Jump to Content

< back

    CAHE Journal Club Critically Appraised articles

        The Centre for Allied Health Evidence aims to make CAHE Journal Club Critically Appraised articles available for review
        and consideration by South Australian Department of Health employees.

        In order to access the articles South Australian Department of Health (DoHSA) employees will need to contact the DoHSA Librarian:

    South Australian Department of Health
    Library & Information Services
    Postal address:  PO Box 287 Rundle Mall  Adelaide  SA  5000
    Phone 08 8226 6070 Fax 08 8226 6677
    Email    health.library@health.sa.gov.au
    Department of Health, South Australia Library website

        CAHE will continually update this compendium of critically appraised research publications as a resource for health services interested
        in implementing journal clubs within their health services.

        The CAHE Journal Club Critically Appraised article listing includes the following details:

Back to previous page

       The CAHE JC Clinical Scenarios are:

 

1   Are exercise diaries effective in improving compliance in carrying out therapist set home programs in elderly community dwellers?   
2   For 0-4 year olds with autism is group therapy more superior to individual therapy for increasing functional outcomes.
3   Are relaxation techniques effective in reducing upper limb tone for people who have had a stroke more than 1 year previous?
4   Is home based exercise more effective than therapist supervised exercises in improving mobility in post acute stroke clients?
5   For children with autism aged 2-6 years, what is the impact of home visits versus centre based therapy on functional outcomes?
6   Is Allied Health involvement in the ED effective in improving outcomes such as need for admission/ length of time in ED/ cost/patient satis-faction/ quality of life?
7   For children aged 18months to 5 years with speech or language delays who demonstrate aggression and/or oppositional behaviours is therapy including ABA (applied behaviour analysis) or therapy non-inclusive on ABA more successful in increasing functional outcomes?
8   Are SIJ belts effective in reducing pelvic pain/ improving quality of life for pregnant women?
9   Is exercise effective in improving QOL compared with medication in people over 60 with clinically diagnosed depression?
10   Is exercise effective in improving QOL compared with medication in people over 60 with diagnosed dementia
11   Is physiotherapy effective in improving return to function/work post knee arthroscopy?
12   Is incentive spirometry effective in reducing post operative complications in people undergoing upper abdominal surgery?
13   Is co-ordinated multidisciplinary allied health care effective in reducing length of stay for medical or surgical inpatients in an acute care hospital?
14   Do foot problems contribute to falls in community dwelling elders?
15   Is group exercise more effective than hands on physiotherapy in reducing low back pain?
16   Is home/individual exercise better than supervised exercise?
17   For patients with dementia, what is the impact of enteral feeding compared to oral intake on morbidity, mortality and quality of life?
18   Is a mealtime intervention delivered by a multi-disciplinary team better than feeding intervention by individual disciplines to children aged 0-7 and their families?
19   Is short-term outpatient treatment better than long-term treatment in community dwelling elderly people who have had a stroke?
20   Are pre-admission clinics with multi-disciplinary involvement effective in reducing post-operative complications, hospital length of stay, improving patient satisfaction/QOL for patients undergoing arthroplasty?
21   Is hydrotherapy better than usual care for pregnant women with LBP/pelvic pain?
22   When would treatment effects be expected to plateau / no further improvement be reasonably expected? (Maintenance physiotherapy)?
23   Upper limb splinting in post-CVA patients: Is upper limb splinting effective in reducing hypertonicity/contractures in post-CVA community-dwelling elderly patients?
24   Is a mealtime intervention delivered by a multi-disciplinary team better than feeding intervention by individual disciplines to children aged 0-7 and their families?
25   Oral intake in patients with tracheostomy tube in-situ
26   Is a home-based intervention for elderly adults with COPD, recently discharged from hospital, effective in preventing hospital readmission?
27   Does serial casting improve gait in toe-walkers?
28   Behavioural interventions to promote increase in non-preferred food intake in children
29   Is there an overall improvement in development or behaviour in children under 5yrs with developmental delays/behaviour issues who receive therapy with a developmental framework?
30   What is the impact of exercise-based cardiac rehabilitation on the psychosocial health and well-being of post cardiac surgery patients?
31   What is the impact of professional interpreters on the quality of care of patients with limited English proficiency?
32   What is the effectiveness of a weight-bearing strengthening program compared with that of a non-weight-bearing strengthening program for older inpatients undergoing rehabilitation?
33   What is the effectiveness of multidisciplinary pain management program in the reduction of pain, disability and improvement of quality of life among patients who experience chronic pain?
