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Evaluating paediatric brain injury services in NSW
H Badge1, J Hancock, M-C Waugh
1University of Sydney, Outcomes Manager, GMCT Brain Injury Rehabilitation Directorate, Liverpool Hospital, Liverpool, UK.
Child: Care, Health and Development
|November 6, 2009
Summary
The Community Outcome Project systematically measures outcomes in paediatric brain injury rehabilitation. Key priorities include family functioning, school performance, and participation, enhancing clinical practice and service evaluation.
Area of Science:
- Paediatric Rehabilitation
- Health Outcomes Measurement
- Evidence-Based Practice
Background:
- Measuring health outcomes for children in community-based brain injury services is challenging.
- The Community Outcome Project aims to implement systematic outcome measurement.
- This initiative supports clinical practice and service evaluation within the New South Wales Brain Injury Rehabilitation Program (BIRP).
Purpose of the Study:
- To introduce systematic outcome measurement in paediatric community-based brain injury services.
- To support clinical practice and service evaluation.
- To enhance the quality of evidence-based services for children.
Main Methods:
- A literature review identified appropriate paediatric outcome measures.
- Clinician consultations defined key clinical priorities for measurement.
- Outcome measures were shortlisted, trialled, and evaluated for clinical utility and feasibility.
Main Results:
- Three primary clinical priorities for outcome measurement were identified: family functioning, school performance, and participation.
- Three specific outcome measures were selected for the pilot project.
- The chosen measures are the Family Burden of Injury Interview, Academic Competence and Evaluation Scales, and Child and Adolescent Scale of Participation.
Conclusions:
- Systematic outcome measurement requires extensive preparation and staff engagement.
- Managing change is crucial for the successful implementation of new outcome measures.
- The project will discuss benefits and costs for clinicians and services.
