1. Research Into Practice
Dr David Dobel-Ober Debbie Moores

2. Purpose of the research process
Maintain evidence-based practice
Service development
Support innovation
Challenge conventional practice
Hearing the service user’s voice

3. Initiating the process
Origin of the question?
Personal interest
Service led
Service user led
Response to tender
Context
Course, personal development
Internal funding
External funding

4. Research Process Turning an idea into a research question
Collecting information and reviewing the literature
Designing the study and deciding on the methods
Writing a research proposal and study outline
Obtaining the relevant approval
Collecting and collating data
Analysing and making sense of the results
Writing the report
Disseminating the findings & influencing practice
Seeking funding

5. Research, Audit or Evaluation?1
Research (NHS)
Randomised?
Change of treatment?
Generalisable?
David

6. Research, Audit or Evaluation?2
Are we doing what we should be doing?
Does it meet standard? (pre-defined)
Not generalisable (small population, specific context)
No randomisation
Not looking at causality

7. Research, Audit or Evaluation?3
Evaluation (summative - formative)
Which standard does it meet?
Does it work?
Why / how does it work? (causality)
Not generalisable (small population, specific context)
No randomisation

8. Ethics
Rule of thumb: if there are ethical issues in any project, it needs to be seen by ethics committee (vulnerable population, sensitive area)
Research = full ethics process
or proportionate review in some circumstances (e.g. questionnaire or interview research that does not include highly sensitive areas)

9. VdT MoCA Vona Du Toit- Model of Creative Ability
Choice of implementing MoCA
Identified by OT
Potential to address issues identified in the Trust
Tested multi disciplinary cohort of 27 (2 days training +1 extra day for OTs, 2014)
Evaluation:
focussed on the views of staff immediately and 3 months after training)
Didn’t look at clinical outcomes

10. VdT MoCA: Key findings:
After 3 months:
Staff able to apply the model
Better understanding of service users’ needs
Improved engagement & one-to-one sessions
Issues:
Lack of awareness / understanding amongst other staff
Not appropriate for service users with PD or eating disorder
Additional OT support would increase take-up of MoCA
Peer support groups complement to the training programme
Difficult to implement & embed new practice model without protected time for planning & additional study

11. VdT MoCA: recommendations
Pilot training for a whole ward (all staff)
Project coordinator (activity boxes available, consistency in the way MoCA is applied)
Peer support groups
Specific training or advice on applying MoCA to PD

12. VdT MoCA: Impact of evaluation
2015: 4 cohorts will receive training
2 in South Staffs / 2 in Shropshire
Multidisciplinary
The OTs from the 2014 cohort will take part in the day specific to OTs (CPD)

13. Designing the study and deciding on the methods
What would you do…
Turning an idea into a research question
Designing the study and deciding on the methods

14. Group discussion 1 Chose an area of research
Turn an idea into a research question
Formulate a clear and concise question that can be managed within one project

15. Group discussion 2
Design a study and choose appropriate methods for one of the three research questions
Establish key aims and objectives
Define hypothesis
Decide on methods (considering scientific, ethical and practical issues)
Design basic protocol

16. Group discussion 3 Undertake peer review of one of the 3 protocols
Consider
Ethical issues
Value of the question
Scientific quality (is the project likely to achieve its aim?)

17. Debbie
Communication
Dissemination.
Different formats – reports, meetings, supervision.
Influence
At all levels – clinical experts delivering results. Difference it makes to service users and staff.
Leadership
Essential! At all levels - clinical leadership, professional leadership. Modelling, championing.
Training
Train and ongoing support to gain confidence and competence.
Commitment
Executive sign up.
Service Directors.
Clinical staff.