34   What is the effectiveness of a weight-bearing strengthening program compared with that of a non-weight-bearing strengthening program for older inpatients undergoing rehabilitation?
35   What is the effectiveness of chest physical therapy in the clinical resolution of children with pneumonia?
36   Is there evidence for the effectiveness of motivational interviewing in decreasing alcohol use among patients diagnosed with schizophrenia?
37   Is there any difference in the efficacy of glucosamine chondroitin versus glucosamine alone in the management of arthritic pain?
38   What is the effectiveness of collaborative therapy in improving function among adult patients diagnosed with chronic schizophrenia?
39   What is the effectiveness of functional training versus strength training in improving impairment status and function of elderly outpatients?
40   Which exercises are most effective in reducing pain and improving function in patients with rotator cuff tear?
41   What is an effective clinical or administrative process to improve patient attendance in their appointments?
42   What is the effectiveness of using arm ergometer in improving the cardiovascular endurance and quality of life of patients with chronic obstructive pulmonary disorders?
43   What is the effect of daily stretching on wrist contracture of stroke patients?
44   Do adults 18-65 with a diagnosis of Schizophrenia who are provide with Relapse Interventions have better mental health outcomes including reduced hospitalisation admissions, reducing crises, reducing overall psychopathology, and/or improvement in standardised clinical measures such as NOCC?
45   Is sit-to-stand exercise more effective than knee extension exercises in improving mobility and balance among old patients?
46   What are the effects of different types of pillows on waking neck pain and stiffness on adults?
47   Does mouth care for HLC (high level care) patients admitted to hospital with aspiration pneumonia reduce hospital length of stay?
48   Is there a difference in the outcomes of mentally-ill patients who engage in voluntary treatment compared to those who receive involuntary treatment?
49   Is there evidence for the effectiveness of whole body vibration in improving balance amongst old patients aged 60 (or 65) and older?
50   Is constraint-induced movement therapy better than either BIT or normal treatment in improving upper limb function in adults with CVA?
51   What is the effectiveness of Mental Imagery in promoting relearning for people after stroke?
52   What is the impact of various forms of physical training on various aspects of locomotor function in older people of any health or residential status?
53   Is there evidence for the effectiveness of cognitive rehabilitation for aged care patients in terms of improving their functional independence?
54   Are hip protectors effective in preventing fractured neck of femur in elderly patients who are at risk of falls?
55   How effective are computer-based programs in improving school performance of children diagnosed with APD (Auditory processing disorder) compared to the typical approach of using an FM system?
56   Which of the different management techniques for Dupuytren’s contracture has the best evidence for effectiveness?
57   Is there evidence for the effectiveness of art therapy in reducing relapse among patients diagnosed with a mental illness?
58   Is there a difference in the effectiveness of speech therapy delivered continuously versus therapy with regular breaks (blocks of treatment) in improving the communication skills of aphasic stroke patients?
59   Does speech pathology based therapy in conjunction with cognitive behaviour therapy lead to better voice outcomes in adults with psychogenic voice disorders?
60   How do community exercise programs contribute to the improved health of older people who have chronic conditions living in the community?
61   Is there evidence for the effectiveness of spirometry in preventing pulmonary complications or improving pulmonary outcomes amongst patients who underwent upper abdominal surgery?
62   Is there evidence for the effectiveness of tailored activities in the management of neuro-psychiatric behaviours among patients with dementia?
63   What is an effective strategy to improve attendance rates to therapy appointments of patients with mental health diseases?
64   Is there evidence for the effectiveness of crisis intervention in reducing the number of hospital admission among adult patients with mental illness?

Back to previous page

 

 

No

Journal Club

Clinical Scenario

&

PICO/PACO format

Critically Appraised Article

&

 Appraisal Summary PDF

 

1

Elderly Care Housing, Inc

Are exercise diaries effective in improving compliance in carrying out therapist set home programs in elderly community dwellers?

Bassett SF, Petrie KJ. The Effect of Treatment Goals on Patient Compliance with Physiotherapy Exercise Programs. Physiotherapy. 1999; 85(3): 130
   

CASP tool: Randomised Controlled Trial

P  Elderly community dwellers
I   Exercise diaries
C Usual care
O Compliance

1_CAHE_JC_CAP_Summary_Bassett_ECHJC.pdf

(PDF 244KB)

Back to Clinical Scenario List
 

2

Port Pirie Regional Health Service

For 0-4 year olds with autism is group therapy more superior to individual therapy for increasing functional outcomes.

