topic 14 - applying concussion KT Flashcards
who is the first point of contact for concussion patients in the healthcare system
physicians
involved in the diagnosis, acute treatment, and long term management
NEED accurate info
what is phase 1 of application
identifying knowledge to action gaps
not aware of CISG guidelines (SCAT/SCOAT)
lack of education = lack of knowledge
lots graduated med school before recent surge
what is phase 2 of application
adapting knowledge to local context
inclusions in concussion education
most effective = interactive and outreach
spiral curriculum to revisit topics
need to adopt and implement to improve patient care
combine clinical experience and interactive education
what is phase 3 of application
assessing barriers / facilitators to knowledge use
perceived lack of consequences
environmental context and resources
social influences
behavioural regulation
surge in concussion knowledge needs to be consolidated
high yield info in a time efficient manner while also accommodating the evolving guidelines
what is phase 4 of application
selecting, tailoring, implementing interventions
educational interventions targeted towards the clinical management of concussions
delivery methods need to meet needs
(online is beneficial)
have clinicians involved in intervention development process
what is phase 5 of application
monitoring knowledge use
conceptual knowledge use - changes in levels of knowledge, attitudes, and awareness of concussion
instrumental knowledge use - changes in behaviour and practise, and concrete application directed to care
to what extent has knowledge been implemented
what is the increase in teaching surrounding concussion
85% of schools now educating on concussion (was 29% in 2012)
increase in mean number of dedicated teaching hours to concussion from 0.59 to 2.65
what is phase 6 of application
evaluating outcomes
measure structural, process, and outcome measures
measure conceptual = surveys and interviews
measure instrumental = healthcare databases and chart reviews to assess adherence to guidelines and surveys of clinical behaviour change
what is phase 7 of application
sustaining knowledge use
evolving field - can’t be one and done intervention
needs to be continuously updated
helps guide future development
must see relevance and benefits to achieve long term buy in
where does special attention need to be placed
neuroimaging modalities
biomarkers
treatment/rehab
mental health
neuropsych
basis of persistent symptoms
long term effects
CTE
what is the main goal of concussion education
improve clinical knowledge and patient care for concussion patients
