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The Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, Australia (Dr Jackman, Mr Blatch-Williams, Prof Novak); John Hunter Children's Hospital, Newcastle, Australia (Dr Jackman); Queensland Paediatric Rehabilitation Service, Brisbane, Australia (Ms Thorley); Department of Physiotherapy, The University of Melbourne, Melbourne, Australia (Dr Toovey); Queensland Cerebral Palsy and Rehabilitation Research Centre, The University of Queensland Child Health Research Centre, Brisbane, Australia (Dr Burgess, A/Prof Sakzewski, Prof Boyd).
Published: October 2024
AI Article Synopsis
A fidelity tool was created to help clinicians implement guidelines for improving physical function in children and young people with cerebral palsy.
The development involved a 5-step process, including a pilot study and methods like focus groups and questionnaires to gather input.
The resulting 21-item tool was found to be acceptable and useful by clinicians as a means of self-reflection and planning for practice improvements.
Article Abstract
Purpose: To develop a fidelity tool to support the implementation of clinical practice guidelines to improve physical function for children and young people with cerebral palsy.
Methods: Fidelity tool development followed a 5-step process: the pilot study, using a mixed-methods action research approach, and including focus groups, questionnaires, and field notes.
Results: A 21-item fidelity tool representing the core components of the clinical practice guidelines was developed, including subsections of goal setting, intervention, and elements seen throughout therapeutic intervention. Clinicians and supervisors reported this tool as acceptable and feasible, especially when used as a self-reflection tool.
Conclusions: A fidelity tool has been developed that clinicians, supervisors and organizations can use to reflect on current practice and plan for changes to align practice with guidelines to improve function in children with cerebral palsy.