Howard, JS. A comparison of intensive behaviour analytic and eclectic treatments for young children with autism. Research in developmental disabilities. 2005; 26(4):359
   

Cohort

P  0-4 year olds with autism
I   Group therapy
C  Individual therapy
O Functional outcomes

2_CAHE_JC_CAP_Summary_Howard_PPJC.pdf

(PDF 251KB)

Back to Clinical Scenario List
 

3

Southern Cross Care

Are relaxation techniques effective in reducing upper limb tone for people who have had a stroke more than 1 year previous?

Page SJ, Levine P, Leonard AC. Effects of mental practice on affected limb use and function in chronic stroke. Arch Phys Med Rehabil 2005;86:399-402
   

Randomised Controlled Trial

P  People who have had a stroke over 1yr ago and have hypertonicity in the upper limbs
I   The efficacy of relaxation techniques to reduce tone
C  No intervention/botox/splinting etc
O  UL tone & ROM

3_CAHE_JC_CAP_Summary_Page_SCCJC.pdf

(PDF 237KB)

Back to Clinical Scenario List

 
 

4

Southern Cross Care

Is home based exercise more effective than therapist supervised exercises in improving mobility in post acute stroke clients?

Olney, Sandra J. A randomized controlled trial of supervised versus unsupervised exercise programs for ambulatory stroke survivors. Stroke. 2006.Volume 37. Issue 2:476
   

Randomised Controlled Trial

P   Post acute stroke
I    Home based exercises
C  Therapist supervised exercises
O  Mobility

  

4_CAHE_JC_CAP_Summary_Onley_SCCJC.pdf

(PDF 238KB)

Back to Clinical Scenario List

 
 

5

Port Pirie Regional Health Service

For children with autism aged 2-6 years, what is the impact of home visits versus centre based therapy on functional outcomes?

Svein Eikeseth, Tristram Smith, Erik Jahr, Sigmund Eldevik. Intensive Behavioural Treatment at School for 4- to 7-Year-Old Children With Autism. A 1-Year Comparison Controlled Study. Behavior Modification, Vol. 26 No. 1, January 2002 49-68
   

Randomised Controlled Trial

P   Autistic children aged 2-6
I    Home based therapy
C  Centre based therapy
O  Functional Outcomes

  

5_CAHE_JC_CAP_Summary_Eikeseth_PPJC5.pdf

(PDF 240KB)

Back to Clinical Scenario List

 
 

6

Noarlunga General Hospital

Is Allied Health involvement in the ED effective in improving outcomes such as need for admission/ length of time in ED/ cost/patient satisfaction/ quality of life

Close J, Ellis M, Hooper R, Glucksman E, Jackson S, Swift C. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Lancet 1999; 353: 9397
   

Randomised Controlled Trial

P  Patients presenting to an Emergency Department (after a fall/musculoskeletal injury/social issues)
I   Allied health involvement within the Emergency Department
C Usual care (only seen by nursing/medical staff - no AH involvement)
O Need for admission/length of time in ED/cost/patient satisfaction/quality of life.

6_CAHE_JC_CAP_Summary_Close_NGHJC.pdf

(PDF 240KB)

Back to Clinical Scenario List
 

7

Port Pirie Regional Health Service

For children aged 18months to 5 years with speech or language delays who demonstrate aggression and/or oppositional behaviours is therapy including ABA (applied behaviour analysis) or therapy non-inclusive on ABA more successful in increasing functional outcomes?

Sheinkopf1 JS, Bryna Siegel B. Home-Based Behavioral Treatment of Young Children with Autism. Journal of Autism and Developmental Disorders.1998;28(1):15
   

Case Cohort

P  Children 18 months to 5 years with  speech or language delays demonstrating  aggression
I    Therapy inclusive of Applied Behaviour  Analysis (ABA)
C  Therapy non inclusive of ABA
O  Functional Outcomes

7_CAHE_JC_CAP_Summary_Sheinkopf_PPJC.pdf

(PDF 240KB)

Back to Clinical Scenario List

 
 

8

Lyell McEwin Hospital

Are SIJ belts effective in reducing pelvic pain/ improving quality of life for pregnant women?

