Knowledge translation in physical therapy: from theory to practice

Zidarov, Diana; Thomas, Aliki; Poissant, Lise

doi:10.3109/09638288.2012.748841

Cited by 80 publications

(60 citation statements)

References 51 publications

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“…In some instances, patients treated by physical therapists (PTs) receive insufficient, ineffective or potentially harmful treatment despite available scientific evidence that supports other clinical approaches 4 . Knowledge translation (KT) 5 interventions * have been proposed as a key means to promote the uptake of research evidence into clinical practice and thus contribute to improved care for patients treated by PTs 6,7 . Despite this recognition of their importance, there remains debate and uncertainty regarding the best ways to design and implement KT interventions in healthcare, including PT 8 .…”

Section: Body Of the Manuscriptmentioning

confidence: 99%

“…Similarly, they can support researchers and clinicians to identify specific facilitators, and select strategies to enhance them. Highlighting these impacts, several authors have advanced the view that KT activities related to rehabilitation and disability would benefit from increased use of conceptual frameworks 7,23 . Despite the development of many KT frameworks over the past two decades, their uptake across healthcare disciplines, including PT, remains limited 8 .…”

Section: The Contributions Of Conceptual Framework In Pt Kt Intervenmentioning

confidence: 99%

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The contribution of conceptual frameworks to knowledge translation interventions in physical therapy

2015

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Section: Body Of the Manuscriptmentioning

confidence: 99%

Section: The Contributions Of Conceptual Framework In Pt Kt Intervenmentioning

confidence: 99%

The contribution of conceptual frameworks to knowledge translation interventions in physical therapy

2015

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“…However, the physiotherapist's own beliefs and pain coping strategies are known to influence decision-making and management in low back pain [165][166][167][168]. Larger treatment effects may have been observed if specialist musculoskeletal physiotherapists were involved in the study, or, if physiotherapists had been recruited based on their specific interest in neck rehabilitation and had received a more extended education as part of a planned implementation strategy [169]. On the other hand, this may have reduced the generalizability of the results.…”

Section: Evaluation Of Spt Compared To Sa In Patients With Cr (Paper mentioning

confidence: 99%

Neck disability in patients with cervical radiculopathy and evaluation of structured postoperative physiotherapy

Wibault¹

2015

Linköping University Medical Dissertations

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Non-surgical and surgical approaches to treatment are used in patients with cervical radiculopathy (CR) due to disc disease. Overall, good effects of surgery have been reported on arm pain and neurological symptoms. However, the effects on neck functioning are more uncertain. Studies have shown persistent activity limitations; participation restrictions; and impairments in neck-related body functions after surgery. Structured physiotherapy combining neck-specific exercises with a behavioural approach has been suggested as treatment before as well as after surgery to improve clinical outcomes in patients with CR. Randomized clinical trials of postoperative physiotherapy to inform evidence-based clinical guidelines for the treatment of patients with CR are lacking. The overall aim of the thesis was to investigate the additional benefit of structured postoperative physiotherapy combining neck-specific exercises with a behavioural approach compared to standard postoperative approach in patients with CR. A further aim was to evaluate the contribution of different aspects of neck-related body functions and mental functions on preoperative neck disability in these patients. A total of 202 patients with CR who were scheduled for surgery were recruited, and randomized preoperatively to either structured postoperative physiotherapy, or standard postoperative approach. Standard postoperative approach was in accordance with Swedish postoperative care, and may have included pragmatic physiotherapy after surgery when needed. Patients were evaluated with a set of questionnaires and clinical examinations before surgery and at 3 and 6 months after surgery. Outcomes included patient-reported measures of pain, neck functioning, global outcome, clinical evaluation of neckrelated body functions, self-efficacy and coping strategies, as well as expectation fulfilment and enablement. Differences between treatment groups were investigated in complete case and per-protocol approaches (Paper III & IV). A sub-sample of patients with CR who were scheduled for surgery were also compared with neck-healthy individuals for assessment of head repositioning accuracy with a cervical range of motion device (Paper I). In patients with CR who were scheduled for surgery, associations between preoperative measures of neck-related body functions, mental functions, and other contextual factors with patientreported neck disability were studied (Paper II). With the exception of greater expectation fulfilment in patients who received structured postoperative physiotherapy (p = 0.01), there were no differences between the treatment groups in outcomes at 6 months after surgery. There were no differences reported for changes in outcomes from before surgery to 6 months after surgery between the groups, but all outcomes significantly improved from baseline in both groups (p<0.001) (Paper III & IV). However, global outcome and frequency of neck pain improved during the postoperative period only in patients who received structured postoperative physiot...

