以证据为基础的脑瘫儿童早期康复:共同开发面向康复专业人员的多方面知识转化战略。

IF 1.3 Q3 REHABILITATION
Frontiers in rehabilitation sciences Pub Date : 2024-08-07 eCollection Date: 2024-01-01 DOI:10.3389/fresc.2024.1413240
Jessica H Hanson, Annette Majnemer, Filomena Pietrangelo, Leigh Dickson, Keiko Shikako, Noémi Dahan-Oliel, Emma Steven, Georgia Iliopoulos, Tatiana Ogourtsova
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引用次数: 0

摘要

背景:脑瘫(CP)是最常见的儿童肢体残疾。早期循证康复对于改善 CP 儿童的功能预后至关重要。然而,康复专业人员在采用循证实践(EBP)方面面临障碍。本项目的目标是开发一种知识转化(KT)策略,以支持儿科康复专业人员的 CP-EBP:方法:我们与临床医生和患者伙伴合作,采用综合知识转化方法。合作伙伴通过团队会议和电子邮件内容审查参与共同设计。KT 策略由两部分组成:(1)根据从CP儿童早期康复随机临床试验中提取的证据总结,创建了电子KT工具包;(2)在探索有效KT策略的范围综述的指导下,开发了多方面的在线KT培训项目:结果:电子 KT 工具包总结了 22 项针对 0-5 岁 CP 患儿或高危儿童的早期干预措施。每个模块都有介绍、资源、家长/家庭部分和临床医生信息,包括结果、干预效果和证据水平。KT 培训计划包括三个 10-15 分钟的视频培训模块、文字摘要、测验和案例研究。为支持培训计划的现场实施,现场支持者被确定为合格的康复专业人员。为使他们掌握必要的知识/资源,还设计了冠军培训手册和 1 小时的培训课程:结论:量身定制的、多方面的、共同设计的 KT 策略旨在儿科康复机构中实施,以支持专业人员对 CP-EBP 的吸收。从开发过程中吸取的经验教训,包括共同开发过程和多面性,有可能在康复领域得到更广泛的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evidence-based early rehabilitation for children with cerebral palsy: co-development of a multifaceted knowledge translation strategy for rehabilitation professionals.

Background: Cerebral palsy (CP) is the most common childhood physical disability. Early and evidence-based rehabilitation is essential for improving functional outcomes in children with CP. However, rehabilitation professionals face barriers to adopting evidence-based practices (EBP)s. The objective of this project is to develop a knowledge translation (KT) strategy to support CP-EBP among pediatric rehabilitation professionals.

Methods: We follow an integrated KT approach by collaborating with clinician- and patient-partners. Partners engaged in co-design through team meetings and content review via email. The KT strategy comprises two components: (1) An electronic (e)-KT toolkit was created from summarized evidence extracted from randomized clinical trials on early rehabilitation for children with CP, and (2) a multifaceted online KT training program developed with guidance from a scoping review exploring effective KT strategies.

Results: The e-KT toolkit summarizes twenty-two early interventions for children with or at risk for CP aged 0-5 years. Each module features an introduction, resources, parent/family section, and clinician information, including outcomes, intervention effectiveness, and evidence level. The KT training program includes three 10-15 min video-based training modules, text summaries, quizzes, and case studies. Site champions, identified as qualified rehabilitation professionals, were onboarded to support the site implementation of the training program. A champion-training booklet and 1-hour session were designed to equip them with the necessary knowledge/resources.

Conclusion: The tailored, multifaceted, and co-designed KT strategy aims to be implemented in pediatric rehabilitation sites to support professional's uptake of CP-EBPs. Lessons learned from its development, including the co-development process and multifaceted nature, hold potential for broader applications in rehabilitation.

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