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Educational outreach and collaborative care enhances physician's perceived knowledge about Developmental Coordination

Robin Gaines1, Cheryl Missiuna, Mary Egan

  • 1Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, K1H 8L1, Ontario and School of Rehabilitation Sciences, University of Ottawa, Ontario, Canada. gaines@cheo.on.ca

BMC Health Services Research
|January 26, 2008
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Summary

An educational outreach program significantly improved physician knowledge and diagnostic skills for Developmental Coordination Disorder (DCD). Collaborative care enhanced physician confidence in managing this common childhood neurodevelopmental condition.

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Area of Science:

  • Neurodevelopmental Disorders
  • Pediatric Medicine
  • Healthcare Delivery Models

Background:

  • Developmental Coordination Disorder (DCD) affects 5-6% of children, potentially leading to academic and mental health issues if unmanaged.
  • Early recognition and management by physicians, in collaboration with rehabilitation professionals, are crucial for children with DCD.
  • This study assessed an educational outreach and collaborative care model to enhance DCD management in primary care.

Purpose of the Study:

  • To determine the feasibility and impact of an educational outreach and collaborative care model.
  • To improve the chronic disease management of children with DCD by primary care physicians.
  • To enhance physicians' ability to screen, diagnose, and manage DCD.

Main Methods:

  • An intervention involving educational outreach and collaborative care for children with suspected DCD.
  • Physicians received education and worked with rehabilitation professionals from February 2005 to April 2006.
  • A mixed-methods evaluation approach was used to document the intervention's process and impact.

Main Results:

  • 147 primary care physicians enrolled; 125 children with suspected DCD were identified.
  • Physician knowledge of DCD increased significantly post-intervention, with diagnostic ability rising from 1.6% to 29.2%.
  • Participating physicians reported high confidence and intention to continue using project resources, with some non-participants also showing increased knowledge.

Conclusions:

  • Educational outreach significantly improved physicians' knowledge and diagnostic skills for DCD.
  • Collaborative care with occupational therapists boosted physician confidence in diagnosing and managing DCD.
  • The model demonstrated effectiveness in enhancing physician capacity for DCD identification and management.