an affiliate of American Institutes for Research

KT Update

An e-newsletter from the Center on Knowledge Translation for Disability and Rehabilitation Research

Vol. 4, No. 2 - February 2016


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The contents of this newsletter were developed under grant number 90DP0027 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this newsletter do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.

Copyright © 2016 by SEDL, an affiliate of American Institutes for Research

Pre-NARRTC workshop
Systematic Reviewing for Evidence-based Practice: An Introductory Workshop
May 3-4, 2016

This workshop is your opportunity to learn the basics of conducting a high-quality systematic review, using the “gold standard” methods of the Campbell Collaboration (C2). The workshop will take place on Tuesday, May 3 and Wednesday May 4, 2016 at the Hilton Alexandria Old Town, the same venue as the 38th Annual NARRTC Conference (May 5-6).

More Information:
Co-sponsored by: Center on KTDRR, KTER Center, NARRTC Research Committee, and the Campbell Collaboration.

Upcoming KTDRR Webcast

Please join us for our next webcast, Creating Career Pathways for Youth with Mental Health Conditions, on Feb. 17 at 3:00 PM Eastern. In this webcast a NIDILRR-funded researcher, Dr. Marsha Ellison, and Ms. Sandra Miller of the Delaware Division of Vocational Rehabilitation, discuss career pathways strategies that support the employment of youth with mental health conditions. No charge to participate and pre-approved for 1.25 CRC-CEUs through 1-26-17.

Register Here:
Webcast Details:

2015 Online KT Conference Archives

Archived presentations from the 2015 Online KT Conference are now available:

These include captioned YouTube videos, edited transcripts, and downloadable copies of presentation files. Pre-approved for up to 9.25 CRC-CEUs through 10-25-16.

2016 Online KT Conference: Oct. 24-26-28, 2016

The Center on KTDRR sponsors an annual Online KT Conference for NIDILRR-funded grantees and others, by invitation. This conference is designed to address strategies in the planning and implementation of effective and efficient KT approaches. The 4th Online Conference will take place on October 24, 26, and 28, 2016. Check back to the 2016 Conference Home Page for themes, speakers, and registration information.

New Expert Review Panel Member

We are pleased to announce our newest member of the KTDRR Expert Review Panel, Dr. Raymond Glazier. He has directed disability research projects for NIDILRR and other federal and state agencies for over 20 years. His research and cross-disability activism has included ​issues in the fields of employment, civil rights, education, and access to healthcare, especially personal assistance services, PAS. He is currently ​a ​designated member of the Massachusetts Architectural Access Board, as well as founder and Principal of disability Research Associates LLC, Belmont, MA.

CRC-CEUs Available at no Charge

A number of archived training opportunities provided by the Center on KTDRR and our sister Center on Knowledge Translation for Employment Research (KTER Center) are pre-approved for CRC-CEUs by the Commission on Rehabilitation Counselor Certification (CRCC). View the entire audio/video archive and materials and complete an evaluation to receive a Verification of Completion form. Go to:

KT CoP Survey Coming Soon

If you are the Principal Investigator of a NIDILRR award, please keep your eye out in February for a third administration of the Knowledge Translation Community of Practice (KT CoP) survey. PIs of NIDILRR KT projects participate in the CoP and use survey results to help update plans for their outreach to you.

Listing of Recent Systematic Reviews in Disability and Rehabilitation

Bidonde, J., Busch, A. J., Webber, S. C., Schachter, C. L., Danyliw, A., Overend, T. J., . . . Rader, T. (2014). Aquatic exercise training for fibromyalgia. The Cochrane Database of Systematic Reviews, 10, CD011336. doi:10.1002/14651858.CD011336
Based on data from 16 studies with 881 subjects (98% female) offering low to moderate quality evidence suggests that aquatic exercise has benefits for improving fitness, wellness and symptoms in individuals with fibromyalgia. Serious adverse effects were not reported.
PubMed PMID: 25350761
Cavallo, S., April, K. T., Grandpierre, V., Majnemer, A., & Feldman, D. E. (2014). Leisure in children and adolescents with juvenile idiopathic arthritis: a systematic review. PloS One, 9(10), e104642. doi:10.1371/journal.pone.0104642
Reviews 12 studies of leisure in children with juvenile idiopathic arthritis and other rheumatic diseases. Most focused on physical activities, in which these children participate less than healthy peers, and less than recommended by guidelines. Concludes that information on participation in social activities is needed, as well as research on the contextual factors affecting leisure involvement.
PubMed PMID: 25329390
PMCID: PMC4203655

