Yolandi Brink - Academia.edu (original) (raw)

Papers by Yolandi Brink

Physiotherapy Research International

Tailored training for physiotherapists on the use of clinical practice guidelines: A mixed method... more Tailored training for physiotherapists on the use of clinical practice guidelines: A mixed methods study.

South African Journal of Physiotherapy

Background: Back pain affects nurses’ physical, social and emotional well-being, as they encounte... more Background: Back pain affects nurses’ physical, social and emotional well-being, as they encounter difficulties in executing their social and occupational duties.Objectives: Our study investigated the impact of a cross-cultural back pain campaign on nurses’ beliefs about back pain; activating the participants to self-manage; coping strategies; sick leave claimed; and frequency of doctor visits.Method: A single sample pre- and post-test design was used. The intervention was a 12-week educational campaign based on evidence-based back pain messages. Primary outcomes were measured by their beliefs about back pain and their activation to self-manage. Analyses were conducted using SPSS version 27.0 software, and significant differences from before and after the campaign were analysed using the Chi-square test at a 0.05 significance level.Results: There were no significant differences in the age, gender and work hours of the nurses who participated before and after the campaign, except for...

Human Functioning, Technology and Health, 2021

Collaborative capacity development to complement stroke rehabilitation in Africa Published by AOS... more Collaborative capacity development to complement stroke rehabilitation in Africa Published by AOSIS Books, an imprint of AOSIS Publishing.

School-based interventions to improve spinal health of children and adolescents: a systematic review

Physiotherapy Theory and Practice, 2021

Background: The prevalence of spinal pain is high in children and adolescents attending school. T... more Background: The prevalence of spinal pain is high in children and adolescents attending school. There are no evidence-based guidelines to promote spinal health (spinal pain and spinal well-being) in schoolsPurpose: This study aimed to 1) determine the usefulness of school-based interventions in promoting spinal health in children and adolescents and 2) synthesize the evidence in a user-friendly infographic.Methods: A search was performed across eight databases from the inception of the databases to August 2019 for full-text English-language articles which assessed the effect of school-based interventions on spinal health. Spinal health outcomes included pain limited to the spinal area including lower back, upper back, neck, and neck-shoulder pain, and impacts of spinal pain (e.g., absenteeism from school). Studies were appraised for methodological quality (PEDro scale and Johanna Briggs Institute checklist). The usefulness of interventions was based on meta-analyses; calculated effect size; the number of spinal health outcomes; and the direction of the (summary) effect of the intervention.Results: Twenty-two studies were included. Four interventions were identified: 1) exercise; 2) education; 3) the combination of exercise and education; and 4) furniture.Conclusion: School-based exercise is most useful to promote spinal health in the short term, followed by a combination of exercise and education, and education-only interventions.

Additional file 2: of Training programmes to improve evidence uptake and utilisation by physiotherapists: a systematic scoping review

Articles excluded after applying inclusion and exclusion criteria, This additional file supplies ... more Articles excluded after applying inclusion and exclusion criteria, This additional file supplies the reasons for each article after applying inclusion and exclusion criteria. (DOCX 14 kb)

Additional file 1: of Training programmes to improve evidence uptake and utilisation by physiotherapists: a systematic scoping review

Articles excluded during initial eligibility assessment, This additional file supplies the reason... more Articles excluded during initial eligibility assessment, This additional file supplies the reasons for each article being excluded during the initial eligibility assessment. (DOCX 16 kb)

Journal of Evaluation in Clinical Practice, 2020

One knowledge translation method, of putting evidence into practice, is the use of clinical pract... more One knowledge translation method, of putting evidence into practice, is the use of clinical practice guidelines (CPG). The purpose of this brief report is to describe an 8‐step process of “how to” contextualize a training programme to increase CPG‐uptake for a targeted audience in a clearly defined setting. This process may assist implementation practitioners to fast‐track the development of contextualized training to improve CPG‐uptake.

Journal of Evaluation in Clinical Practice, 2020

BackgroundLack of time has consistently been reported as a major barrier to effective research ev... more BackgroundLack of time has consistently been reported as a major barrier to effective research evidence uptake into clinical practice. There has been no research to our knowledge that explores time as a barrier within the transtheoretical model of stages of change (SoC), to better understand the processes of physiotherapists' uptake of clinical practice guidelines (CPGs). This article explores the concept of lack of time as a barrier for CPG uptake for physiotherapists at different SoC.MethodsA six‐step process is presented to determine the best‐fit SoC for 31 physiotherapy interviewees. This process used an amalgamation of interview findings and socio‐demographic data, which was layered onto the SoC and previously identified time‐barriers to CPG uptake (few staff, high workload, access to CPGs, evidence‐based practice as priority in clinical practice, ‘time is money’ attitude and knowledge on the use of CPGs).ResultsThe analysis process highlighted the complexities of assigning...

