Advertisement

Effective Rehabilitation for Children and Adolescents With Brain Injury: Evaluating and Disseminating the Evidence

      Abstract

      Teplicky R, Law M, Rosenbaum P, Stewart D, DeMatteo C, Rumney P. Effective rehabilitation for children and adolescents with brain injury: evaluating and disseminating the evidence.

      Objective

      To develop and evaluate literature reviews of the effectiveness of rehabilitation interventions for children with brain injury.

      Design

      We wrote 6 research summaries, which were evaluated by study participants.

      Setting

      Community.

      Participants

      A convenience sample that included 18 parents of children with brain injury, 18 service providers, and 12 insurance industry representatives.

      Interventions

      Not applicable.

      Main outcome measure

      Questionnaire designed for the evaluation of printed material.

      Results

      Few articles were found that focused on evaluation of rehabilitation interventions for children with brain injury. Study participants were representative of a broad range of educational and professional backgrounds. Before reading the research summaries, service providers reported greater familiarity with the topics than did parents and insurance representatives. Despite this finding, there were no significant between-group differences in the format, content, and impact ratings provided by the 3 participant groups.

      Conclusions

      Research summaries written in a clear, straightforward manner are appropriate for people with different educational and professional backgrounds. Further research into the effectiveness of rehabilitation interventions is needed to support informed decision-making that results in the best outcomes for children with brain injury.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Carney N.
        • du Courray H.
        • Davis-O’Reilly C.
        • et al.
        Rehabilitation for traumatic brain injury in children and adolescents. Agency for Health Care Policy and Research, Rockville1999 (Evidence Rep/Technol Assess No. 2, Supplement.)
        • Phillips P.A.
        Disseminating and applying best evidence.
        Med J Aust. 1998; 168: 260-261
        • Dickersin K.
        • Manheimer E.
        The Cochrane Collaboration.
        Clin Obstet Gynecol. 1998; 41: 315-331
        • Lavis J.N.
        • Robertson D.
        • Woodside J.M.
        • McLeod C.B.
        • Abelson J.
        • Knowledge Transfer Study Group
        How can research organizations more effectively transfer research knowledge to decision makers?.
        Milbank Q. 2003; 81: 221-248
        • Cochrane Collaboration
        Cochrane reviewers’ handbook glossary. 2001 (http://www.cochrane.org/resources/handbook/glossary.pdf. Accessed August 4, 2004.)
        • Stevens K.
        Systematic reviews.
        AACN Clin Issues. 2001; 12: 529-538
        • Bigby M.
        • Williams H.
        Appraising systematic reviews and meta-analysis.
        Arch Dermatol. 2003; 139: 795-798
        • Meade M.O.
        • Richardson W.S.
        Selecting and appraising studies for a systematic review.
        Ann Intern Med. 1997; 127: 531-537
        • Robinson A.
        Research, practice and the Cochrane Collaboration.
        CMAJ. 1995; 152: 883-889
        • Schuerman J.
        • Soydan H.
        • Macdonald G.
        • Forslund M.
        • de Moya D.
        • Boruch R.
        The Campbell Collaboration.
        Research Social Work Practice. 2002; 12: 309-317
        • Rivara J.B.
        • Jaffe K.M.
        • Polissar N.L.
        • Fay G.C.
        • Liao S.
        • Martin K.M.
        Predictors of family functioning and change 3 years after traumatic brain injury in children.
        Arch Phys Med Rehabil. 1996; 77: 754-764
        • Haynes R.B.
        • Hayward R.S.
        • Lomas J.
        Bridges between health care research evidence and clinical practice.
        J Am Med Inform Assoc. 1995; 2: 342-350
        • Jordens C.F.
        • Hawe P.
        • Irwig L.M.
        • et al.
        Use of systematic reviews of randomized trials by Australian neonatologists and obstetricians.
        Med J Aust. 1998; 168: 267-270
        • Westbrook J.D.
        • Boethel M.
        General characteristics of effective dissemination and utilization. National Center for the Dissemination of Disability Research, Austin (TX)1995
        • Grimshaw J.M.
        • Shirran L.
        • Thomas R.
        • et al.
        Changing provider behavior.
        Med Care. 2001; 39: II2-II45
        • Rogers E.M.
        Lessons for guidelines from the diffusion of innovations.
        Jt Comm J Qual Improv. 1995; 21: 324-328
        • Freemantle N.
        • Harvey E.L.
        • Wolf F.
        • Grimshaw J.M.
        • Grilli R.
        • Bero L.A.
        Printed educational materials.
        Cochrane Database Syst Rev. 2003; 2: CD000172
        • Law M.
        • Stewart D.
        • Pollock N.
        • et al.
        Guidelines for critical review of the literature. McMaster Univ, Hamilton (ON)1998 (http://www.fhs.mcmaster.ca/rehab/ebp. Accessed August 4, 2004.)
        • Rosenbaum P.
        • Stewart D.
        Alternative and complementary therapies for children and youth with disabilities.
        Infants and Young Children. 2002; 15: 51-59
        • Teplicky R.
        • Law M.
        • Russell D.
        The effectiveness of casts, orthoses, and splints for children with neurological disorders.
        Infants Young Child. 2002; 15: 42-50