应用实施科学理论来支持职业治疗师对认知的评估的实践变化
Jacqueline Wheatcroft1, Rebecca J Nicks2, Laura Jolliffe3
1Occupational Therapy Department, Alfred Health, Melbourne, Vic, Australia; and Institute of Health and Wellbeing, Federation University, Churchill, Vic, Australia.
概括
这项研究提高了职业治疗师对神经疾病进行认知评估的能力. 使用实施理论,干预增加了对临床实践指南的信心和遵守.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 认知障碍对患有神经疾病的成年人的康复和出院计划产生重大影响.
- 标准化认知评估至关重要,但在临床实践中面临实施障碍.
研究的目的:
- 确定在职业治疗中完成标准化认知评估的障碍.
- 评估旨在改善认知评估实践实施的干预措施.
主要方法:
- 一种混合方法的方法使用了理论领域框架 (TDF) 和能力,机会和动机行为 (COM-B) 模型.
- 职业治疗师参加了干预前后的档案审计,调查和重点小组.
- 数据分析包括以TDF和COM-B为指导的定性分析,以及定量审计和调查数据.
主要成果:
- 关键障碍包括知识差距,时间/设备限制以及跨学科压力.
- 该干预以行为变化轮 (BCW) 为指导,包括培训材料和资源.
- 干预后,治疗师的能力 (53-74%) 和对指导方针的理解 (22-50%) 显著增加,完成的评估增加了30%.
结论:
- 整合TDF和COM-B有助于开发一个有效的实施干预.
- 该干预措施提高了职业治疗师的信心和遵守认知评估的临床实践指南.
- 这项研究提供了一个应用实施科学理论的模型,以改善各种医疗保健环境中的临床实践.
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