7,594 research outputs found

    Using Participatory Action Research to Support Knowledge Translation in Practice Settings

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    Health care practitioners must underpin their practice with sound scientific evidence. Yet realising this is not straightforward, especially in light of the amount and appropriateness of research evidence available and its relationship to practice, coupled with practitioners’ own ideology about the contribution of propositional knowledge (the use of propositions, ideas and theories). Knowledge translation is a collaborative means of making the best use of knowledge resulting from theory, policy and research evidence to ensure delivery of best practice to clients and carers to improve health outcomes. This paper presents participatory action research (PAR) as a methodology to meet the challenge of engaging professional staff in knowledge translation to support practice demands through a considered process of reflection, dialogue and action with others. Insights demonstrating PAR methods and results for knowledge translation will be drawn from the literature and from first-hand experience of a professional practice development research project involving occupational therapists working across a health and academic setting in the United Kingdom (UK).The principles and practice of PAR methodology, including a brief history of its purpose and development, are examined. Strategies for ‘getting going’, including consideration of research participant roles, examination of authentic participation and the process of analysis or meaning making are discussed. The overall aim of the paper is to illustrate how PAR might usefully be applied in practice settings to support knowledge translation

    Cognitive Profiles and the Impact of Medication on Children with Attention Deficit Hyperactivity Disorder

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    Attention Deficit Hyperactivity Disorder (ADHD) is one of the most frequently diagnosed disorders in children and adolescents. Individuals with ADHD often display behavioral symptoms, including inattention and/or impulsivity, which can also lead to struggles in the school setting. Current research has suggested that deficits in processing speed and working memory are common in individuals diagnosed with ADHD and are often seen on measures of cognitive ability. Positive outcomes have been associated with the use of psychostimulant medication to treat the symptoms of ADHD, although little research has supported this form of treatment to improve cognitive functioning in individuals diagnosed with ADHD. The current study replicated and expanded on Friedman (2006) and McLaughlin’s (2009) studies. The purpose of this study was to compare the cognitive profiles of children diagnosed with ADHD and a control sample. The cognitive profiles were analyzed at the Full Scale, Index, and Subtest levels. In addition, the current study sought to determine whether or not the medication status impacted performance on the cognitive measures. The results of this study indicated that individuals with ADHD did perform lower on measures of Full Scale IQ, Perceptual Reasoning, Working Memory and Processing Speed. It was also noted that the use of medication yielded higher performance, as compared with the nonmedicated ADHD group. At the subtest level analysis, ADHD individuals typically performed better on the following task pairs: they worked better on verbal reasoning than on working memory tasks; they were more successful with perceptual reasoning than with processing speed tasks. In addition, ADHD groups also performed roughly the same on the following task pairs: on nonverbal reasoning and working memory tasks, on verbal reasoning and processing speed, on verbal reasoning and perceptual reasoning, and on working memory and processing speed. Regarding medication status, positive trends were noted for medication use, but minimal statically significant results were found. Significant results were found in favor of medication use for the VCI \u3e PSI and PRI \u3e VCI comparisons
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