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Implementing change in allied health assessment practices for children with cerebral palsy: supports and barriers over time

government community healthcare organisations in Australia were eligible to participate. Data were returned as follows: baseline n = 256/350 eligible (73%); 6 months n = 224/333 (67%); 12 months n = 225/357 (63%); and 24 mo n = 193/ 369 (52.3%). A total of 444 separate AHPs contributed data, with 63 participants returning data at all four time points. Materials/Methods: A tailored multi-strategy KT intervention comprising identification of knowledge brokers; an e-evidence library; negotiated education and professional development; and an electronic clinical outcomes database, was implemented in four organisations (‘commencing KT’ group). These practices had been mandated at a fifth ‘comparison’ organisation since 2011. Eligible AHP numbers were determined from organisational profiles submitted by participating organisations. Participants completed a knowledge quiz and self-rated their evidence-based practice and outcome measurement behaviours at baseline and 6, 12 and 24 months following implementation of the intervention. Quizzes were scored using a standardised rubric (maximum score = 17). AHP selfratings data comprised two scales (from factor analysis): ‘communicating evidence-based expectations’ (maximum score = 25) and ‘evidence-based assessment practices’ (maximum score = 35). Data were summarised using descriptive statistics: mean SD are presented. Results: Little or no change in mean knowledge quiz scores for both groups were observed over time (commencing KT baseline (n = 161) 9.5 3.6; 24 mo (n = 131) 9.5 3.1; comparison baseline (n = 96) 11.9 2.5; 24 mo (n = 62) 10.2 3.5). AHP mean self-rating for ‘communicating evidence-based expectations’ increased slightly over time in the commencing KT group (baseline 10.0 4.6; 24 mo 13.3 4.8) and remained relatively constant in the comparison group (baseline 20.1 3.1; 24 mo 19.0 3.8). A similar response pattern was observed for AHP mean self-rating of ‘evidence-based assessment practices’ (commencing KT group baseline 24.0 5.3; 24 mo 25.8 5.2; comparison group baseline 30.1 3.4; 24 mo 30.3 4.1). Conclusions/Significance: Baseline differences between groups may reflect the longer implementation timeline at the comparison site (4.5 y compared to 2 y). The slow rate of change confirms the challenges associated with changing research implementation behaviours. Findings suggest that change in behaviour can be observed in the absence of change in knowledge. Further investigation of the impact of organisational differences is warranted. H9 Implementing change in allied health assessment practices for children with cerebral palsy: supports and barriers over time L QUARMBY, C KERR, N SHIELDS, S FOLEY, K ROBERTS, C IMMS University of Tasmania, St Giles Society, Newstead, N/A, Australia; Australian Catholic University, Fitzroy, Victoria, N/A, Australia; La Trobe University and Northern Health, La Trobe University, N/A, Australia; Kids Plus Foundation, Geelong, Australia; Alfred Health, Victoria, Australia, Ormond, N/A, Australia; Centre for Disability and Development Research Australian Catholic University, Murdoch Childrens Research Institute, Fitzroy, N/A, Australia