Table 2 Proposed WSP adaptation for the pediatric rehabilitation context
|
WSP Implementation Issues | CFIR Intervention Characteristic Construct | Proposed adaptation |
KTA framework Need for Knowledge Creation? | |
|---|---|---|---|---|
|
Knowledge Inquiry (1st generation knowledge) |
KT Tool / Product (3rd generation knowledge) | |||
| WST needs to be adapted to the pediatric population (requires a more playful approach for young PMWCUs; developmental considerations) | Adaptability | Requires Knowledge Inquiry | WST measurement property study with PMWCUs and parents | Narrated WST PMWU/Parent videos |
| Addition of ‘special considerations for children’ in WST scoring guide | N/A | |||
| Some skills seem unrealistic for PMWUs and more applicable for parents | Adaptability | Requires Knowledge Inquiry | Developmental acquisition of wheelchair skills |
Case studies, Training videos with PMWUs |
| Addition of the existing caregiver assistance score column in the WST form | WST measurement property study with the added caregiver assistance score | N/A | ||
| Difficulty to use the WSP for training children | Adaptability | Addition of ‘special considerations for children’ in WSP Manual |
1) Intervention study with PMWUs and parents; 2) Suggestions from clinical experts | N/A |
| WST-Q too complex for self-administration with PMWCUs |
Complexity & Design Quality and Packaging | Requires Knowledge Inquiry | WST-Q measurement property study with PMWUs | N/A |
| Development of a tablet-based administration format | ||||
| WSP Manual is dense and detailed and thus difficult to quickly access pediatric-specific information |
Complexity & Design Quality and Packaging | Optimization of tabs and internal links in the WSP Manual to facilitate easy access | N/A | Condensed pediatric-specific version of the WSP Manual |
| PMWU training of community and advanced skills frequently avoided due to safety concerns and perceptions that it’s not possible or not important | Evidence Strength and Quality | Addition of ‘special considerations for children’ in WSP training guide |
Intervention study with PMWUs and parents | Pediatric-specific training posters, narrated training videos, training workbook, case studies and storybook |
| Unavailability (i.e., logistic and emotional) of parents to participate in assessment and training | Design Quality and Packaging | WST-Q in an electronic fillable format | N/A | Narrated parent-specific training videos, ‘train at home’ guide, training plan template, section on the WSP website or YouTube Channel |
| Requires KT Tool / Product Development | ||||
| Perplexity on how to engage the parent for training | Design Quality and Packaging | N/A | N/A | Parent-specific promotional materials (e.g., pamphlet, promotional video) |