KT Intervention to Increase Use of Outcome Measures

NCT04052503 | Completed

• 1 other identifier: Pro20160000053
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 2

Brief Summary

Knowledge brokers can facilitate knowledge translation (KT) interventions to improve the use of outcome measures by physical therapists. Following the Knowledge-to-Action cycle, a knowledge broker (a researcher who facilitates the translation of knowledge in the local context) will: (1) complete a barrier assessment, (2) develop and implement a tailored multi-modal intervention and (3) determine the outcome. The KB will determine the barriers and facilitators to using outcome measures by PTs who work in inpatient rehabilitation and design a locally tailored KT intervention with input from the key stakeholders (PTs). This cluster randomized trial will compare two active interventions with full or partial supported implementation by a knowledge broker using a cluster randomized trial (randomization will occur by site) to determine the impact on the PTs and patients. Aim 1: Determine if the KT intervention designed and implemented by a KB will increase PTs the use of a selected standardized assessment as compared to an intervention that is designed but not implemented by the KB. Hypothesis1a: Physical therapists use (documented and self-reported) of a selected standardized assessment will improve to a significantly greater extent immediately following the intervention designed and implemented by a KB compared to the partially supported group. Hypothesis1b: Physical therapists in the fully supported group will retain the use of the standardized assessment to a significantly greater extent at 6 month follow-up. Aim 2: Explore and compare both groups of physical therapists satisfaction and concerns with each KT intervention on standardized assessment use. Hypothesis 2: The physical therapists in the fully supported group will express greater satisfaction with the KT intervention and identify fewer barriers for implementing the standardized assessment in practice as compared to the partially supported group immediately after and retained at 6 month follow-up. Aim 3: Explore and compare the patients' experience who were seen by therapists in the fully and partially supported group Hypothesis 3: Patients who were treated by clinicians in the fully supported group will demonstrate an understanding of the patient standardized assessment, why it's relevant to complete the test, and how the information gathered from the standardized assessment can be used to guide the plan of care.

Conditions

Knowledge Translation

Keywords

physical therapy; knowledge translation; outcome measures; knowledge brokering

Outcome Measures

Primary Outcomes (2)

• Physical therapist documentation of Standardized Assessment (outcome measures) in patient charts

  Chart Audit Data to identify documented usage of selected outcome measures. Chart audits will determine if participant documented in a patient chart, if the outcome measure should have been documented and if it was documented to create proportions at initial evaluation and discharge for each site.

  10 months

• Perception of intervention

  Focus Group Data to Determine PT perception of intervention

  10 months

Secondary Outcomes (2)

• patient perception of outcome measures

  4 months

• Goal Attainment Scale

  10 months

Study Arms (2)

Fully Supported Group

EXPERIMENTAL

Meetings with knowledge broker 6 times over 10 months to design and implement knowledge translation intervention. Intervention consisted of audit and feedback, goal setting, education, reminders, documentation changes, and KB support.

Behavioral: Knowledge Broker

Partially Supported Group

ACTIVE COMPARATOR

Meetings with knowledge broker 4 times over 10 months to design and partially implement knowledge translation intervention. Group meets 2 additional times without knowledge broker to self implement intervention. Intervention consisted of audit and feedback, goal setting and documentation changes. Group self implemented education and reminders.

Behavioral: Knowledge Broker

Interventions

Knowledge Broker BEHAVIORAL

Tailored knowledge translation intervention that included barrier assessment and intervention mapping using the theoretical domains framework and participant engagement either fully or partially supported by the knowledge broker.

Fully Supported Group; Partially Supported Group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Physical therapists who work on the musculoskeletal teams at Kessler Institute for Rehabilitation. PTs who work over 20 hours per week.
• Patients who are discharged from Kessler Institute for Rehabilitation and were treated by the PTs who participated in the study.

You may not qualify if:

• PTs who are unable to attend the focus group and intervention.
• Patients with co-morbid neurological diseases that would impact cognitive ability. People with an ongoing relationship with the treating physical therapist.

Sponsors & Collaborators

• Rutgers University: lead
• Kessler Institute for Rehabilitation: collaborator

Study Sites (2)

Rutgers

Newark, New Jersey, 07107, United States

Location

Kessler Institue for Rehabilitation

Saddle Brook, New Jersey, 07663, United States

Location

Related Publications (2)

• Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, Robinson N. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006 Winter;26(1):13-24. doi: 10.1002/chp.47.

  PMID: 16557505 BACKGROUND

• Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009 Aug 7;4:50. doi: 10.1186/1748-5908-4-50.

  PMID: 19664226 BACKGROUND

Study Officials

• Wendy Romney, DPT

  Rutgers

  PRINCIPAL INVESTIGATOR

• Judith E Deustch, PhD

  Rutgers

  PRINCIPAL INVESTIGATOR

• Irene Ward, PT

  Kessler Institute for Rehabilitation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Primary Investigator

Model Details: 2 groups cluster randomized controlled trial

Study Record Dates

• First Submitted: August 6, 2019
• First Posted: August 9, 2019
• Study Start: September 15, 2016
• Primary Completion: August 4, 2017
• Study Completion: August 4, 2017
• Last Updated: December 17, 2020

Record last verified: 2020-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)