RESUMO
Information about the use of research by rehabilitation professionals to make clinical decisions in everyday practice is limited. This study compared perceived research use and knowledge sources across professions, practice situations, and work environments. Participants were 165 randomly selected Canadian occupational therapists, physical therapists, and speech-language pathologists. Self-report ratings during an interview, an interviewer rating, and questionnaire scores (Edmonton Research Orientation Survey, General Use of Research, Knowledge Acquisition Survey) were compared. Speech-language pathologists had the most education and the highest research use ratings. Research use was highest during program planning. Programs to encourage research use must consider the research available to guide practice and therapists' education level. Facility size and location (rural, urban) do not affect perceived research use.
Assuntos
Medicina Baseada em Evidências/estatística & dados numéricos , Serviços de Informação/estatística & dados numéricos , Prática Institucional/classificação , Terapia Ocupacional/normas , Especialidade de Fisioterapia/normas , Patologia da Fala e Linguagem/normas , Alberta , Análise de Variância , Atitude Frente a Saúde , Educação Continuada/métodos , Medicina Baseada em Evidências/educação , Pesquisa sobre Serviços de Saúde , Humanos , Prática Institucional/normas , Terapia Ocupacional/educação , Especialidade de Fisioterapia/educação , Competência Profissional , Distribuição Aleatória , Reabilitação Vocacional/normas , Patologia da Fala e Linguagem/educação , Inquéritos e QuestionáriosRESUMO
OBJECTIVES: Study 1: To determine the interrater agreement on the Multiattribute Health Status Classification (MAHSC) for brain-injured children. Study 2: To determine the outcome of severe childhood traumatic brain injury (TBI) by comparing three measures: MAHSC, Functional Independence Measures (FIM/WeeFIM), and the Glasgow Outcome Scale. Designs: Study 1: Clinic recruitment of parents of patients. Study 2: Surveillance follow-up of an inception cohort. Settings: Study 1: The Brain Injury Clinic, Glenrose Rehabilitation Hospital, Edmonton, Canada. Study 2: Pediatric Intensive Care Unit, University of Alberta Hospital. PATIENTS: Study 1: Two physiatrists and parents of 50 children (5-18 yrs, 54% boys) independently completed the survey. Study 2: From a cohort of 51 patients (3-17 yrs, 69% boys, 6 deaths) consecutively admitted to the pediatric intensive care unit in 1995 and 1996 with severe TBI (Glasgow Coma Score