Tracy In your peer responses, offer suggestions and other thoughts for your colleagues to consider. 1, Responds to this post in half a page use different reference to response please 1 How will you measure if your intervention was effective in addressing the clinical problem? The purpose of this project is to provide an Exertional-Heat illness (EHI) educational program that will increase the knowledge, skills, and confidence of medical professionals, athletic trainers, and Drill Sergeants who care for young athletes and military basic trainees. The clinical problem is the staff’s decreased knowledge of heat illnesses. Therefore, the outcome to measure is the knowledge gained from the educational program. I plan to measure knowledge gained through a pre-intervention and pos-intervention test and an objective structured clinical evaluation (OSCE) utilizing a checklist. Checklist assessment tools will measure procedural skills, critical decision-making, team skills, and communication (Hickey & Giardino, 2022). 2. What is the specific outcome(s) you will measure? The specific outcome to be measured is knowledge gained from the educational program. Educational programs can be evaluated using Kirkpatrick and Kirkpatrick’s (2016) four-level evaluation model of reaction, learning, behavior, and results (as cited in Hickey & Giardino, 2022). Other possible outcome measurements include post-training self-confidence and satisfaction surveys. 3. What tools, logs, surveys, etc. will you use, if any, and where they came from? The Project Leader will develop the pre and post-intervention knowledge test and the OSCE checklist. Experts in the field of heat illnesses will review the knowledge test for content validity. The tools will also be piloted on health professionals for clarity. The overall survey design will utilize Robb’s (2020) tips on question development, format, layout, color, and organization. If a post-training self-confidence and satisfaction survey is included, then a survey will be developed using a 5-point Likert rating scale. An additional comment section of the survey would enable participants to provide other comments, feelings, or attitudes about the topic (Robb, 2020). Data analysis will be completed on Excel utilizing bar graph percentages for pre-intervention and post-intervention. The benchmark will be set to 90% on both the written test and the OSCE checklist. The number and percentage of participants who reached the benchmark will be analyzed. References Hickey, J. V., & Giardino, E. R. (2022). Evaluation of quality in health care for DNPs (3rd ed.) Springer Publishing. Robb, M. (2020). Mastering survey design and questionnaire development. The Journal of Continuing Education in Nursing, 51(6), 248-249. Netsy In your peer responses, offer suggestions and other thoughts for your colleagues to consider. 2, Responds to this post in half a page use different reference to response please 12 How will you measure if your intervention was effective in addressing the clinical problem? The proposed project seeks to implement the ABC-2 tool to assist in capturing change in maladaptive behaviors in children with ASD. The PM will assess the effectiveness of the intervention during the evaluation phase. According to Hickey and Brosnan (2021), project evaluation is an integral part of any project as it assists in identifying whether the desired outcomes have been realized. The effectiveness of the intervention for the proposed EBP change project will be measured by comparing pre-and post-implementation data from the ABC-2 completion among pediatric patients with ASD. What is the specific outcome(s) you will measure? A specific outcome that will be measured is by the Implementation of an autism maladaptive screening tool (ABC-2) to a standardized GI screening protocol that will systematically quantify improvement in ASD maladaptive behaviors with a primary intervention approach to treat the pediatric population with ASD and GI issues. Another outcome that will be measured following the implementation of the proposed project is the change in staff’s knowledge regarding maladaptive behavior screening and the appropriate use of the ABC-2 maladaptive screening tool. Lastly, an assessment of the frequency of GI symptoms and their correlation to behavior problems will be assessed. What tools, logs, surveys, etc. will you use, if any, and where they came from. If it is an established tool from the research literature, please share if it has reliability and validity estimates and whether or not you need permission to use or if it was publicly available. The Aberrant Behavior Checklist-2nd edition (ABC-2) was the screening tool selected to capture changes in maladaptive behavior in autistic children. According to the database on clinical outcome assessments (COAs), the ABC-2 is a universal tool that can evaluate challenging behaviors (Farmer & Aman, 2017). The quality improvement project aims at improving patient outcomes. The ABC-2 screening tool will assess behavioral changes in ASD children. The behaviors will be evaluated in subscales, each with its respective items. The behaviors to be measured are stereotypic behavior (7 items), irritability (15 items), hyperactivity (16 items), inappropriate speech (4), and social withdrawal (16 items). ABC- 2 tool is a valid and reliable tool for determining the severity of behaviors among ASD patients and is strongly supported by literature. Aman et al. (1985) originally found the ABC-2 to have sound psychometric properties, including high internal consistency (mean alpha = .91), great test-retest reliability (mean r = .98), adequate inter-rater reliability (mean r = .63), and reasonable correlations with measures of adaptive behavior (mean r = .60). A variety of studies have evaluated the effectiveness of ABC-2 in determining changes in maladaptive behavior among autistic children with GI issues. The ABC-2 symptom checklist is the most widely used tool for evaluating maladaptive behaviors in children and adults with developmental disabilities. The ABC-2 instrument has been the subject of rigorous research for more than three decades, with extensive data on its validity, reliability, and evidence of intervention effects (Farmer & Aman, 2017). The ABC-2 tool is publicly available but I would have to purchase it. My site is willing to make that investment. Pre-and post-test surveys will also be used to measure the staff’s knowledge regarding maladaptive behavior screening and the appropriate use of the ABC-2 screening tool. A comparison of pre-and post-test scores will be performed to establish any difference in knowledge among the staff. The project manager will develop the surveys and review for any knowledge gaps that need to be addresses before incorporating the ABC-2 tool at the practice site. References Farmer, C., & Aman, M. G. (2017). Aberrant behavior checklist. Encyclopedia of Autism Spectrum Disorders, 1-8. Hickey, J., & Brosnan, C. (2021). Evaluation of Health Care Quality for DNPs, Second Edition. Springer Publishing Company.
