Abstract
Aim
To identify the interaction of instrumented gait analysis (IGA) training, expertise, and application in gait-related management of cerebral palsy.
Methods
Semi-structured interviews with 20 purposively sampled clinicians with varying professional backgrounds, expertise, and training, analyzed using the framework method.
Results
Fifteen sub-themes were identified within three domains: training, equipment/outputs, and roles/reasons under the core theme IGA practice. Findings were illustrated using the Experience/Equipment/Roles/Training (Exp-ERT) Framework which identifies four user categories – based on influencing factors, beset by barriers, with experience reported as a common enabling factor. Clinicians who encountered barriers in one of the domains were categorized as either “frustrated” or “hesitant” users. Those who were no longer using IGA for clinical decisions were designated “confident non-users”. Finally, the ‘confident experts’ reported the required level of training and access to interpret IGA outputs for clinical decision-making. Expertise gained at any level of clinical practice was shown to initiate advancement within domains.
Conclusions
Clinicians encounter a multitude of barriers to IGA practice that can result in failure to progress or impact on clinical decision-making. The Exp-ERT Framework emerges strongly from the data and could serve as an evaluation tool to diagnose barriers to confident expertise and support IGA-related professional development planning.
Disclosure statement
The authors report no conflicts of interest.
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.