Journal of Bodywork and Movement Therapies, 2020

This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

Time as a barrier to evidence uptake -- A qualitative exploration of the concept of time for clinical practice guideline uptake by physiotherapists

Authorea

Background: Lack of time has consistently been reported as a major barrier to effective research ... more Background: Lack of time has consistently been reported as a major barrier to effective research evidence-uptake into clinical practice. There has been no research to our knowledge that explores time as a barrier within the Transtheoretical model of Stages of Change (SoC), to better understand the processes of physiotherapists’ uptake of clinical practice guidelines (CPG). This paper explores the concept of lack of time as a barrier for CPG uptake for physiotherapists at different SoC. Methods: A 6-step process is presented to determine the best-fit SoC for 31 physiotherapy interviewees. This process used an amalgamation of interview findings and socio-demographic data, which was layered onto the SoC and previously identified time-barriers to CPG uptake (few staff; high workload; access to CPGs; evidence-based practice as priority in clinical practice; “time is money” attitude; and knowledge on the use of CPGs). Results: The analysis process highlighted the complexities of assigning individuals to a SoC. A model of time management for better CPG uptake is proposed which is a novel approach to assist evidence implementalists and clinicians alike to determine how to progress through the SoC and barriers to improve CPG uptake. Conclusions: To the authors’ knowledge, this is the first attempt at exploring the construct of (lack of) time for CPG-uptake in relation to the physiotherapists’ readiness to behaviour change. This study shows that ‘lack of time’ is a euphemism for quite different barriers, which map to different stages of readiness to embrace current best evidence into physiotherapy practice. By understanding what is meant by ‘lack of time’, it may indicate specific support required by physiotherapists at different stages of changing these behaviours.

South African Journal of Physiotherapy, 2019

This study retrieved and synthesised the contents of back pain messages and described the outcome... more This study retrieved and synthesised the contents of back pain messages and described the outcomes and effectiveness of the media campaigns. Method: Seventeen key words and 10 electronic databases were used to conduct a search between February and July 2018. Authors screened titles, abstracts and full-text articles independently to identify eligible studies. Data were reported using narratives because of heterogeneity in the outcomes. Results: Appraisal of articles was done using the Physiotherapy Evidence Database scale for randomised controlled trials (RCT) (one) or the Joanna Briggs Institute checklist for non-RCT (four). The campaigns were conducted in the general population in Australia, Canada, Norway, the Netherlands and Scotland. The message 'stay as active as possible' increased participants' awareness and influenced their health beliefs and healthcare utilisation behaviours resulting in reductions in sick leave days, work disability, healthcare utilisation and claims. Conclusion: The back pain campaign message 'stay as active as possible' increased participants' awareness and influenced their health beliefs and healthcare utilisation behaviours. Even though the campaigns were done in high-income countries, their contents and methods are transferable to developing countries. However, their implementation must be tailored and efficient and cost-effective methods need to be explored. Clinical implications: Providing information on back pain can contribute to significant changes in sickness behaviours and beliefs.

BMC Medical Education, 2019

Background: Understanding students' learning styles, and modifying teaching styles and material a... more Background: Understanding students' learning styles, and modifying teaching styles and material accordingly, is an essential to delivering quality education. Knowing more about the learning styles of physiotherapy learners will assist educators' planning and delivering of learning activities. The purpose of this scoping review was to explore what is published about physiotherapy learning styles. Methods: An adapted Arksey and O'Malley framework was applied to undertake this systematic scoping review. Nine electronic databases (CINAHL, BIOMED CENTRAL, Cochrane, Web of Science, PROQUEST, PubMed, OTseeker, Scopus, ERIC) were searched using the keywords: 'learning styles' and 'physiotherapy'. English-language, primary research articles that investigated physiotherapy learners' learning styles were sought. Results: Of 396 potentially-relevant articles, 15 were included in this review. The studies mostly reflected undergraduate students (910 undergraduates, 361 postgraduates, 23 professionals), in developed countries. Nine articles used the Kolb's experiential learning theory (ELT); one study applied Honey and Mumford's approach; two studies used the Gregorc model of cognition and three studies did not specify an underlying theory. Outcome measures included different versions of Kolb's Learning Style Inventory, the visual-aural-read/write-kinesthetic questionnaire, Gregorc style delineator, Felder Silverman's Index of Learning Survey, and Honey and Mumford's Learning Style Questionnaire. The preferred physiotherapy learning styles, according to the ELT, seem to be Converger (learns "hands-on" and applying previously attained knowledge) and Assimilator (gathers and organises information to make the most sense). Conclusions: Both physiotherapy learners and physiotherapists have specific learning styles of active participation, underpinned with practical examples of theoretical concepts. More research is needed in developing countries, and on postgraduate and professional physiotherapy learners' learning styles. Also, further research should focus on defining and describing physiotherapy learning styles in a way to be used as an industry standard; and developing valid and reliable learning style outcome measures applicable across physiotherapy learners and settings.

