Journal
PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS
Volume 40, Issue 2, Pages 201-216Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/01942638.2019.1650867
Keywords
Active video gaming; knowledge translation; occupational therapy; physical therapy; rehabilitation; virtual reality
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Funding
- Vanier Canada Graduate Scholarship
- Universiry of British Columbia
- Canadian Child Health Clinician Scientist Program Career Enhancement Award
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Aims: Evaluate the impact of a multifaceted knowledge translation (KT) strategy for the implementation of virtual reality (VR) intervention by rehabilitation clinicians in a pediatric hospital setting. Methods: Eleven therapists were recruited and completed a questionnaire on perceptions on VR usage. A multifaceted KT strategy was implemented over five months. VR usage was tracked and clinician perceptions were reassessed. Baseline characteristics were summarized using descriptive statistics and a Wilcoxon signed rank sum test evaluated changes pre- and post-KT. Results: Perceived ease of use, behavioral control, self-efficacy, and barriers to use improved significantly post-KT; however, intention to use did not. Usage was higher pre-KT than the last two months of KT. Pre-KT, barriers included system setup and use, knowledge of games, and lack of resources, whereas post-KT, they were the lack of appropriate patients and patient-specific experience. KT supports and patient engagement were reasons for continued use. Conclusions: This study highlights the importance of supporting clinicians when implementing VR in clinical rehabilitation. Clinicians benefit from experiential and individualized learning opportunities, peer-led coaching, and hands-on training. Whether these strategies translate to increased usage and how usage is influenced by environmental factors (i.e. lack of appropriate clients) warrants additional research.
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