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“…5,10 CoPs are defined as a group of people who share a concern and interact regularly to learn how to improve something they do.11 Crucial characteristics of effective CoPs include a "domain of interest," a "community" that shares an interest, and a "practice. "11 CoPs are reported to ease knowledge management and learning, and foster sharing of tacit knowledge.9 CoPs can contribute to improving health care measured through cost savings, increased professional competencies, the reduction of geographical and organizational barriers and professional isolation, and the implementation of new processes and technologies.9,12 Virtual methods seem to be effective in supporting CoP knowledge sharing and communication among CoP members, notably through the use of virtual forums and electronic sharing of resources.9,12 http://ovidsp.tx.ovid.com.ezproxy.usherbrooke.ca/sp-3.21.1b/ovidweb.cgi Virtual CoPs (vCoPs) are comprised of three groups: the core, the active, and the peripheral members.13 Most members are peripheral, rarely participating actively, but gaining insight from reading discussions, whereas active members participate occasionally in the CoP but not to the extent of the core group.13 A common model in health care is to have a core group composed of a coordinator and clinical leaders, who act as facilitators, have content and resource expertise, and enable social processes (eg, create an engaging climate).14 Some evidence suggests that a face-to-face meeting of the vCoP members can be important before meeting through virtual methods, whereas other studies have demonstrated that groups, who met solely or largely in virtual environments, can also function quite effectively.…”

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confidence: 99%

Virtual Knowledge Brokering: Describing the Roles and Strategies Used by Knowledge Brokers in a Pediatric Physiotherapy Virtual Community of Practice

Hurtubise

Rivard

Héguy

et al. 2016

J Contin Educ Health Prof

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Introduction: Knowledge transfer in pediatric rehabilitation is challenging and requires active, multifaceted strategies. The use of knowledge brokers (KBs) is one such strategy noted to promote clinician behavior change. The success of using KBs to transfer knowledge relies on their ability to adapt to ever-changing clinical contexts. In addition, with the rapid growth of online platforms as knowledge transfer forums, KBs must become effective in virtual environments. Although the role of KBs has been studied in various clinical contexts, their emerging role in specific online environments designed to support evidence-based behavior change has not yet been described. Our objective is to describe the roles of, and strategies used by, four KBs involved in a virtual community of practice to guide and inform future online KB interventions. Methods: A descriptive design guided this study and a thematic content analysis process was used to analyze online KB postings. The Promoting Action on Research in Health Sciences knowledge transfer framework and online andragogical learning theories assisted in the coding. A thematic map was created illustrating the links between KBs' strategies and emerging roles in the virtual environment. Results: We analyzed 95 posts and identified three roles: 1) context architect: promoting a respectful learning environment, 2) knowledge sharing promoter: building capacity, and 3) linkage creator: connecting research-to-practice. Strategies used by KBs reflected invitational, constructivism, and connectivism approaches, with roles and strategies changing over time. Discussion: This study increases our understanding of the actions of KBs in virtual contexts to foster uptake of research evidence in pediatric physiotherapy. Our results provide valuable information about the knowledge and skills required by individuals to fulfill this role in virtual environments.

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Knowledge translation in physical therapy: from theory to practice

Cited by 80 publications

References 51 publications

The contribution of conceptual frameworks to knowledge translation interventions in physical therapy

The contribution of conceptual frameworks to knowledge translation interventions in physical therapy

Neck disability in patients with cervical radiculopathy and evaluation of structured postoperative physiotherapy

Virtual Knowledge Brokering: Describing the Roles and Strategies Used by Knowledge Brokers in a Pediatric Physiotherapy Virtual Community of Practice

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