Home programmes based on evidence of best practice for children with unilateral cerebral palsy: Occupational therapists’ perceptions

Katie Newby, Yvonne Milton, Sarah Roe

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Abstract

Introduction Evidence-based occupational therapy home programmes for children with unilateral cerebral palsy have demonstrated efficacy; however, uptake into routine practice is varied. The aim of this study was to gain a deeper understanding of the therapist-perceived supports and barriers to using occupational therapy home programmes for children with unilateral cerebral palsy, based on evidence of best practice in the United Kingdom.MethodFourteen occupational therapists completed semi-structured telephone interviews. Using a qualitative framework analysis approach, support and barrier factors were indexed against the Theoretical Domains Framework, before being categorised more broadly using the Capability, Opportunity, Motivation and Behaviour Model.FindingsCommon supports included: (a) strong leadership within the team to facilitate the translation of occupational therapy home programmes and evidence-based interventions into service-specific protocols; (b) knowledge exchange within professional networks and (c) mentorship. Common barriers included: (a) lack of resources; (b) restricted opportunities to review occupational therapy home programmes and (c) difficulties keeping up-to-date with the evidence in this area.ConclusionTo be effective, occupational therapy home programmes need to be based on evidence of best practice; analysis indicated an urgent need to capture outcomes, record parental practice, further integrate ‘occupation’ within goal-setting, and develop use of conceptual models of practice to both enhance family-centred care and articulate the profession’s unique contribution.
Original languageEnglish
JournalBritish Journal of Occupational Therapy
Early online date5 Feb 2020
DOIs
Publication statusE-pub ahead of print - 5 Feb 2020

Keywords

  • Cerebral palsy
  • children
  • home programmes
  • knowledge translation
  • occupational therapy
  • theoretical models

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