Implementing accurate identification and measurement of dyskinesia in cerebral palsy into clinical practice : A knowledge translation study

Journal article


Stewart, Kirsty, de Vries, Tessa and Harvey, Adrienne. (2019). Implementing accurate identification and measurement of dyskinesia in cerebral palsy into clinical practice : A knowledge translation study. Journal of Paediatrics and Child Health. 55(11), pp. 1351-1356. https://doi.org/10.1111/jpc.14420
AuthorsStewart, Kirsty, de Vries, Tessa and Harvey, Adrienne
Abstract

Aim
The application of current, best evidence into clinical practice is problematic. This article describes a knowledge translation (KT) project aimed at improving clinician identification, classification and measurement of dyskinesia in children with cerebral palsy (CP).

Method
A 2-year KT fellowship investigated clinicians' understanding of dyskinetic CP, identified knowledge gaps, determined educational needs and implemented a multifaceted KT strategy and dissemination framework to address those needs.

Results
Australian and New Zealand medical and allied health clinicians identified significant gaps in their clinical knowledge regarding dyskinetic CP, particularly confidence in identifying and measuring dyskinesia and poor knowledge of available identification and measurement tools. Following a targeted implementation strategy, there was a definite shift towards increased awareness of dyskinetic CP, a significant improvement in identification and measurement confidence (mean change from 47 to 66% confidence, P < 0.0001), and the embedding of the knowledge and skills into everyday clinical practice.

Conclusions
This targeted and well-resourced KT project in dyskinetic CP improved clinician knowledge and led to meaningful change in clinical practice. The strategy utilised would be appropriate across a range of health-care settings.

Keywordscerebral palsy; dyskinesia; knowledge translation; paediatrics
Year2019
JournalJournal of Paediatrics and Child Health
Journal citation55 (11), pp. 1351-1356
PublisherBlackwell Publishing
ISSN1034-4810
Digital Object Identifier (DOI)https://doi.org/10.1111/jpc.14420
Scopus EID2-s2.0-85062558688
Research or scholarlyResearch
Page range1351-1356
FunderNational Health and Medical Research Council (NHMRC)
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online06 Mar 2019
Publication process dates
Accepted10 Feb 2019
Deposited11 Jul 2021
Grant IDNHMRC/1057997
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