Carr CA. Use of a Maternity Support Binder for Relief of Pregnancy-Related Back Pain. Journal of Obstetric, Gynecologic and Neonatal Nursing. 2002;32(4):495
   

Cohort

P   Pregnant women
I    SIJ belts
C  Usual care
O  Pain/QOL

  

8_CAHE_JC_CAP_Summary_Carr_LMHJC.pdf

(PDF 237KB)

Back to Clinical Scenario List

 
 

9

Southern Cross Care

Is exercise effective in improving QOL compared with medication in people over 60 with clinically diagnosed depression?

G. A. Brenes, J. D. Williamson, S. P. Messier, W. J. Rejeski, M. Pahor, E. I, & B. W. J. H. Penninx. Treatment of minor depression in older adults: A pilot study comparing sertraline and exercise. Aging & Mental Health, 2007; 11(1): 6168
   

Randomised Controlled Trial

P People over 60 years old, clinically diagnosed with depression
I  Educational Lifestyle Grp incorporating an exercise component
C Medication management for Depression
O  HADS/QOL

9_CAHE_JC_CAP_Summary_Brenes_SCCJC.pdf

(PDF 240KB)

Back to Clinical Scenario List

 
 

10

Noarlunga General Hospital

Is exercise effective in improving QOL compared with medication in people over 60 with diagnosed dementia

Stevens J. A randomised controlled trial testing the impact of exercise on cognitive symptoms and disability of residents with dementia. Contemporary nurse : a journal for the Australian nursing profession. 2006;21(1):32
   

Randomised Controlled Trial

P People over 60 years old, clinically diagnosed with dementia
I  Educational Lifestyle Grp incorporating an exercise component
C Medication management for Depression
O HADS/QOL

10_CAHE_JC_CAP_Summary_Stevens_NGHJC.pdf

(PDF 237KB)

Back to Clinical Scenario List

 
 

11

Lyell McEwin Hospital

Is physiotherapy effective in improving return to function/work post knee arthroscopy?

Goodwin PC, Morrissey MC, Omar RZ, Brown M, Southall K, Thomas B McAuliffe. Effectiveness of Supervised Physical Therapy in the Early Period After Arthroscopic Partial Meniscectomy. Physical Therapy; 2003;83(6):520
   

Randomised Controlled Trial

P  Arthroscopy
I   Physiotherapy
C   No physiotherapy
O  Return to function/work

  

11_CAHE_JC_CAP_Summary_Goodwin_LMHJC.pdf

(PDF 237KB)

Back to Clinical Scenario List

 
 

12

Lyell McEwin Hospital

Is incentive spirometry effective in reducing post operative complications in people undergoing upper abdominal surgery?

Hall, JC, Tarala R. Incentive spirometry versus routine chest physiotherapy for prevention of pulmonary complications. Lancet. 1991;337(8747):953
   

TBA

P  Upper abdominal surgery
I   Incentive spirometry
C  Usual care
O  Post operative complications

  

TBA

Back to Clinical Scenario List

 
 

13

Noarlunga General Hospital

Is co-ordinated multidisciplinary allied health care effective in reducing length of stay for medical or surgical inpatients in an acute care hospital?

Mudge A,Laracy S, Richter K, Denaro C. Controlled trial of multidisciplinary care teams for acutely ill medical inpatients: enhanced multidisciplinary care. Internal Medicine Journal. 2006; 36:558563
   

Randomised Controlled Trial

P  Medical inpatient or surgical inpatient (any age/diagnosis)
I   Coordinated multi-disciplinary AH care
C Usual care (or single AH discipline involvement)
O Length of stay

13_CAHE_JC_CAP_Summary_Mudge_NGHJC.pdf

(PDF 243KB)

Back to Clinical Scenario List
 

14

Elderly Care Housing, Inc

Do foot problems contribute to falls in community dwelling elders?

Menz, HB The Contribution of Foot Problems to Mobility Impairment and Falls in Community-Dwelling Older People. Journal of the American Geriatrics Society.2001;49(12):1651
   

Cohort

P  Community dwelling older people
I   Foot problems
C  No foot problems
O Falls

  

14_CAHE_JC_CAP_Summary_Menz_ECHJC.pdf

(PDF 245KB)

Back to Clinical Scenario List

 
 

15

Southern Cross Care

Is group exercise more effective than hands on physiotherapy in reducing low back pain

Mannion, A F. Comparison of three active therapies for chronic low back pain: results of a randomized clinical trial with one-year follow-up. Rheumatology (Oxford, England). 2001;40(7):772
   

Randomised Controlled Trial

P People who have had a chronic low back pain (non specific, non acute) for a period longer than 2 years
I  Group exercise/walking program
C  Individual hands on physiotherapy treatment
O  SF36/QOL/VAS/representation to GP or PT/reliance on medication

15_CAHE_JC_CAP_Summary_Mannion_SCCJC.pdf

(PDF 236KB)

Back to Clinical Scenario List

 
 

16

Elderly Care Housing, Inc

Is home/individual exercise better than supervised exercise?