Clegg, A., Rogers, L., & Young, J. (2015). Diagnostic test accuracy of simple instruments for identifying frailty in community-dwelling older people: a systematic review. Age and Ageing, 44(1), 148-152. doi:10.1093/ageing/afu157
Uses the QUADAS-2 checklist to assess  risk of bias in 3 studies reporting on diagnostic test accuracy of simple measure for identifying frailty in the elderly. Concludes that slow gait speed, the PRISMA 7 questionnaire and the timed get up and go test have high sensitivity, but limited specificity when compared to a cumulative deficit frailty index or a comprehensive geriatric assessment.
PubMed PMID: 25355618  

Davis, A. M., Brown, R. F., Taylor, J. L., Epstein, R. A., & McPheeters, M. L. (2014). Transition care for children with special health care needs. Pediatrics, 134(5), 900-908. doi:10.1542/peds.2014-1909
Reviews 25 studies on the transition from pediatric to adult care by children with special health care needs. Concludes that the transition issues warrant further attention, as well as the methodology used to study them, including a consensus definition of transition success.
PubMed PMID: 25287460
PMCID: PMC4533283

Fong, E., Li, C., Aslakson, R., & Agrawal, Y. (2015). A systematic review of patient-reported outcome measures in clinical vestibular research. Archives of Physical Medicine and Rehabilitation, 96(2), 357-365. doi:10.1016/j.apmr.2014.09.017
Identifies 50 patient-reported outcome (PRO) measures used in clinical vestibular research. Most frequently used were Dizziness Handicap Inventory, Activities-specific Balance Confidence scale, Vertigo Symptom Scale-short form, and a visual analog scale used to assess various symptoms and experiences. Concludes that none of the most commonly PRO measures were validated in a population of community-dwelling older adults with vestibular loss
PubMed PMID: 25305629
PMCID: PMC4306632
Heyvaert, M., Saenen, L., Campbell, J. M., Maes, B., & Onghena, P. (2014). Efficacy of behavioral interventions for reducing problem behavior in persons with autism: an updated quantitative synthesis of single-subject research. Research in Developmental Disabilities, 35(10), 2463-2476. doi:10.1016/j.ridd.2014.06.017
Based on analysis of 213 studies with 358 subjects draws a number of important conclusions: (1) behavioral interventions were on average effective in reducing problem behavior, but some interventions were significantly more effective than others; (2) the use of positive (nonaversive) behavioral interventions was increasing over time; (3) behavioral interventions were on average equally effective regardless of the type of problem behavior that was targeted; (4) interventions preceded by a functional analysis reduced problem behavior significantly more than interventions not preceded by such an analysis; (5) treatment and experimental characteristics, but not participant characteristics, were statistically significant moderators of the behavioral treatment effectiveness.
PubMed PMID: 24992447

Kamioka, H., Tsutani, K., Yamada, M., Park, H., Okuizumi, H., Honda, T., . . . Mutoh, Y. (2014). Effectiveness of horticultural therapy: a systematic review of randomized controlled trials. Complementary Therapies in Medicine, 22(5), 930-943. doi:10.1016/j.ctim.2014.08.009
Based on four studies of relatively low quality concludes that horticultural therapy may be an effective treatment for terminal cancer care as well as for mental and behavioral disorders.
PubMed PMID: 25440385

Laufer, Y., Dar, G., & Kodesh, E. (2014). Does a Wii-based exercise program enhance balance control of independently functioning older adults? A systematic review. Clinical Interventions in Aging, 9, 1803-1813. doi:10.2147/CIA.S69673
Reviews systematically 7 studies using the Nintendo Wii Fit to improve the balance of elderly individuals.  Suggests that this form of exercise may be a valuable alternative to more traditional forms of exercise, but that optimal treatment protocols for safe and effective home treatment cannot be determined at this time.
PubMed PMID: 25364238
PMCID: PMC4211857

Lindsten-McQueen, K., Weiner, N. W., Wang, H. Y., Josman, N., & Connor, L. T. (2014). Systematic review of apraxia treatments to improve occupational performance outcomes. OTJR : Occupation, Participation and Health, 34(4), 183-192. doi:10.3928/15394492-20141006-02
Assesses 8 studies (4 RCTs and 4 pre- post designs) and concludes that various treatments for apraxia had significant effects, but that (with one exception) transfer from clinic to home was not evidenced.
PubMed PMID: 25347756

Osterling, K., MacFadyen, K., Gilbert, R., & Dechman, G. (2014). The effects of high intensity exercise during pulmonary rehabilitation on ventilatory parameters in people with moderate to severe stable COPD: a systematic review. International Journal of Chronic Obstructive Pulmonary Disease, 9, 1069-1078. doi:10.2147/COPD.S68011
Summarizes 3 studies of high-intensity exercise, as well as others in which training intensity may have been too low. Concludes that patients with moderate-severe stable COPD are able to take part in high-intensity exercise, which results in changes in dyspnea and ventilator factors.
PubMed PMID: 25328388
PMCID: PMC4198322