African journal of disability, 2018

Postural control may be impaired in children with foetal alcohol spectrum disorders (FASD). The s... more Postural control may be impaired in children with foetal alcohol spectrum disorders (FASD). The study assessed the protocol feasibility in terms of (1) recruiting children with FASD in a rural, small town; (2) using the measurement instruments in a real-life setting; (3) the one-leg standing (OLS) task and (4) presenting preliminary results on postural stability of children with and without FASD. Nine-year-old children diagnosed with and without FASD were invited to participate. Twenty-eight children performed OLS. Feasibility outcomes included recruitment, measurement instrument use and task instruction. Postural stability outcomes included standing duration, centre of pressure (COP) and body segment acceleration. Participants recruitment was feasible in terms of the (1) ability to sample a reasonable participant number in a rural town setting and the capacity to increase the sample size if more schools are included in the sampling frame and (2) use of assent and consent forms that...

BMC Medical Education, 2018

Background: Research training programmes are a knowledge translation (KT) intervention which aim ... more Background: Research training programmes are a knowledge translation (KT) intervention which aim to improve research evidence uptake by clinicians. Whilst KT training programmes have been reported to significantly improve evidence uptake by physiotherapists, it is unclear which aspects of training optimally assist KT into physiotherapy practice. The purpose of the review was to establish the body of evidence regarding KT training programmes to improve physiotherapists' use of evidence-based practice (EBP) and clinical practice guidelines (CPG). Methods: A systematic scoping review was undertaken in line with the adapted Arksey and O'Malley framework. Nine electronic databases (CINAHL, BIOMED CENTRAL, Cochrane, Web of Science, PROQUEST, PUBMED, OTseeker, Scopus, ERIC) were searched. Targeted keywords identified primary research articles of any hierarchy, that described the nature and impact of KT training programmes for physiotherapists. Where systematic reviews were identified, the component primary studies were considered individually for relevance. Critical appraisal was not undertaken due to the nature of a scoping review, and data was reported descriptively. Results: Ten systematic reviews were identified (yielding four relevant primary studies). Five additional primary studies were identified (two randomised controlled trials, two non-randomised controlled trials and one pre-post study) which were not included in the original systematic reviews. This provided nine eligible primary research studies for review. The KT strategies were all multi-faceted. Interactive sessions, didactic sessions, printed material and discussion and feedback were consistently associated with effective outcomes. When KT strategies addressed local barriers to EBP utilisation, there were better success rates for EBP and CPG uptake, irrespective of the outcome measures used. There were no consistent ways of measuring outcome. Conclusion: Multi-faceted KT strategies designed to address local barriers to knowledge translation were most effective in improving EBP/ CPG uptake among physiotherapists.

South African Journal of Physiotherapy, 2009

The prevalence of neck and shoulder pain (NSP) is increas-ing in adolescents and is related to in... more The prevalence of neck and shoulder pain (NSP) is increas-ing in adolescents and is related to increased time spent on computers.The inﬂuence of sitting posture on the development of computer-relatedNSP among adolescents is unclear. This study investigated how the sittingposture of the upper quadrant changes over a ten minute period ofcomputer use in once asymptomatic adolescents who later developed NSP.M ethod: Sitting alignment was measured using the Photographic PostureA nalysis Method. The students performed a typing task while two con -secutive photographs were taken ten minutes apart. The students werefollowed for six months and the photographs of those who developed NSPw ere analy z ed.R esults: The results show that there is no signiﬁcant change in sitting posture over time. Observationally the most common pattern was to move from a more ﬂexed posture to a more upright posture and there were greater posturalchanges in the case group (students with extreme cervical angles) co...