Lun V, Pullan N, Labelle N, Adams C & Suchowersky O 2005, Comparison of the effects of a self-supervised home exercise program with a physiotherapist-supervised exercised program on the motor symptoms of Parkinsons Disease, Movement Disorders, vol. 20, no. 8, pp. 971-975
   

Cohort

P Community dwelling elderly people
I  Attending public/outpatient/therapy service/day therapy centre for musculoskeletal physiotherapy
C Attending private clinic for musculoskeletal physiotherapy
O Representation for the same condition/complaint within a 12 month period.

16_CAHE_JC_CAP_Summary_Lun_ECHJC.pdf

(PDF 245KB)

Back to Clinical Scenario List
 

17

Royal Adelaide Hospital

For patients with dementia, what is the impact of enteral feeding compared to oral intake on morbidity, mortality and quality of life?

Finucane TE, Christmas C, Travis K 1999, Tube feeding in patients with advanced dementia: a review of the evidence, JAMA, 282(14), 1365-1370
   

Systematic Review

P   Patients with dementia
I    Enteral feeding
C  Oral intake/Oral feeding
O  Morbidity/Mortality/QOL
 

 

17_CAHE_JC_CAP_Summary_Finucane_RAHJC.pdf

(PDF 240KB)

Back to Clinical Scenario List

 
 

18

Port Pirie Regional Health Service

Is a mealtime intervention delivered by a multi-disciplinary team better than feeding intervention by individual disciplines to children aged 0-7 and their families?

Dadds M, Sanders M & Bor B 1984, Training children to eat independently: Evaluation of mealtime management training for parents
   

Cohort/
Observational

P  Children aged 0-7 and their families
I  Feeding/mealtime intervention provided by multi-disciplinary mealtime management team
C Feeding intervention by individual disciplines
O Improved quality of care to children and their families.

18_CAHE_JC_CAP_Summary_Dadds_PPJC.pdf

(PDF 238KB)

Back to Clinical Scenario List
 

19

Elderly Care Housing, Inc

Is short-term outpatient treatment better than long-term treatment in community dwelling elderly people who have had a stroke?

Outpatient Service Trialists 2004, Rehabilitation therapy services for stroke patients living at home: systematic review of randomised trials, Lancet, 363: 352-356.
   

Systematic Review

P  Community dwelling elderly people who have had a stroke Short-term outpatient treatment (multi-disciplinary)
C  Long-term outpatient treatment (multi-disciplinary)
O  Improvement in functional ability

19_CAHE_JC_CAP_Summary_Lancet_ECHJC.pdf

(PDF 242KB)

Back to Clinical Scenario List

 
 

20

Lyell McEwin Hospital

Are pre-admission clinics with multi-disciplinary involvement effective in reducing post-operative complications, hospital length of stay, improving patient satisfaction/QOL for patients undergoing arthroplasty?

Gocen Z, Sen A, Unver B, Karatosun V & Gunal I 2004, The effect of preoperative physiotherapy and education on the outcome of total hip replacement: a prospective randomized controlled trial, Clinical Rehabilitation, 18: 353-358.
   

Randomised Controlled Trial

P  Patients undergoing arthroplasty (eg THR, TKR)
I   Pre-admission clinics with multi-disciplinary involvement
C Usual care
O Post-op complications, hospital LOS, patient satisfaction, QOL

20_CAHE_JC_CAP_Summary_Gocen_LMHJC.pdf

(PDF 239KB)

Back to Clinical Scenario List

 
 

21

Lyell McEwin Hospital

Is hydrotherapy better than usual care for pregnant women with LBP/pelvic pain?

