Browsing by Author "Lafave, Mark R."

Now showing 1 - 6 of 6
  • No Thumbnail Available
    ItemOpen Access
    Agreement Statement from the 1st international rodeo research and clinical care conference
    (Lippincott Williams & Wilkins, 2005-05) Butterwick, Dale J.; Brandenburg, M.A.; Andrews, D.M.; Brett, K.; Bugg, B.H.; Carlyle, K.J.; Freeman, T.R. 3rd; Hiemstra, L.; Lafave, Mark R.; Laird, J.; Lun, V.; Meyer, M.C.; Miller, C.; Mohtadi, N.; Nebergall R.; Temes, R.T.; Teochi, L.F.; Wiley, P.; Meeuwisse, Willem H.; Concussion in Rodeo Group
  • Thumbnail Image
    ItemOpen Access
    A Clinical Educator Needs Assessment in Athletic Therapy
    (2020-07-24) Owen, Jeffrey Michael; Oddone-Paolucci, Elizabeth; Palacios Mackay, Maria Felisa; Lafave, Mark R.; Yeo, Michelle
    Problem: Canadian athletic therapy (AT) education is embracing major pedagogical change in transitioning to competency-based education (CBE). The national certification process has recently undergone substantial, and somewhat controversial, changes. Furthermore, new entry-level competencies have been developed for teaching and assessment. A pivotal component of AT education consists of longitudinal placements in the clinic and field contexts of AT. Clinical educators are volunteers, and primarily Certified Athletic Therapists, typically lacking pedagogical experience. Moreover, there appear to be no standardized practices across institutions for supervisory development. There is an absence of published research related to Canadian AT clinical education. Furthermore, clinical educator needs assessments across health professions education have employed various methods. Therefore, this study used a novel mixed-methods approach to understand Canadian AT clinical educators’ needs entering CBE. Method of Study: Interviews (n = 14) and a subsequent survey (n = 123) involving Canadian AT clinical educators were employed within a preplanned exploratory sequential mixed design (Tashakkori et al., 2012). The initial qualitative analysis involved conceptually mapping the content of responses using directed content analysis. The corresponding findings informed survey design. Three data strands resulted from the subsequent analyses. First, the interview findings related to supervisory role were analyzed using phenomenography to discern the different ways of understanding the role. Second, the conceptual map was revisited to identify strengths and barriers to role fulfilment. Third, valued and necessary development topics were identified from the survey results. Finally, the interpretations of the three data strands were mixed, incorporating other relevant findings, to develop AT supervisory support recommendations for CBE. Conclusions: Four different AT clinical educator role conceptualizations were discovered that were hierarchically related, which reflected the extent of variation perceived among six aspects of AT supervision. These findings, combined with three valued and necessary pedagogical skill topics, represent a valuable starting point for AT supervisory development, for which there was high interest. The strengths and barriers informed 14 considerations related to clinical educators’ potential capacity. Lastly, the 13 supervisory support recommendations developed from the clinical educator findings may aid the Canadian AT program directors with transitioning to CBE.
