ORCID Profile
0000-0003-1686-3882
Current Organisation
University of Melbourne
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Publisher: Wiley
Date: 14-09-2020
DOI: 10.1111/JEP.13476
Abstract: One knowledge translation method, of putting evidence into practice, is the use of clinical practice guidelines (CPG). The purpose of this brief report is to describe an 8‐step process of “how to” contextualize a training programme to increase CPG‐uptake for a targeted audience in a clearly defined setting. This process may assist implementation practitioners to fast‐track the development of contextualized training to improve CPG‐uptake.
Publisher: Stellenbosch University
Date: 12-2018
DOI: 10.20853/32-6-2983
Publisher: Springer Science and Business Media LLC
Date: 03-01-2019
Publisher: No publisher found
Publisher: Center for Open Science
Date: 10-08-2022
Abstract: Introduction: Physiotherapy students are required to develop psychomotor skills essential for the assessment and treatment of patients with back pain. The technique involves generating forces on the spine to feel the level of intervertebral movement. Objective: The objective of this scoping review is to understand the extent and type of evidence in relation to the efficacy of manual devices used for teaching spinal manual therapy skills in tertiary education settings. Methods: A systematic scoping review will be conducted following the Joanna Briggs framework for scoping reviews. This review aims to map the concept, context, and measures of the efficacy of manual devices in their contribution to teaching spinal mobilisation skills. We will conduct an electronic database search (e.g., MEDLINE, CINAHL, Web of Science, Embase, Cochrane Database), a search of the grey literature (e.g., PROSPERO, OpenGrey, EThOS e-theses online service) and handsearching the identified articles’ reference lists. This review will seek English-language, full text primary or secondary research articles of any research design. There will be no time restrictions placed on the searches. A purpose-built data extraction tool will be designed in a Microsoft Excel spreadsheet. The inclusion criteria following the participants, concept, and context (PCC) framework include higher education students that have been exposed to and used manual devices to affect their skills in manual mobilisation of the spine during their training in the field of musculoskeletal health.Overarching review question: What is reported in the literature regarding the efficacy of manual/ haptic devices for teaching spinal manual therapy psychomotor skills in tertiary education?Discussion: The results of this scoping review will inform the continued development and evaluation of a manual device designed to assist training physiotherapy students in spinal manual therapy and force generation parameters during spinal manual therapy techniques.
Publisher: AOSIS
Date: 20-02-2020
Abstract: Background: Clinical practice guidelines (CPGs) provide conveniently packaged evidence-based recommendations to inform clinical decisions. However, intended end-users often do not know how to source, appraise, interpret or choose among CPGs. Moreover, it can be confusing when recommendations on the same topic differ among CPGs, in wording, intent and underpinning evidence.Objectives: This article reports on the processes of: (1) identifying current CPGs for acute and subacute low back pain (LBP) to fit the needs of South African physiotherapists, (2) collating and summarising CPG recommendations to produce a user-friendly end-user product and (3) testing the utility of the summary CPG document on South African physiotherapy clinicians to efficiently determine acceptability, appropriateness and feasibility to inform clinical decision-making.Method: An adapted approach was followed by systematically searching online CPG repositories and online databases for LBP CPGs screening and critically appraising identified CPGs summarising recommendations from relevant CPGs and organising them into clinical practice activities. Feedback on utility was obtained from 11 physiotherapists.Results: Three high-quality, international CPGs provided 25 recommendations on the assessment and management of acute and subacute LBP relevant to South African physiotherapy practice. They were organised into 10 headings. Physiotherapy user feedback suggested that this document would assist in clinical decision-making.Conclusion: Organised recommendations extracted from multiple, relevant CPGs provide an end-user-friendly resource for physiotherapists treating LBP.Clinical implications: Collated and organised CPG recommendations may effectively assist South African physiotherapists’ clinical decision-making in assessing and managing patients with acute and subacute LBP.
Publisher: Springer Science and Business Media LLC
Date: 16-01-2018
Publisher: Wiley
Date: 12-06-2019
DOI: 10.1111/JEP.13182
Abstract: Clinical practice guidelines (CPGs) should provide busy health care professionals with easy-to-use tools that support efficient uptake of current best evidence in daily clinical practice. However, CPG uptake rarely occurs at the speed of evidence production. The aim of this study was to explore the factors influencing CPG uptake among South African (SA) physiotherapists (PTs). An exploratory, descriptive qualitative study design was used, within an interpretative research paradigm. A phenomenological approach was taken, as the study aimed to explore the phenomenon of CPG uptake by SA PTs and how the themes and subthemes related to each other within this phenomenon. Semistructured interviews were undertaken via telephone calls that were audiotaped and independently transcribed. An inductive and deductive thematic content analysis approach was taken where the transcript content was analysed by hand. Thirty-one PTs from the private, public, and education sectors participated in the interviews. The main themes identified were resources, training, and organizational factors. The SA PT workforce, particularly that in the public sector, is limited and patient load and need is high. Time to implement and stay up-to-date with current evidence were barriers for many interviewees. Participants also perceived CPG uptake as not being financially rewarding. Training in CPG uptake was mostly perceived as a facilitator, and the PTs felt that they would be more inclined to implement CPGs if they felt more confident in how to source and use CPGs, particularly if they were incentivized to undertake such training. Roles, responsibilities, and power in the health care team were perceived as being both organizational barriers and, conversely, facilitators, depending on work environments. The findings of this study generally concur with previous studies about PT barriers to CPG uptake however, it provides novel information on barrier contexts in one LMIC with complex PT service delivery.
Publisher: Springer Science and Business Media LLC
Date: 15-01-2018
Publisher: Wiley
Date: 28-10-2020
DOI: 10.1002/PRI.1883
Publisher: Wiley
Date: 16-04-2020
DOI: 10.1111/JEP.13397
No related grants have been discovered for Jessica Stander.