BMC pediatrics, Dec 3, 2016

Functional gait is an integral part of life, allowing individuals to function within their enviro... more Functional gait is an integral part of life, allowing individuals to function within their environment and participate in activities of daily living. Gait assessment forms an essential part of a physical examination and can help screen for physical impairments. No three-dimensional (3D) gait analysis studies of children have been conducted in South Africa. South African gait analysis laboratory protocols and procedures may differ from laboratories in other countries, therefore a South African data base of normative values is required to make a valid assessment of South African children's gait. The primary aim of this study is to describe joint kinematics and spatiotemporal parameters of gait in South African children to constitute a normative database and secondly to assess if there are age related differences in aforementioned gait parameters. A descriptive study was conducted. Twenty-eight typically developing children were conveniently sampled from the Cape Metropole in the W...

Manual Therapy, 2015

Background: There is evidence that consistent sitting for prolonged periods is associated with up... more Background: There is evidence that consistent sitting for prolonged periods is associated with upper quadrant musculoskeletal pain (UQMP). It is unclear whether postural alignment is a significant risk factor. Objective and design: The aim of the prospective study (2010 -2011) was to ascertain if threedimensional sitting postural angles, measured in a real-life school computer classroom setting, predict seated-related UQMP. Method: Asymptomatic Grade 10 high-school students, aged 15 -17 years, undertaking Computer Application Technology, were eligible to participate. Using the 3D Posture Analysis Tool, sitting posture was measured while students used desk-top computers. Posture was reported as five upper quadrant angles (Head flexion, Neck flexion; Craniocervical angle, Trunk flexion and Head lateral bending). The Computer Usage Questionnaire measured seated-related UQMP and hours of computer use. The Beck Depression Inventory and the Multidimensional Anxiety Scale for Children assessed psychosocial factors. Sitting posture, computer use and psychosocial factors were measured at baseline. UQMP was measured at six months and one-year follow-up. Results: 211, 190 and 153 students participated at baseline, six months and one-year follow-up respectively. 34.2% students complained of seated-related UQMP during the follow-up period. Increased head flexion (HF) predicted seated-related UQMP developing over time for a small group of students with pain scores greater than the 90 th pain percentile, adjusted for age, gender, BMI, computer use and psychosocial factors (p=0.003). The pain score increased 0.22 points per 1° increase in HF.

Background: It is assumed that good postural alignment is associated with the less likelihood of ... more Background: It is assumed that good postural alignment is associated with the less likelihood of musculoskeletal pain symptoms. Encouraging good sitting postures have not reported consequent musculoskeletal pain reduction in school-based populations, possibly due to a lack of clear understanding of good posture. Therefore this paper describes the variability of postural angles in a cohort of asymptomatic high-school students whilst working on desk-top computers in a school computer classroom and to report on the relationship between the postural angles and age, gender, height, weight and computer use. Methods: The baseline data from a 12 month longitudinal study is reported. The study was conducted in South African school computer classrooms. 194 Grade 10 high-school students, from randomly selected high-schools, aged 15-17 years, enrolled in Computer Application Technology for the first time, asymptomatic during the preceding month, and from whom written informed consent were obtained, participated in the study. The 3D Posture Analysis Tool captured five postural angles (head flexion, neck flexion, cranio-cervical angle, trunk flexion and head lateral bend) while the students were working on desk-top computers. Height, weight and computer use were also measured. Individual and combinations of postural angles were analysed. Results: 944 Students were screened for eligibility of which the data of 194 students are reported. Trunk flexion was the most variable angle. Increased neck flexion and the combination of increased head flexion, neck flexion and trunk flexion were significantly associated with increased weight and BMI (p = 0.0001). Conclusions: High-school students sit with greater ranges of trunk flexion (leaning forward or reclining) when using the classroom computer. Increased weight is significantly associated with increased sagittal plane postural angles.

Physiotherapy Research International

South African Journal of Physiotherapy

Human Functioning, Technology and Health, 2021

School-based interventions to improve spinal health of children and adolescents: a systematic review

Physiotherapy Theory and Practice, 2021

Additional file 2: of Training programmes to improve evidence uptake and utilisation by physiotherapists: a systematic scoping review

Additional file 1: of Training programmes to improve evidence uptake and utilisation by physiotherapists: a systematic scoping review

Journal of Evaluation in Clinical Practice, 2020

Journal of Bodywork and Movement Therapies, 2020

Time as a barrier to evidence uptake -- A qualitative exploration of the concept of time for clinical practice guideline uptake by physiotherapists

Authorea

South African Journal of Physiotherapy, 2019

BMC Medical Education, 2019

African journal of disability, 2018

BMC Medical Education, 2018

South African Journal of Physiotherapy, 2009

BMC pediatrics, Dec 3, 2016

Manual Therapy, 2015