  • Thumbnail Image
    ItemOpen Access
    Development of a Clinical Pathway for Patients with Chronic Rotator Cuff Tears
    (2018-12-17) Eubank, Breda Hsiao Fon; Wiley, James Preston; Lafave, Mark R.; Mohtadi, Nicholas G. H.; Emery, John Charles Herbert
    Clinical care pathways can be described as evidence-based best practice care that set out all of the decisions and services involved in treating a condition, are widely accepted, and are highly utilized. Clinical care pathways reduce unnecessary variations in patient care, improve quality of care, and reduce healthcare costs. Quality improvements in healthcare, however, cannot be achieved through the development of a clinical care pathway alone. In conjunction with the development of a clinical care pathway (i.e., the ideal pathway), the current pathway must be evaluated and compared to the ideal clinical care pathway in order to influence policy changes, identify and eliminate potential gaps in care, and to ensure equitable, seamless, and sustainable access to high-quality care for everyone. The purpose of this doctoral research, which comprises of a series of inter-related studies, was to execute the steps required to propose quality improvements in caring for patients presenting to the healthcare system with chronic rotator cuff tears. Specifically, the research questions examines what gaps in quality of care exist in the current system based on a comparison of the ideal and current standards of care for patients presenting to the healthcare system with chronic rotator cuff tears. Consequently, this thesis 1) reviewed the literature to provide context for chronic rotator cuff tears and to determine the need for a clinical care pathway; 2) proposed best practice care by establishing clinical consensus and patient flow algorithms for diagnosing and treating patients with rotator cuff pathology; 3) conducted further validity and reliability testing of two patient-reported outcome measures: the Rotator Cuff Quality-of-Life Index (RC-QOL) (Appendix A) and the Healthcare Access and Patient Satisfaction Questionnaire (HAPSQ) (Appendix B); 4) evaluated the current quality of care for patients with chronic rotator cuff tears using the RC-QOL and the HAPSQ; 5) compared current and ideal standards of care to identify gaps in the current healthcare system; and 6) explored the business case for best practice clinical care for patients in Alberta. Findings from this research demonstrated a need for healthcare reform for patients receiving care in the current system.
  • Thumbnail Image
    ItemOpen Access
    Development of Content-Valid Technical Skill Assessment Instruments for Athletic Taping Skills
    (Association of Schools of Allied Health Professions, 2006) Butterwick, Dale J.; Paskevich, David M.; Lagumen, Niko G.; Vallevand, Andrea L.C.; Lafave, Mark R.
  • Thumbnail Image
    ItemOpen Access
    Retrospective Review of Pectoralis Major Ruptures in Rodeo Steer Wrestlers
    (2013-06-06) Lau, Breda H. F.; Butterwick, Dale J.; Lafave, Mark R.; Mohtadi, Nicholas G.
    Background. Pectoralis major tendon ruptures have been reported in the literature as occupational injuries, accidental injuries, and sporting activities. Few cases have been reported with respect to rodeo activities. Purpose. To describe a series of PM tendon ruptures in professional steer wrestlers. Study Design. Case series, level of evidence, 4. Methods. A retrospective analysis of PM ruptures in a steer wrestling cohort was performed. Injury data between 1992 and 2008 were reviewed using medical records from the University of Calgary Sport Medicine Center. Results. Nine cases of pectoralis major ruptures in professional steer wrestlers were identified. Injuries occurred during the throwing phase of the steer or while breaking a fall. All athletes reported unexpected or abnormal behavior of the steer that contributed to the mechanism of injury. Seven cases were surgically repaired, while two cases opted for nonsurgical intervention. Eight cases reported successful return to competition following the injury. Conclusion. Steer wrestlers represent a unique cohort of PM rupture case studies. Steer wrestling is a demanding sport that involves throwing maneuvers that may predispose the muscle to rupture. All cases demonstrated good functional outcomes regardless of surgical or non-surgical treatment.
  • Thumbnail Image
    ItemOpen Access
    Validation of the Continuum of Care Conceptual Model for Athletic Therapy
    (2015-07-27) Lafave, Mark R.; Butterwick, Dale; Eubank, Breda
    Utilization of conceptual models in field-based emergency care currently borrows from existing standards of medical and paramedical professions. The purpose of this study was to develop and validate a comprehensive conceptual model that could account for injuries ranging from nonurgent to catastrophic events including events that do not follow traditional medical or prehospital care protocols. The conceptual model should represent the continuum of care from the time of initial injury spanning to an athlete’s return to participation in their sport. Finally, the conceptual model should accommodate both novices and experts in the AT profession. This paper chronicles the content validation steps of the Continuum of Care Conceptual Model for Athletic Therapy (CCCM-AT). The stages of model development were domain and item generation, content expert validation using a three-stage modified Ebel procedure, and pilot testing. Only the final stage of the modified Ebel procedure reached a priori 80% consensus on three domains of interest: (1) heading descriptors; (2) the order of the model; (3) the conceptual model as a whole. Future research is required to test the use of the CCCM-AT in order to understand its efficacy in teaching and practice within the AT discipline.