Parker-McGowan, Q., Chen, M., Reichle, J., Pandit, S., Johnson, L., & Kreibich, S. (2014). Describing treatment intensity in milieu teaching interventions for children with developmental disabilities: a review. Language, Speech, and Hearing Services in Schools, 45(4), 351-364.  doi:10.1044/2014_LSHSS-13-0087
Aims to apply the dosage framework proposed by Warren et al. (2007) to studies of milieu teaching. Based on efforts to extract dosage data from 42 studies concludes that reporting of dosage information (form, frequency, duration, intensity) in early communication intervention studies needs improvement.
PubMed PMID: 25029564

Proud, E. L., Miller, K. J., Bilney, B., Balachandran, S., McGinley, J. L., & Morris, M. E. (2015). Evaluation of measures of upper limb functioning and disability in people with Parkinson disease: a systematic review. Archives of Physical Medicine and Rehabilitation, 96(3), 540-551.e1. doi:10.1016/j.apmr.2014.09.016
Identifies 18 measures of arm-hand functioning (generic, specific to Parkinson Disease – PD, or other-disorder specific) that have been used in PD research. For 10 of these impairment or activity limitation instruments, measurement properties had been evaluated in the PD population, but there is no high-quality evidence for validity or responsiveness.
PubMed PMID: 25301441

ter Hoeve, N., Huisstede, B. M., Stam, H. J., van Domburg, R. T., Sunamura, M., & van den Berg-Emons, R. J. (2015). Does cardiac rehabilitation after an acute cardiac syndrome lead to changes in physical activity habits? Systematic review. Physical Therapy, 95(2), 167-179. doi:10.2522/ptj.20130509
Reviews 26 studies that evaluated the short-term (< 6 months) or long-term (≥6 months) effects of cardiac rehabilitation (CR). Concludes that ‘center-based’ CR is not enough to improve and maintain habitual physical activity, but that home-based programs may be more effective. More research on methods to improve physical activity is needed, including on home-centered interventions.
PubMed PMID: 25278337

Thrane, G., Friborg, O., Anke, A., & Indredavik, B. (2014). A meta-analysis of constraint-induced movement therapy after stroke. Journal of Rehabilitation Medicine, 46(9), 833-842. doi:10.2340/16501977-1859
 Reviews 23 studies (RCTs and quasi-randomized) that used constraint-induced movement therapy (CIT) (2-7 hours per day, for 8-28 days) to improve functioning after stroke. Finds a small post-treatment effect for arm motor function, and a moderate effect for arm motor activity both post-treatment and at 3-6 months.
PubMed PMID: 25182341

Walz, L. C., Nauta, M. H., & Aan Het Rot, M. (2014). Experience sampling and ecological momentary assessment for studying the daily lives of patients with anxiety disorders: a systematic review. Journal of Anxiety Disorders, 28(8), 925-937. doi:10.1016/j.janxdis.2014.09.022
Reviews 34 studies on various anxiety disorders that used experience sampling methods (ESM) or ecological momentary assessment (EMA) to assess symptoms and other variables in the natural environment. Notes that ESM and EMA have been fruitfully combined with other approaches to collecting data on these disorders, and makes suggestions for clinical applications and research.
PubMed PMID: 25445083

Ward, L., Stebbings, S., Cherkin, D., & Baxter, G. D. (2014). Components and reporting of yoga interventions for musculoskeletal conditions: a systematic review of randomised controlled trials. Complementary Therapies in Medicine, 22(5), 909-919. doi:10.1016/j.ctim.2014.08.007
Reviews 17 studies of yoga as an intervention in low back pain, osteoarthritis, and other musculoskeletal disorders; concludes that reporting of the intervention often leaves much to be desired. Recommends improvement of reporting by standardizing nomenclature, content, and reporting details so that replication and systematic reviewing becomes feasible.
PubMed PMID: 25440383

Yardley, J. E., Hay, J., Abou-Setta, A. M., Marks, S. D., & McGavock, J. (2014). A systematic review and meta-analysis of exercise interventions in adults with type 1 diabetes. Diabetes Research and Clinical Practice, 106(3), 393-400. doi:10.1016/j.diabres.2014.09.038
Based on a review of six trials concludes that at the present time there are too few well-designed studies to determine that exercise has an effect on blood glucose control (HbA1c) in individuals with type 1 diabetes, but suggests that current findings are promising.
PubMed PMID: 25451913

SEDL, an affiliate of American Institutes for Research, operates the Center on KTDRR. SEDL is an Equal Employment Opportunity/Affirmative Action Employer and is committed to affording equal access to education and employment opportunities for all individuals. SEDL does not discriminate on the basis of age, sex, race, color, creed, religion, national origin, sexual orientation, marital or veteran status, or the presence of a disability.

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