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Background • Band 7 OT, Trauma, Orthopaedics and My Research Experience Hand Therapy • Speciality: Hand Therapy • Leading Centre Complex Lower Limb Presentation for BAOT Study Day Trauma “Getting Started With Research” , 12th November 2008 By • Second attempt at applying for research Katharine Carlisle Band 7 OT in T&O and Hand Therapy grant Charing Cross Hospital Imperial College NHS Trust • Successfully granted funding and ethical clearance for Semmes Weinstein Study Resources at CXH My Research• Encouragement and support to carry out • Request for sensory research testing in foot• Research Facilitator following lower limb trauma as part of• Competitive Small Research Grants decision making• In-house training for Research Skills and process for salvage Development vs amputation• Regular Journal Clubs 1
• Previously involved in splinting for feet and pressure garments following complex lower limb trauma • No robust reliable measures currently being used • Using Semmes Weinstein Monofilaments for testing sensory thresholds in Hand Therapy • Evidence of use in other populations • No evidence of reliability of using Semmes Weinstein Monofilaments in lower limb trauma group 2
Suggestions For Process Choosing a Question • Formulated problem orientated research • Questions arising from practice question through (PICO) • Service needs - Population / Problem – Lower Limb Trauma • Identified learning needs - Intervention – Measuring Sensory Thresholds using SWMT - Comparison – Use in other populations • Journal articles - Outcome – Reliability of Assessment Tool• Used this to shape literature search • Established similar evidence based• Established previous research studies of using tool in other populations• Appraisal to establish Evidence Based • No evidence out there Research over Anecdotal 3
Tips for Grant Application and Ethics• Formulated own question: • Follow format“The Test-Retest Reliability of using the Semmes Weinstein Monofilament Test for • Keep ideas simple but applicable to service measuring Sensory Thresholds in the Plantar Foot following Complex Lower • Keep language simple – don’t make Limb Trauma” assumptions / get lay person to proof read • Know your subject• Appied for grant• Be sure of aims and objectives• Be flexible / prepared for setbacks• Consider cost and be realistic• Discuss ideas with relevant colleagues (co- researcher, consultants, research facilitator, statisticians) 4
• Attend relevant courses when opportunities • Consider involvement of MDT / get arise backing and support- Critical Appraisal- Searching the Literature • Ethical considerations – you will need- Questionnaires clearance!!!- Understanding Statistics- Monitoring and Study Documentation- Consent and Participant Info- Data management- Ms Excel Basic Learning Points Remember! • Don’t be disappointed by failure – see positives • Gaining encouraging feedback - powerful motivator • Need not be complicated • Facilitates service improvement and aides self- • Needs to be relevant – clinical applicability development • Need to be interested in subject • Promotes quality in service delivery • May need to give own time • Experience in research – encourages self and encourages and supports others 5