Granath AB, Hellgren MSE & Gunnarsson 2006, Water aerobics reduces sick leave due to low back pain during pregnancy, Journal of Obstetric, Gynecologic & Neonatal Nursing, 35(4): 465-471
   

Randomised Controlled Trial

P  Pregnant women with LBP/pelvic pain
I  Hydrotherapy
C Control/Usual care
O Pain, function, patient satisfaction, QOL, adverse events

 

21_CAHE_JC_CAP_Summary_Granath_LMHJC.pdf

(PDF 171KB)

Back to Clinical Scenario List

 
 

22

Southern Cross Care

When would treatment effects be expected to plateau / no further improvement be reasonably expected? (Maintenance physiotherapy)

Flanagan T & Green S 2000, The concept of maintenance physiotherapy,
Australian Journal of Physiotherapy, 46(4), 271-278
   

Mixed methods

When would treatment effects be expected to plateau / no further improvement be reasonably expected? (Maintenance physiotherapy)
(PICO format did not lend itself to topic; however population of interest if years)

22_CAHE_JC_CAP_Summary_Flanagan_SCCJC.pdf

(PDF 522KB) 

Back to Clinical Scenario List

 
 

23

Elderly Care Housing, Inc

Upper limb splinting in post-CVA patients

Is upper limb splinting effective in reducing hypertonicity/contractures in post-CVA community-dwelling elderly patients?

Lannin NA & Herbert RD 2003, Is hand splinting effective for adults following stroke? A systematic review and methodological critique of published
research, Clinical Rehabilitation, 17: 807-816
   

Systematic Review

P   Community dwelling elderly post-CVA (with hypertonicity)
I   Upper limb splinting
C  No splinting
O  Tone, functional grasp & release, functional ability

23_CAHE_JC_CAP_Summary_Lannin_ECHJC.pdf

(PDF 146KB)

Back to Clinical Scenario List

 
 

24

Pt Pirie Regional Health Service

Is a mealtime intervention delivered by a multi-disciplinary team better than feeding intervention by individual disciplines to children aged 0-7 and their
families?

Galensky TL, Miltenberger RG, Stricker JM & Garlinghouse MA 2001,Functional assessment and treatment of mealtime behavior problems, Journal of Positive Behavior Interventions, 3(4): 211-224
   

Cohort/
Observational

P  Children aged 0-7 and their families
I  Feeding/mealtime intervention provided by multi-disciplinary mealtime management team
C Feeding intervention by individual disciplines (e.g. speech, OT, dietetics)
O Improved quality of care to children and their families

24_CAHE_JC_CAP_Summary_Galensky_PPJC.pdf

(PDF 131KB)

Back to Clinical Scenario List
 

25

Royal Adelaide Hospital

Oral intake in patients with tracheostomy tube in-situ

McGowan SL, Gleeson M, Smith M, Hirsch N, Shuldham CM 2007, A pilot study of fibreoptic endoscopic evaluation of swallowing in patients with cuffed tracheostomies in neurological intensive care, Neurocritical Care, 6: 90-93
   

Cohort

P   Patients with tracheostomy tubes in-situ
I   Swallow assessment
C   Usual/Not specified
O   Aspiration/Oral intake

  

25_CAHE_JC_CAP_Summary_McGowan_RAHJC.pdf

(PDF 167KB)

Back to Clinical Scenario List

 
 

26

Southern Cross Care

Is a home-based intervention for elderly adults with COPD, recently discharged from hospital, effective in preventing hospital readmission?

Behnke M, Taube C, Kirsten D, Lehnigk B, Jorres RA & Magnussen H 2000, Home-based exercise is capable of preserving hospital-based improvements in severe chronic obstructive pulmonary disease, Respiratory Medicine, 94: 1184-1191.
   

Randomised Controlled Trial

P   People aged over 60 years, recently discharged from hospital with
a main diagnosis of COPD
I   Comprehensive therapy assessment/package in the home
C   No intervention
O   QOL, Readmission to hospital (& length of stay), lung function/exercise
performance

26_CAHE_JC_CAP_Summary_Benkhe_SCCJC.pdf

(PDF 184KB)

Back to Clinical Scenario List
 

27

Lyell McEwin Hospital

Does serial casting improve gait in toe-walkers?

