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NHMRC Translating Research into Practice (TRIP) Fellowship (Level 2) (2012–2014)

Abstract:
Aim: This research aims to increase the use of best evidence of intensive upper limb (UL) training by occupational therapists and physiotherapists for children with unilateral cerebral palsy. Research Plan: A multimodal intervention program will be delivered to occupational therapists and physiotherapists at the Royal Children's Hospital, Brisbane and one regional rehabilitation hub in Queensland to increase the use of contemporary intensive upper limb training using: (1) A before-and after study examining the effectiveness of training, audit and feedback on the uptake by occupational therapists and physiotherapists of a best evidence intervention for UL training for children with unilateral CP. The feasibility of an intensive school holiday program targeting UL training AND individual intensive training for children with unilateral CP to improve UL outcomes will be investigated. Intervention: The intervention will include the audit feedback cycle, identification of barriers to uptake of evidence, development of a procedural manual training resource and interactive training workshops. PRIMARY MEASURE: Delivery of one intensive contemporary UL training program at each facility (RCH and regional therapy hub): 1. percentage of therapists providing intervention greater than 40 hours within 3 month period; 2. percentage of children receiving intensive UL training; 3. average hours of intervention/child. SECONDARY MEASURES: 1. three to five therapy goals/child identified and addressed in therapy; 2. 1-2 UL outcome measures, 1 measure of individualised outcomes, participation and quality of life used.
Grant type:
NHMRC Translating Research into Practice Fellowships
Researchers:
Funded by:
National Health and Medical Research Council