Measuring changes in functional ability in older children and young people with acquired brain injury using the UK FIM + FAM / Dayla Austin in The British Journal of Occupational Therapy, Vol.81 Issue 2 (February 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 2 (February 2018) . - p. 74-81 Titre : Measuring changes in functional ability in older children and young people with acquired brain injury using the UK FIM + FAM Type de document : texte imprimé Auteurs : Dayla Austin ; Tai Frater ; Lorna Wales ; Carolyn Dunford Année de publication : 2018 Article en page(s) : p. 74-81 Langues : Anglais (eng) Mots-clés : ergothérapie  évaluation  enfant  adulte  traumatisme cranien Résumé : Introduction There is a need for validated and responsive measurement tools to demonstrate changes in functional ability. Existing outcome measurement tools have significant limitations for children and young people with acquired brain injury (ABI). Aim This study examines the potential of the UK Functional Independence Measure + Functional Assessment Measure (UK FIM + FAM) to detect clinical change in older children and young people with ABI. Method This is a secondary retrospective pretest–post test analysis of 72 children and young people age 8–17 years. Internal responsiveness was examined using Wilcoxon signed-rank tests and effect sizes indices; external responsiveness was examined in relation to the Neurological Impairment Scale (NIS) using Spearman’s correlation coefficient. Results Highly significant changes were detected from admission to discharge on motor, cognitive and total UK FIM + FAM scores (p < 0.001). Medium to large effect sizes were found on the total scale indicating good internal responsiveness. There was a significant, negative correlation between UK FIM + FAM change scores and NIS change scores (p < 0.01) indicating good external responsiveness. Conclusion The UK FIM + FAM was able to detect clinically meaningful change in functional ability in children and young people with ABI over 8 years. Further validity and reliability must be established before recommending its use in this client group. Permalink : ./index.php?lvl=notice_display&id=57835 [article] Measuring changes in functional ability in older children and young people with acquired brain injury using the UK FIM + FAM [texte imprimé] / Dayla Austin ; Tai Frater ; Lorna Wales ; Carolyn Dunford . - 2018 . - p. 74-81. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 2 (February 2018) . - p. 74-81 Mots-clés : ergothérapie  évaluation  enfant  adulte  traumatisme cranien Résumé : Introduction There is a need for validated and responsive measurement tools to demonstrate changes in functional ability. Existing outcome measurement tools have significant limitations for children and young people with acquired brain injury (ABI). Aim This study examines the potential of the UK Functional Independence Measure + Functional Assessment Measure (UK FIM + FAM) to detect clinical change in older children and young people with ABI. Method This is a secondary retrospective pretest–post test analysis of 72 children and young people age 8–17 years. Internal responsiveness was examined using Wilcoxon signed-rank tests and effect sizes indices; external responsiveness was examined in relation to the Neurological Impairment Scale (NIS) using Spearman’s correlation coefficient. Results Highly significant changes were detected from admission to discharge on motor, cognitive and total UK FIM + FAM scores (p < 0.001). Medium to large effect sizes were found on the total scale indicating good internal responsiveness. There was a significant, negative correlation between UK FIM + FAM change scores and NIS change scores (p < 0.01) indicating good external responsiveness. Conclusion The UK FIM + FAM was able to detect clinically meaningful change in functional ability in children and young people with ABI over 8 years. Further validity and reliability must be established before recommending its use in this client group. Permalink : ./index.php?lvl=notice_display&id=57835

