Physical Therapists Are Key to Hip Surveillance for Children with Cerebral Palsy: Evaluating the Effectiveness of Knowledge Translation to Support Program Implementation

Miller, Stacey; O’Donnell, Maureen; Mulpuri, Kishore

doi:10.1080/01942638.2020.1851337

Cited by 4 publications

(10 citation statements)

References 24 publications

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“…This study has demonstrated that permitting enrollment without a diagnosis of CP has been a successful strategy for increasing access to hip surveillance for children who have a motor impairment and may benefit from the program. However, physical therapists in British Columbia still identified lack of a CP diagnosis as a barrier to enrollment 1 year after the launch of the program, suggesting this approach may only partially remove diagnosis as a barrier to accessing hip surveillance 19 …”

Section: Discussionmentioning

confidence: 99%

“…However, physical therapists in British Columbia still identified lack of a CP diagnosis as a barrier to enrollment 1 year after the launch of the program, suggesting this approach may only partially remove diagnosis as a barrier to accessing hip surveillance. 19 Diagnosis of CP is based on clinical, phenotypic findings and medical history; etiology is varied and often unknown. 1,4,21 A diagnosis of CP should not prevent specific etiological investigations and identifying a specific etiology should not prevent individuals from also having a CP diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…18 Community pediatric physical therapists, who are asked to identify children with CP and enroll them in the program, have identified lack of a CP diagnosis as a barrier to enrolling a child in the program. 19 Recognizing that diagnosis may be a barrier to enrollment and access to surveillance, children can be enrolled in the hip surveillance program without a diagnosis of CP. In such cases, the child may be enrolled as having 'possible CP, not yet diagnosed' or an 'other' condition.…”

mentioning

confidence: 99%

“…Success of the Child Health British Columbia Hip Surveillance Program for Children with Cerebral Palsy is dependent upon the cooperation of the child’s community team and the team at British Columbia Children’s Hospital 18 . Community pediatric physical therapists, who are asked to identify children with CP and enroll them in the program, have identified lack of a CP diagnosis as a barrier to enrolling a child in the program 19 . Recognizing that diagnosis may be a barrier to enrollment and access to surveillance, children can be enrolled in the hip surveillance program without a diagnosis of CP.…”

mentioning

confidence: 99%

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Cerebral palsy diagnosis and the impact on hip surveillance enrollment

Coates

Mulpuri

Farr

et al. 2022

Develop Med Child Neuro

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Cerebral palsy (CP) is an umbrella term used to describe all non-progressive disorders of movement and posture attributed to disturbances that occurred in the developing fetal and infant brain. 1 This includes all non-progressive disturbances occurring in the prenatal, perinatal, and postnatal period, up to age 2 years. 1 Diagnosis is based on clinical signs and symptoms, medical history, and neuroimaging; it is not defined by the underlying cause of the condition. 2 Possible etiologies of CP include, but are not limited to, preterm birth, congenital brain malformations, infections, intraventricular hemorrhage, and genetic abnormalities. 3 Frequently, the etiology of a child's CP is unknown. 4 A diagnosis of CP is often the first step for families to access CP-specific resources. The minimum age at which a valid and reliable diagnosis of CP can be given is controversial. 5 Traditionally, CP has been diagnosed between 12 and 24 months. 1,2,6 Recent evidence has suggested that this diagnosis can be accurately made before 6 months of age. 2 Delaying diagnosis may negatively impact developmental progress, access to services, such as hip surveillance and psychological support for parents, and prevention of secondary complications. 2,7,8 To avoid delay, an interim clinical diagnosis of high risk of CP is recommended until a diagnosis is confirmed. 2 Hip surveillance is now considered standard of care for children with CP. 9 Established surveillance programs allow for early identification of hip displacement and optimally timed orthopaedic intervention to prevent hip

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Cerebral palsy diagnosis and the impact on hip surveillance enrollment

Coates

Mulpuri

Farr

et al. 2022

Develop Med Child Neuro

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“…The final library of included studies contained 23 papers. 14,[31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50]…”

Section: Yieldmentioning

confidence: 99%

Online learning for allied health knowledge translation: A systematic review

Joy,

Carey,

Neilson

et al. 2024

HEPJ

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Purpose: To synthesise evidence on the effectiveness of online learning platforms for facilitating knowledge translation in allied health professionals. Methodology: A systematic review of the literature searched three databases (Medline-OVID, CINAHL, Embase) in November 2023 for studies measuring outcomes of knowledge translation initiatives targeting allied health professionals delivered using online learning platforms. Papers were eligible if allied health professionals made up at least 50% of the sample, most of the learning component was online, and comparative data was reported. Data were extracted using a customised form. Quality of studies was appraised using the Downs and Black checklist. Meta-analyses were conducted where sufficient homogenous data were available. Findings: Twenty-three studies published over a 13-year period were included in this review primarily using pre-post study designs. All reported improvements in either knowledge, skill and/or confidence, with an meta-analysis (n=9 studies) showing a significant increase in knowledge gain after exposure to online learning (SMD 1.39; 95% CI = 0.96-1.83). However, there is little evidence that participation in online learning is associated with a change in clinical practice. Research Implications: This study supports previous research that online learning can improve knowledge but highlights a need for more rigorous studies addressing the impacts on behaviour change. Practical Implications: Online learning is an effective way of improving knowledge, skill and/or confidence but additional knowledge translation strategies may be needed to lead to a behaviour change. Originality/Value: Synthesis of current knowledge of the value and limitations of online learning as a tool to facilitate the implementation of evidence into practice in the allied health professions. Limitations: This review was limited to studies published in the English language only. The quality of studies in this field is low. Few studies measure behaviour change.

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