title: Use of the Medical Research Council Framework to develop a complex intervention in pediatric occupational therapy: Assessing feasibility.
abstract: The United Kingdom Medical Research Council recommends use of a conceptual framework for designing and testing complex therapeutic interventions. Partnering for Change (P4C) is an innovative school-based intervention for children with Developmental Coordination Disorder (DCD) that was developed by an interdisciplinary team who were guided by this framework. The goals of P4C are to facilitate earlier identification, build capacity of educators and parents to manage DCD, and improve children's participation in school and at home. Eight occupational therapists worked in school settings during the 2009-2010 school year. Their mandate was to build capacity through collaboration and coaching with the school becoming the "client", rather than any individual student. Over 2600 students and 160 teachers in 11 elementary schools received service during the project. Results from questionnaires and individual interviews indicated that this model was highly successful in increasing knowledge and capacity. P4C intervention holds promise for transforming service delivery in schools.
authors.affiliation: CanChild Centre for Childhood Disability Research, McMaster University, 1400 Main Street West, IAHS 408 Hamilton, Ontario, Canada L8S 1C7. missiuna@mcmaster.ca
authors.forename: Cheryl
authors.initials: C
authors.lastname: Missiuna
authors.forename: Nancy
authors.initials: N
authors.lastname: Pollock
authors.forename: Wenonah N
authors.initials: WN
authors.lastname: Campbell
authors.forename: Sheila
authors.initials: S
authors.lastname: Bennett
authors.forename: Catherine
authors.initials: C
authors.lastname: Hecimovich
authors.forename: Robin
authors.initials: R
authors.lastname: Gaines
authors.forename: Cindy
authors.initials: C
authors.lastname: DeCola
authors.forename: John
authors.initials: J
authors.lastname: Cairney
authors.forename: Dianne
authors.initials: D
authors.lastname: Russell
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Molinaro
mesh_terms: D002170:Canada; D002648:Child; D054976:Clinical Governance; D005240:Feasibility Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017146:Models, Organizational; D019957:Motor Skills Disorders / Q000534:rehabilitation*; D009788:Occupational Therapy / Q000458:organization & administration*; D010290:Parents / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010348:Patient Care Team / Q000458:organization & administration*; D010372:Pediatrics / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D012572:School Health Services / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D006113:United Kingdom