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Occupational therapy home programmes for children with cerebral palsy: A national survey of United Kingdom paediatric occupational therapy practice / Yvonne Milton in The British Journal of Occupational Therapy, Vol. 82 Issue 7 (Juillet 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 7 (Juillet 2019) . - p. 443-451 Titre : Occupational therapy home programmes for children with cerebral palsy: A national survey of United Kingdom paediatric occupational therapy practice Type de document : texte imprimé Auteurs : Yvonne Milton ; Carolyn Dunford ; Katie V. Newby Année de publication : 2019 Article en page(s) : p. 443-451 Note générale : doi.org/10.1177/0308022619830263 Langues : Anglais (eng) Mots-clés : Home programmes  cerebral palsy  survey  occupational therapy Résumé : Introduction Occupational therapy home programmes for children with cerebral palsy have a robust evidence-base, but their content and usage in United Kingdom practice is unknown. Method A national online survey questionnaire was conducted with occupational therapists to explore their current occupational therapy home programme practices, and attitudes toward using home programmes with children with cerebral palsy. Recruitment was through members of two sections of the Royal College of Occupational Therapists, a University’s Fieldwork-Supervisor’s Database and self-selection following promotion on occupational therapy networks, social media and newsletters. Results Of all survey respondents (n = 123), the majority of respondents (n = 74; 60%) used occupational therapy home programmes. The uptake and use of evidence-based home programme content varied, revealing evidence-practice gaps. Respondents clearly articulated their professional reasoning and acknowledged benefits of using home programmes. However, they reported barriers to implementing them within a family-centred framework, citing time constraints, lack of knowledge, skills and training, and insufficient support. Conclusion Occupational therapists report challenges to implementing evidence-based interventions and the routine, systematic application of a range of standardised measurement tools pre/post occupational therapy home programmes. Such tools would enhance quality outcomes for children with cerebral palsy and their families. However, occupational therapists indicated the need for greater organisational support, further education and skill development in these areas. Permalink : ./index.php?lvl=notice_display&id=84611 [article] Occupational therapy home programmes for children with cerebral palsy: A national survey of United Kingdom paediatric occupational therapy practice [texte imprimé] / Yvonne Milton ; Carolyn Dunford ; Katie V. Newby . - 2019 . - p. 443-451. doi.org/10.1177/0308022619830263 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 7 (Juillet 2019) . - p. 443-451 Mots-clés : Home programmes  cerebral palsy  survey  occupational therapy Résumé : Introduction Occupational therapy home programmes for children with cerebral palsy have a robust evidence-base, but their content and usage in United Kingdom practice is unknown. Method A national online survey questionnaire was conducted with occupational therapists to explore their current occupational therapy home programme practices, and attitudes toward using home programmes with children with cerebral palsy. Recruitment was through members of two sections of the Royal College of Occupational Therapists, a University’s Fieldwork-Supervisor’s Database and self-selection following promotion on occupational therapy networks, social media and newsletters. Results Of all survey respondents (n = 123), the majority of respondents (n = 74; 60%) used occupational therapy home programmes. The uptake and use of evidence-based home programme content varied, revealing evidence-practice gaps. Respondents clearly articulated their professional reasoning and acknowledged benefits of using home programmes. However, they reported barriers to implementing them within a family-centred framework, citing time constraints, lack of knowledge, skills and training, and insufficient support. Conclusion Occupational therapists report challenges to implementing evidence-based interventions and the routine, systematic application of a range of standardised measurement tools pre/post occupational therapy home programmes. Such tools would enhance quality outcomes for children with cerebral palsy and their families. However, occupational therapists indicated the need for greater organisational support, further education and skill development in these areas. Permalink : ./index.php?lvl=notice_display&id=84611

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A reflective case review: Relearning handwriting after a traumatic brain injury / Alison Titchener in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 290-293 Titre : A reflective case review: Relearning handwriting after a traumatic brain injury Type de document : texte imprimé Auteurs : Alison Titchener ; Carolyn Dunford ; Lorna Wales Année de publication : 2018 Article en page(s) : p. 290-293 Langues : Anglais (eng) Mots-clés : Handwriting  traumatic brain injury  children  neuro-rehabilitation Résumé : Statement of context A retrospective single case study reflecting on a child relearning handwriting following a traumatic brain injury as part of an inpatient neuro-rehabilitation programme. Applying evidence-based handwriting guidelines and comparisons with community experiences are explored. Critical reflection on practice Relearning to write following a traumatic brain injury showed dramatic improvements in 36 sessions over 12 weeks, supporting the evidence. Progress in this timeframe contrasts with clinical experiences of working with children’s community services. Implications for practice Whilst the literature on handwriting interventions does not include children with traumatic brain injury, following the recommendations was an effective intervention for this individual. Permalink : ./index.php?lvl=notice_display&id=80083 [article] A reflective case review: Relearning handwriting after a traumatic brain injury [texte imprimé] / Alison Titchener ; Carolyn Dunford ; Lorna Wales . - 2018 . - p. 290-293. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 290-293 Mots-clés : Handwriting  traumatic brain injury  children  neuro-rehabilitation Résumé : Statement of context A retrospective single case study reflecting on a child relearning handwriting following a traumatic brain injury as part of an inpatient neuro-rehabilitation programme. Applying evidence-based handwriting guidelines and comparisons with community experiences are explored. Critical reflection on practice Relearning to write following a traumatic brain injury showed dramatic improvements in 36 sessions over 12 weeks, supporting the evidence. Progress in this timeframe contrasts with clinical experiences of working with children’s community services. Implications for practice Whilst the literature on handwriting interventions does not include children with traumatic brain injury, following the recommendations was an effective intervention for this individual. Permalink : ./index.php?lvl=notice_display&id=80083

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