The Musculoskeletal Research Facilitation Group CAT Group Dr

The Musculoskeletal Research Facilitation Group: ‘CAT Group’ Dr Andrew Finney Research Fellow & Lecturer of Nursing on behalf of Kay Stevenson Consultant Physiotherapist, Knowledge Mobilisation Fellow Keelecatgroup

Overview • Background • Benefits • Future

Background

Evidence pyramid

Musculoskeletal Research Facilitation Group The CAT group

Our models Research Facilitation Group Model 1 4 meetings per year Model 2 ‘Cat in a day’ Model 3 Hub and 5 spokes

Critically Appraised Topic (CAT) • A CAT is developed from a clinical question which is structured answerable • It provides a summary of the best available evidence • Answers the clinical question and provides a ‘clinical bottom line’ ’

Critically Appraised Topic (CAT) Specific clinical question

Critically Appraised Topic (CAT) Specific clinical question Search for the evidence

Critically Appraised Topic (CAT) Specific clinical question Search for the evidence Appraise the evidence

Critically Appraised Topic (CAT) Specific clinical question Search for the evidence Clinical Bottom line Appraise the evidence

Critically Appraised Topic (CAT) Specific clinical question Search for the evidence Clinical Bottom line Consider the implications for practice Appraise the evidence

Critically Appraised Topic (CAT) Specific clinical question Search for the evidence Clinical Bottom line Consider the implications for practice Evaluate and review Appraise the evidence

Critically Appraised Topic (CAT) Specific clinical question Search for the evidence Appraise the evidence Clinical Bottom line Consider the implications for practice Evaluate and review Change or remove services

Contents of a CAT ü Question ü Clinical bottom line ü Why is this important? ü Inclusion criteria ØPICO ü Results ü Conclusion ü References ü CAT lead ü Date completed ü Review date ü What would you tweet about your CAT?

• Keelecatgroup

Benefits • 44 evidence based recommendations: ü 29 reassured clinicians that no changes to current practice was needed ü 12 resulted in recommendations for change in practice ü 3 resulted in future research recommendations which resulted in trials (hand osteoarthritis, shoulder pain, and telephone triage)

Impact • Orthopaedic network meeting in Oswestry • BSR Award ‘Outstanding Clinical Practice’ • Included in SSOTP and Wolverhampton Research Strategy • Practice Nurse Group has been established • Abstract submitted to World Congress of Physiotherapy

Future • Scaling up – Academic support – Trust strategies • Spread & adoption – Publish – Communicate – Patients and public – National hub South American Physiotherapy students after undertaking a CAT workshop– IPETH Conference Puebla, Mexico September 2015

kay. stevenson@uhns. nhs. uk a. finney@keele. ac. uk