Delivering evidence-based upper limb rehabilitation for children with Cerebral palsy: barriers and enablers identified by three pediatric teams

Sakzewski, Leanne, Ziviani, Jenny and Boyd, Roslyn N. (2014) Delivering evidence-based upper limb rehabilitation for children with Cerebral palsy: barriers and enablers identified by three pediatric teams. Physical & Occupational Therapy in Pediatrics, 34 4: 368-383. doi:10.3109/01942638.2013.861890


Author Sakzewski, Leanne
Ziviani, Jenny
Boyd, Roslyn N.
Title Delivering evidence-based upper limb rehabilitation for children with Cerebral palsy: barriers and enablers identified by three pediatric teams
Journal name Physical & Occupational Therapy in Pediatrics   Check publisher's open access policy
ISSN 1541-3144
0194-2638
Publication date 2014-11
Year available 2014
Sub-type Article (original research)
DOI 10.3109/01942638.2013.861890
Open Access Status
Volume 34
Issue 4
Start page 368
End page 383
Total pages 16
Place of publication New York, NY, United States
Publisher Informa Healthcare
Collection year 2015
Language eng
Abstract This study aimed to identify barriers and enablers experienced by occupational therapists to delivering evidence-based upper limb intervention for children with unilateral cerebral palsy. Semistructured interviews informed by the Theoretical Domains Framework were conducted with nine occupational therapists from three teams to ascertain barriers and enablers to implementing five evidence criteria. A key barrier was lack of knowledge of current evidence for upper limb therapies for children with unilateral cerebral palsy. Therapists were confident in delivering goal-directed bimanual occupational therapy, but less knowledgeable and skilled, and hence confident in providing constraint therapy. Strategies to increase dose of therapy were identified as greater use of home programs and group-based interventions; however, therapists indicated the need for further education and skill development in these areas. In order to increase the uptake of research evidence into practice, findings from this study will be used to inform context-specific, individually targeted implementation strategies.
Keyword Cerebral palsy
Children
Evidence-based practice
Knowledge translation
Occupational therapy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
School of Medicine Publications
 
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Created: Mon, 09 Feb 2015, 09:01:15 EST by Dr Jenny Ziviani on behalf of School of Health & Rehabilitation Sciences