Exploration of a Short-term Learning Community Focused on Evidence-based Occupational Therapy Interventions for Children and Youth with Autism

Christine T Myers, Sandra Brown, Ashley Parigian
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Abstract

Continuing education (CE) for occupational therapists typically takes place in workshops, seminars, or webinars with little support for practice change after the event concludes. Continuing education that occurs over an extended time with opportunities for social learning and competence assessment may improve knowledge translation. This study explored how pediatric occupational therapists who participated in a short-term, online learning community acquired new knowledge about evidence-based interventions from learning activities and how they applied this new knowledge to practice. Weekly modules with facilitated discussions, competency self-assessment, and peer-reviewed journal article readings occurred over a six-week period. An exploratory design included content analysis of participants’ online discussion postings, goal-setting activities, reflections, and a researcher-developed evaluation survey. Of the 19 participants who completed the evaluation survey, 17 participants indicated that the case simulation helped to assess their competence and that readings on evidence-based interventions obtained from ProQuestTM were helpful. All participants (n = 19) agreed that the learning community enriched their understanding of how to work with children and youth with autism spectrum disorder and they planned to apply new knowledge to their practice. Qualitative data analysis yielded two themes: becoming evidence-based and integrating evidence into practice. A community of occupational therapists with shared interests who participated in socially mediated learning opportunities with multiple educational components increased understanding and application of evidence-based interventions. Future research should investigate the relationship between engagement in a short-term learning community and application of evidence-based interventions with follow-up.
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短期学习社区对自闭症儿童和青少年循证职业治疗干预的探索
职业治疗师的继续教育(CE)通常是在讲习班、研讨会或网络研讨会上进行的,在活动结束后几乎没有对实践变化的支持。在较长时间内进行有机会进行社会学习和能力评估的继续教育可以改善知识转化。本研究探讨了参加短期在线学习社区的儿科职业治疗师如何从学习活动中获得关于循证干预的新知识,以及他们如何将这些新知识应用于实践。在为期六周的时间里,每周的模块包括促进讨论、能力自我评估和同行评审的期刊文章阅读。探索性设计包括参与者在线讨论帖子的内容分析、目标设定活动、反思和研究人员开发的评估调查。在完成评估调查的19名参与者中,17名参与者表示案例模拟有助于评估他们的能力,并且从ProQuestTM获得的基于证据的干预措施的阅读是有帮助的。所有参与者(n = 19)都同意,学习社区丰富了他们对如何与患有自闭症谱系障碍的儿童和青少年一起工作的理解,他们计划将新知识应用到他们的实践中。定性数据分析产生了两个主题:以证据为基础和将证据融入实践。一个有共同兴趣的职业治疗师社区,他们参与了具有多种教育成分的社会中介学习机会,增加了对循证干预措施的理解和应用。未来的研究应通过随访调查短期学习社区参与与循证干预的应用之间的关系。
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