>Conclusion: </strong>Results suggest that home participation restriction can be identified for infants with biological risk in one out of four domains, which may allow health professionals to develop strategies to intervene early in the participation of children at risk in this specific area of household chores.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jorine Schoenmaker, Han Houdijk, Bert Steenbergen, Heleen A Reinders-Messelink, Marina M Schoemaker
{"title":"OPTIMAL Motor Teaching Strategies Employed in Physiotherapy for Children with Developmental Coordination Disorder: An Observational Study.","authors":"Jorine Schoenmaker, Han Houdijk, Bert Steenbergen, Heleen A Reinders-Messelink, Marina M Schoemaker","doi":"10.1080/01942638.2024.2404466","DOIUrl":"https://doi.org/10.1080/01942638.2024.2404466","url":null,"abstract":"<p><strong>Aims: </strong>To describe the teaching strategies that physiotherapists currently employ in individual therapy sessions for children with DCD using the OPTIMAL theory for motor learning as a framework, focused on (1) autonomy (supporting autonomy vs. therapist-controlled), (2) expectancies (enhancing vs. lowering expectancies), and (3) attention (promoting an internal vs. an external focus of attention).</p><p><strong>Methods: </strong>Eighteen physiotherapy sessions were videotaped and analyzed with Noldus The Observer XT using the OPTIMAL Strategies Observational Tool (OSOT). Relative duration (% of session time) and frequency were extracted for teaching strategies related to autonomy, expectancies, and attention.</p><p><strong>Results: </strong>Physiotherapists mostly applied strategies to support autonomy and enhance expectancies in contrast to therapist-controlled strategies, and lowering expectancies. Strategies to promote either an internal or an external focus of attention were used to a similar extent. Furthermore, strategies were frequently combined; physiotherapists often employed more than one teaching strategy at a time.</p><p><strong>Conclusions: </strong>The insight into current physiotherapy teaching practice that this study provides can help inform research and application regarding effective motor teaching for children with DCD. Follow up studies are needed to further investigate how child and task characteristics influence teaching strategy employment and to examine physiotherapists' reasoning behind their choice of strategies.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kim Hébert-Losier, Yash Pandit, Oliver W A Wilson, Jenny Clarke
{"title":"Looking Beyond the Number of Repetitions: An Observational Cross-Sectional Study on Calf Raise Test Outcomes in Children Aged 10-17 Years.","authors":"Kim Hébert-Losier, Yash Pandit, Oliver W A Wilson, Jenny Clarke","doi":"10.1080/01942638.2024.2404463","DOIUrl":"https://doi.org/10.1080/01942638.2024.2404463","url":null,"abstract":"<p><strong>Aims: </strong>The calf raise test (CRT) assesses plantarflexor strength and endurance, but normative data for children are scarce. Furthermore, contradictions exist on which factors are associated with total repetitions, with repetitions being the only metric considered. We quantified three of the main CRT outcomes (repetitions, total work, and peak height) in children 10-17 years and explored their relationship with various factors.</p><p><strong>Methods: </strong>Healthy children (<i>n</i> = 165, 50.3% female) completed single-legged calf raises on a 10° incline, once on each leg. Test outcomes were extracted using the valid and reliable Calf Raise application.</p><p><strong>Results: </strong>CRT outcomes were not significantly different between legs (<i>p</i> ≥ .19). The only covariates significantly associated with outcomes based on stepwise quantile regressions were body mass index centile for repetitions, meeting physical activity recommendations for total work and peak height, and age for total work. Outcomes did not significantly differ based on sex or maturation. Median values were around 26 for repetitions, 640-1460 J for total work (age dependent), and 10.1 cm for peak height for children meeting physical activity recommendations.</p><p><strong>Conclusion: </strong>Children who were older, had lower body mass indices, and were more active exhibited superior CRT outcomes. Meeting physical activity recommendations appears beneficial for plantarflexor function and should continue to be prioritized in children.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heather Curtin, Ciaran K Simms, Damien Kiernan, Richard B Reilly, Michelle Spirtos
{"title":"The Effect of Mobility Assistance Dogs on Quality of Life in Children with Physical and Neurological Impairments.","authors":"Heather Curtin, Ciaran K Simms, Damien Kiernan, Richard B Reilly, Michelle Spirtos","doi":"10.1080/01942638.2024.2400344","DOIUrl":"https://doi.org/10.1080/01942638.2024.2400344","url":null,"abstract":"<p><strong>Aims: </strong>To measure the quality of life in children with impaired walking who receive a mobility assistance dog (MAD).</p><p><strong>Methods: </strong>The parents of ten children who received a MAD completed the cerebral palsy quality of life questionnaire, before receiving their dog and at one, three, and six-month follow-up. Data were analyzed to assess changes for each participant and to the group.</p><p><strong>Results: </strong>The group showed a positive change in the domains of social well-being and acceptance, feelings about functioning, and emotional well-being and self-esteem after six months. Children with less impairment (GMFCS I-II) showed a change in social-wellbeing and acceptance, feelings about functioning, participation, physical health, and emotional-wellbeing and self-esteem after six months. Children with more impairment (GMFCS III-IV) showed no change at any timepoint measured.</p><p><strong>Conclusions: </strong>This novel therapeutic area of receiving a MAD demonstrated some positive quality of life changes after six months for a small group of children with impaired walking. These are preliminary findings in a small sample and this intervention would benefit from further study.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Co-Construction of a Dance Class Adapted for Adolescents with Cerebral Palsy.","authors":"Frédérique Poncet,Claire Cherriere,Lucie Beaudry,Sylvie Fortin,Martin Lemay","doi":"10.1080/01942638.2024.2400623","DOIUrl":"https://doi.org/10.1080/01942638.2024.2400623","url":null,"abstract":"AIMTo co-construct a dance class adapted for adolescents with cerebral palsy (CP).METHODA three phase co-construction process with study collaborators was used to (1) define the objectives and the obstacles and opportunities related to offering a dance class in the community through three focus groups with adolescents, their parents and study partners; (2) co-create the dance class based on the results of step 1, the expertise of the research team and the logic model of the dance class; and (3) test the dance class to evaluate its effects in relation to the defined objectives.RESULTSThree objectives were identified: to have fun, promote movement, and social interaction. A weekly dance class (60 min./10 wk) was continuously tested on the adolescents and adapted by the dance facilitators.CONCLUSIONTo improve practices and support the implementation of dance classes for young people with CP, eight recommendations are proposed relating to the creation of adapted classes and the evaluation of their desired effects.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"19 1","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142183178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interprofessional Collaboration and Self-Compassion Intervention for School-Based Practitioners: A Mixed-Methods Analysis","authors":"Zahava L. Friedman","doi":"10.1080/01942638.2024.2400621","DOIUrl":"https://doi.org/10.1080/01942638.2024.2400621","url":null,"abstract":"To evaluate a five-month, hybrid, districtwide interprofessional collaboration and self-compassion training-and-coaching intervention.Following a full-day interprofessional training in a large urba...","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"2019 1","pages":"1-18"},"PeriodicalIF":2.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142183177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}