Background

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Background

• NHS Scotland argue - should have an AHP
  framework for implementing evidence into practice
• Not emerged for DCD
• Lack of summary of scientific evidence
• Current standard and innovative practice not been
  formally captured

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Academic LeadDr Kirsty Forsyth
Senior Lecturer, Queen Margaret University
College Research Specialist, University of
Illinois, Chicago Director of UK Centre for
Outcomes Research and Education, London
Advanced MSc, Occupational Therapy PhD,
Public Health Sciences, Chicago National
Network Derby London, Coventry
Gloucester International Network Chicago,
USA Quebec, Canada Stockholm, Sweden Tokyo,
Japan
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Scholarship of Practice Philosophy

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Scholarship of Practice UK

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Who is in the DCD research team?
Academia
Practice
DCD Research Team ACHIEVE Alliance
The ACHIEVE Alliance Active in Childrens
Health Integrating Evidence, Valuing
Experiences
Dr Howden
C Shephard
Dr Maciver
C Owens
R Rush
Prof Law
A Adamson
Prof Kvitz
Dr A OHare
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Aims

• Identify what evidence is currently available
• Identify current models of service delivery
• Identify a criteria or framework that would
  indicate clinically effective practice.

Current Practice
Appraise Scientific Evidence
Research Team
DCD Framework
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How will scientific evidence be appraised?
Evidence Perspective
Appraisal Scientific Evidence
Systematic Literature Review
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How will current innovative practice be
captured?
Professional Perspective
Service User Perspective
AHP Survey
Current Practice
Focus groups with parents/ guardians
Depth interviews with AHPs
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Current Practice Service User
Perspective
Focus groups with parents/ guardians
Evidence Perspective
Systematic Literature Review
DCD Framework
Current Practice Professional
Perspective
AHP Survey
Depth interviews With AHPs
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QIS Steering Group June 2006Actions

• Explore including children, education, GPs
• Inclusion in survey
• Survey to LA SW education
• Ethics for children
• Identify podiatry, orthotist, PT reps

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Progress Report
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Re defined capturing current practice
Professional Perspective
Service User Perspective
Focus groups with parents/ guardians
AHP/LA Survey
Current Practice
Depth interviews with AHPs
Focus groups with children
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Current Practice Service User
Perspective
Focus groups with parents/ guardians
Focus groups with children
Evidence Perspective
Systematic Literature Review
DCD Framework
Current Practice Professional
Perspective
AHP/LA Survey
Depth interviews With AHPs
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Achieved Systematic Review
Evidence Perspective
Systematic Literature Review

• Search Strings for 9 AHP groups
• Run in full range of databases
• Identified 3,617 abstracts for review
• Identified approx. 75 articles for in
  depth review
• Developed data extraction form

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Future Actions Systematic Review
Evidence Perspective
Systematic Literature Review

• Hand search for any missing literature
• Extract information from articles
• Display information in tabular format
• Cluster studies to see pattern in data
• Pull key messages

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Achieved AHP Survey
Professional Perspective
AHP Survey

• Created a modular AHP survey
• Contacted expert in area developed pilot
• Identified national mailing list
• Identified AHP to pilot survey
• Put pilot in field
• Reviewed survey based on pilot feedback
• First administration (OT234 PT216
  Orthoptics95 Podiatry20 Orthotists50)
  

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Future Actions AHP Survey
Professional Perspective
AHP Survey

• Identify innovative practice
• Administer second and third rounds
• Set up codebook to support data entry
• Set up computer data entry screen
• Discuss with statistician structure of analysis

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Professional Perspective
LA Survey
Local Authority Survey

• Sent survey to 79 SW Education leads in Local
  Authorities
• Received feedback from a range of colleagues
• Best practice identified in
• PE teacher/AHP early identification within
  schools active parent/guardian group
  interagency working protocols

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Achieved Focus Groups and Interviews
Service User Perspective
Focus groups with parents/ guardians
Professional Perspective
AHP Interviews
Focus groups with children

• Targeting all health board areas
• Process initiated
• Ethical Approval, RD approval, Disclosure
  Scotland, Honorary Contract
• Identifying local AHP recruitment person
• Identifying innovative practice
• Identified PE teacher through LA Survey

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Future Plans Focus Groups and Interviews
Service User Perspective
Focus groups with parents/ guardians
Professional Perspective
AHP Interviews
Focus groups with children

• Set up interviews and focus groups in
  October-November 06
• Audio recording
• Transcribe
• Analyse data
• Identify key messages

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Current Practice Service User
Perspective
Focus groups with parents/ guardians
Focus groups with children
Evidence Perspective
Systematic Literature Review
DCD Framework
Current Practice Professional
Perspective
AHP/LA Survey
Depth interviews With AHPs
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• Requests

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Paediatrician GP Awareness

• Contacted Dr Adrian Margerison, (Chair) to
  identify a community paediatrician
  representative for steering group
• QIS advised approaching
• Royal College of General Practitioners
• Association of Community Health Partnerships

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Podiatry, Orthoptics, Orthotists, Awareness
Steering Group Members Send distribution lists
for press release to DMacIver_at_QMUC.ac.uk
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Future Actions Systematic Review
Evidence Perspective
Systematic Literature Review

• Hand search for any missing literature
• Steering Group Members
• Send DCD specific reference lists to
  DMacIver_at_QMUC.ac.uk

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Future Actions AHP Survey
Professional Perspective
AHP Survey

• Steering Group Members
• Encourage AHPs to complete survey return

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Achieved Focus Groups and Interviews
Service User Perspective
Focus groups with parents/ guardians
Professional Perspective
AHP Interviews
Focus groups with children

• Steering Group Members
• Encourage therapists to declare innovative
  practice to research team

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• Questions?
• Discussion

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Future Actions Systematic Review
Evidence Perspective
Systematic Literature Review

• Hand search for any missing literature
• Extract information from articles
• Display information in tabular format
• Cluster studies to see pattern in data
• Pull key messages

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Future Actions AHP Survey
Professional Perspective
AHP Survey

• Identify innovative practice
• Administer second and third rounds
• Set up codebook to support data entry
• Set up computer data entry screen
• Discuss with statistician structure of analysis

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Future Plans Focus Groups and Interviews
Service User Perspective
Focus groups with parents/ guardians
Professional Perspective
AHP Interviews
Focus groups with children

• Set up interviews and focus groups in
  October-November 06
• Audio recording
• Transcribe
• Analyse data
• Identify key messages