Fox A, Deakin S, Pettigrew G, Paton R 2006, Serial casting in the treatment of idiopathic toe-walkers and review of the literature, Acta Orthopaedica Belgica, 72(6), 722-730

*NB: Article has been appraised using cohort study tool in the absence of a suitable CASP appraisal tool. Minor modifications have been made to the wording of some appraisal items, but have been noted
   

Cohort study tool *

(Prospective) case-series; pre-post

P   Children aged 3-10; toe-walkers/tight calves
I   Serial casting
C   Stretches/surgery/activity levels/other
O   Gait, function/participation

  

27_CAHE_JC_CAP_Summary_Fox_LMHJC.pdf

(PDF 183KB)

Back to Clinical Scenario List

 
 

28

Pt Pirie Regional Health Service

Behavioural interventions to promote increase in non-preferred food intake in children


Luiselli JK 2000, Cueing, demand fading, and positive reinforcement to establish self-feeding and oral consumption in a child with chronic food refusal, Behavior Modification, 24(3), 348-358.


*Please note: Whilst this is a case study, it has been appraised using the CASP Qualitative appraisal tool. According to the CASP system this is the recommended and generally accepted method
   

Case study *

P   Children aged 0-7 years
I   Behavioural interventions
C   No intervention
O   Increase in non-preferred food intake

  

28_CAHE_JC_CAP_Summary_Luiselli_PPJC.pdf

(PDF 261KB)

Back to Clinical Scenario List

 
 

29

Pt Pirie Regional Health Service

Is there an overall improvement in development or behaviour in children under 5yrs with developmental delays/behaviour issues who receive therapy with a developmental framework?

Hoffman KT, Marvin RS, Cooper G & Powell B 2006, Changing toddlers and preschoolers attachment classifications: the circle of security intervention, Journal of Consulting and Clinical Psychology, 74(6), 1017-1026.
   

Cohort study

P  Children under 5yrs with
   developmental delays/behaviour
   issues
I  Therapy with a focus on attachment
   theory/circle of security
C Therapy with a developmental
   framework
O Overall wellbeing/improvement in
   development or behaviour

29_CAHE_JC_CAP_Summary_Hoffman_PPJC.pdf

(PDF 278KB)

Back to Clinical Scenario List
 

30

Lyell McEwin Hospital

What is the impact of exercise-based cardiac rehabilitation on the psychosocial health and well-being of post cardiac surgery patients?

Ng JY, Tam SF. Effect of exercise-based cardiac rehabilitation on mobility and self-esteem of persons after cardiac surgery. Perceptual & Motor Skills. 2000; 91(1):107-114.
   

Experimental Design (Non-randomised controlled trial)

P  Patients post cardiac surgery
I  Cardiac Rehabilitation exercise based
C  Usual care without cardiac rehabilitation
O  Psychosocial health; well-being; quality of life

  

30_CAHE_JC_CAP_Summary_Ng_LMHJC.pdf

(PDF 218KB)

Back to Clinical Scenario List

 
 

31

Southern Cross Care

What is the impact of professional interpreters on the quality of care of patients with limited English proficiency?

Do Professional Interpreters Improve Clinical Care for Patients with Limited English Proficiency? A Systematic Review of the Literature
Karliner SL, Jacobs EA, Chen AH, Mutha S. Health Services Research 2007; 42(2): 727-754.
   

Systematic Review

P  Patients with limited English proficiency
I  Use of Professional medical interpreters
O  Clinical outcomes, patient satisfaction, communication errors and comprehension, utilisation

31_CAHE_JC_CAP_Summary_Karliner_SCCJC.pdf

(PDF 183KB)

Back to Clinical Scenario List

 
 

32

Western District Health Service

What is the effectiveness of a weight-bearing strengthening program compared with that of a non-weight-bearing strengthening program for older inpatients undergoing rehabilitation?

Olivetti L, Schurr K, Sherrington C, et al. A novel weight-bearing strengthening program during rehabilitation of older people is feasible and improves standing up more than a non-weight-bearing strengthening program: a randomised controlled trial. Australian Journal of Physiotherapy. 2007;53:147-153.
 

 

Randomised Controlled Trial

P  Older people (>60 y/o) admitted to inpatient rehabilitation
I  Weight bearing strengthening exercises
C  Non weight bearing strengthening exercises
O  Muscle strength and Mobility

 

32_CAHE_JC_CAP_Summary_Olivetti_WDHSJC

(PDF 238 KB)

Back to Clinical Scenario List

 
 

33

Southern Cross Care

What is the effectiveness of multidisciplinary pain management program in the reduction of pain, disability and improvement of quality of life among patients who experience chronic pain?

Dysvik E, Vinsnes AG, Eikeland OJ. International Journal of Nursing Practice 2004; 10:224-234The effectiveness of a multidisciplinary pain management programme managing chronic pain.