Development of a Methodology to Examine Knowledge Translation of Evidence Informed Knowledge Among Physical Therapists

Research Posters Design: Group comparison study. Setting: Community setting. Participants: Convenience sample of persons with SCI using a MWC (nZ10; age: 417.2y, mean WC experience: 8.05.4y) and a PWC (n Z 6; age: 478.1y, mean WC experience: 21.613.7y) as their primary means of mobility. Interventions: Not applicable. Main Outcome Measure(s): WC movements (speed, minimal clearance, point of path deviation), gaze behavior and temporal coordination between gaze/body/WC. Results: MWC users tended to have slower speed throughout conditions and to maintain a smaller clearance during CO. Point of deviation was similar for both WC modes for each task. During CD, head rotation always preceded gaze, trunk and WC reorientation. During CO, the head, trunk and WC turned together, while the eyes never moved in the direction of circumvention. In SA locomotion, subjects predominantly fixed their gaze on the end target, while during CD and CO, subjects fixated more on the floor rather than the environmental constraints (e.g., vertical pole to indicate turn point or obstacle). Conclusions: Data analyses continue, but results suggest that body and WC coordination is similar between the two WC types and with what is known for biped locomotion. While changing direction or circumventing an obstacle, experienced WC users direct their gaze mainly on the future path. A better understanding of the natural visuo-locomotor control for wheelchair use will better inform clinicians for the evaluation and training of WC skills. Key Words: Eye movements, Locomotion, Wheelchairs Disclosures: None disclosed. Research Poster 679 Development of a Methodology to Examine Knowledge Translation of Evidence Informed Knowledge Among Physical Therapists Susan Rabinowicz (Stony Brook University) Research Objectives: To develop a survey instrument to(1) examine where physical therapists are in the process of applying current knowledge to their practice with infants, toddlers and families in early intervention (2,3), and (2) examine the determinants of change that mediate a physical therapist through the process of acquiring new knowledge and implementing it in practice. Secondary: To conduct a pilot study to determine the feasibility of the survey instrument to collect data in a future larger, national study. Design: Descriptive, cross-sectional exploratory survey. Setting: The anonymous survey was distributed electronically through Qualtrics, Inc. Participants: The participants in this study were a sample of physical therapists practicing in early intervention from one state in the U.S. Interventions: Not applicable. Main Outcome Measure(s): Response rate to survey, number of respondents who completed the survey, number of questions completed, percentage of respondents in the knowledge and implementation stages of knowledge translation, percentage of respondents who reported awareness by years of experience, and percentage of respondents who reported awareness by sources of information. Results: The response rate of the pilot study was sub-optimal. All of the respondent therapists (100%) completed the demographic questions, 40% of the respondent therapists completed the questions regarding interventions and outcomes. 40% of the respondents reported that their most important role was educating parents. Conclusions: The forced choice responses for questions regarding interventions will be revised to insure that the choices are mutually exclusive. Revision to the distribution process and organization of the survey will be made for the national phase of the study. Special attention will be given to reduce sampling error, nonresponse error and measurement error. Key Words: Knowledge translation, Methodology, Physical therapists Disclosures: None disclosed.

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e107 Research Poster 681 A Mental Minute: A Qualitative Exploration of Work-Related Stress in Brain Injury Professionals Gillian Murray (Moss Rehab) Research Objectives: This qualitative study explored the experience of work-related stress in brain injury rehabilitation professionals as well as to identify the contributing factors of work-related stress. Design: This study utilized semi-structured interviews and the data was analyzed utilizing a Grounded Theory approach. Setting: Interviews were conducted in a private setting at their place of employment or an area identified by the participant. Participants: Snowball and convenience sampling methods were utilized to recruit 17 brain injury rehabilitation professionals. Interventions: Not Applicable. Main Outcome Measure(s): The researcher utilized a semi-structured open-ended questionnaire. Results: Results of this study suggest the lack of funding and resources, the nature of brain injury as a lifelong disability, and the arduous and lengthy rehabilitation process to be the most difficult aspects. Anosognosia was identified as the most stressful cognitive deficit to treat. Frustration was expressed in regards to the challenge of balancing administrative duties with providing quality clinical care to survivors of brain injuries. Professionals experience the effects of work-related stress in both their work environments and in their personal lives. Professionals noted the importance of collaborating on an interdisciplinary team and utilizing their peers and supervisors for support when faced with stressful situations. Conclusions: This study provides a deeper understanding of work-related stress and the challenges of working in the brain injury rehabilitation field. Professionals identified the contributing factors of work-related stress. Professionals need to be aware of the contributing factors of work-related stress and to manage the impacts of stress by collaborating with coworkers, promoting resiliency, and engaging in self-care activities. Supervisors and administrators need to better understand the perspectives of their employees to develop more effective means to not only reduce but to prevent work-related stress. Key Words: Burnout, Professional, Stress, Psychological, Resilience, Psychological Disclosures: None disclosed. Research Poster 682 Predicting Discharge Using EuroQol (EQ-5D) Individual Scores: A Retrospective Study of Acute Stroke Survivors Kimberly Hreha (Kessler Institute for Rehabilitation), Karen West, Caitlin Denzer-Weiler, Jeffrey Zhang, A.M. Barrett Research Objectives: 1) To determine if admission FIM can predict EQ-5D scores at admission and/or discharge. 2) To investigate if EQ-5D dimensions on admission predict discharge disposition and therefore serve as a prognostic tool. Design: Retrospective data analysis. Setting: Inpatient rehabilitation hospital. Participants: Stroke survivors admitted from 2012-2015. Interventions: Not applicable. Main Outcome Measure(s): EQ-5D measures health-related quality of life via patient and therapist self report in five dimensions. Age, length of stay, discharge disposition, and FIM on admission/discharge was collected. A regression model was used to explore the relationship between FIM and EQ-5D. Predictive capabilities were examined using a predictive modeling technique. Results: 1527 patients completed EQ-5D. Charts without stroke diagnosis or missing data were eliminated, resulting in NZ1325 with a mean age of 72 years (SDZ13.28) and average length of stay of 17 days (SDZ7.22). We built a model with age, cognitive and motor FIM scores and all possible interactions as covariates. Backward model selection was applied with adjusted R2 as the section criterion. The predictability of admission FIM