Patricia A Miller

Patricia A Miller
McMaster University | McMaster · School of Rehabilitation Science

BSc(PT), MHSc, MSc, PhD

About

54
Publications
7,102
Reads
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825
Citations

Publications

Publications (54)
Article
Purpose: Regulatory bodies impose continuing professional development (CPD) requirements on health care professionals (HCPs) as a condition for license revalidation. Many regulatory bodies require annual evidence of CPD activities that are informed by reflective practices, guided by learning plans, and compiled into a portfolio. The purpose of this...
Article
Full-text available
Background: To meet the complex needs of healthcare delivery, the Ministry of Health and Long Term Care (MOHLTC) introduced Physician Assistants (PAs) into the Ontario health care system in 2006 with the goal of helping to increase access to care, decrease wait times, improve continuity of care and provide a flexible addition to the healthcare wor...
Preprint
Full-text available
Background To meet the complex needs of healthcare delivery, the Ministry of Health and Long Term Care (MOHLTC) introduced Physician Assistants (PAs) into the Ontario health care system in 2006 to help increase access to care, decrease wait times, and improve continuity of care. Integration of new health professional roles is often stymied by role...
Preprint
Full-text available
Background To meet the complex needs of healthcare delivery, the Ministry of Health and Long Term Care (MOHLTC) introduced Physician Assistants (PAs) into the Ontario health care system in 2006 to help increase access to care, decrease wait times, and improve continuity of care. Integration of new health professional roles is often stymied by role...
Preprint
Full-text available
Background To meet the complex needs of healthcare delivery, the Ministry of Health and Long Term Care (MOHLTC) introduced Physician Assistants (PAs) into the Ontario health care system in 2006 to help increase access to care, decrease wait times, and improve continuity of care. Integration of new health professional roles is often stymied by role...
Article
Aim: A quality improvement initiative was undertaken to increase the utilization of a new tool designed to facilitate the provision of patient-centred care in the homecare setting. Methods: The tool, entitled Life Through My Eyes (LTME), is completed voluntarily by the patient or a family member. In order to personalize the patient’s care, it captu...
Article
Purpose : Physiotherapists in Canada do not have an agreed-on list of core professional values. The purpose of this study was to identify physiotherapy values using a scoping review and to preliminarily identify the core professional values important to Canadian physiotherapists. Method: We undertook (1) a comprehensive scoping review of the prima...
Article
Purpose: Our purpose was to estimate a threshold value for change for the six dimensions of the Impairment Inventory of the Chedoke-McMaster Stroke Assessment and the confidence in labelling a person as having improved or not. Method: Secondary analysis of two data sets, previously reported by two research teams, consisted of two statistical analy...
Article
Informal (unpaid) care-givers of older people with dementia experience stress and isolation, causing physical and psychiatric morbidity. Comprehensive geriatric assessment clinics represent an important geriatrician-led model of dementia care. Our qualitative study examined the educational and support needs of care-givers of people diagnosed with d...
Article
Objective: Describe the clinical use of virtual reality (VR)/active videogaming (AVG) by physical therapists (PTs) and occupational therapists (OTs) in Canada, identify usage barriers and facilitators, evaluate factors that predict intention to use VR/AVGs, and determine therapists' learning needs. Design: Cross-sectional survey. Materials and...
Article
Objectives: To investigate the use, challenges and opportunities associated with using patient-reported outcomes (PROs) in studies with patients with rare lysosomal storage diseases (LSDs), we conducted interviews with researchers and health technology assessment (HTA) experts, and developed the methods for a systematic review of the literature. T...
Article
Full-text available
Purpose Therapists use motor learning strategies (MLSs) to structure practice conditions within stroke rehabilitation. Virtual reality (VR)-based rehabilitation is an MLS-oriented stroke intervention, yet little support exists to assist therapists in integrating MLSs with VR system use. Method A pre-post design evaluated a knowledge translation (K...
Data
De-identified results for each participant on the Motor Learning Strategy Rating Instrument, the Chart-Stimulated Recall, and the e-learning modules. (XLSX)
Article
Full-text available
Background Despite increasing evidence for the effectiveness of virtual reality (VR)-based therapy in stroke rehabilitation, few knowledge translation (KT) resources exist to support clinical integration. KT interventions addressing known barriers and facilitators to VR use are required. When environmental barriers to VR integration are less amenab...
Poster
Little is known about clinicians’ perspectives on the use of virtual reality (VR) and active video games (AVGs) in rehabilitation. We undertook an online survey of VR/AVG experience and learning needs in a sample of 1068 physical therapists and occupational therapists practicing in Canada. Nearly half (47%) had clinical experience with at least one...
Article
Objectives: To explore the responsiveness of patient reported outcomes (PROs) in interventional studies involving patients with rare lysosomal storage diseases (LSDs). Study design and setting: We searched eight databases for experimental and non-experimental studies. Pairs of trained reviewers independently screened articles and subsequently ex...
Article
Purpose: To develop a telephone version of the Chedoke-McMaster Stroke Assessment Activity Inventory (CMSA-AI) and estimate the test-retest reliability, interrater reliability (between participant and proxy), and construct validity of the scores for individuals with stroke. Methods: Adults with stroke and their caregivers or proxies were included....
Article
Falls among community-dwelling seniors constitute a major public health concern because of the potential morbidity and mortality associated with the fall. This study examined the informal care networks accessed by Canadian seniors who had visited the Emergency Department as a result of a fall, and considered the implications of the processes of ask...
Conference Paper
Full-text available
Background: Virtual reality (VR) systems are promising treatment options in stroke rehabilitation because they can incorporate motor learning strategies (MLS) supporting motivating task oriented practice. However, clinicians lack motor learning-based training for VR use. The objectives of this study were to design, implement and evaluate the effect...
Article
Purpose/Objectives: To examine healthcare providers' (HCPs') perceptions of the supportive care needs of men with advanced prostate cancer (APC). Research Approach: A qualitative, descriptive study. Setting: Healthcare facilities caring for men with APC in a south-central region of Ontario. Participants: 19 nurses, physicians, and allied health pro...
Conference Paper
Virtual reality (VR) systems are promising treatment options for physical therapists (PTs) and occupational therapists (OTs) in stroke rehabilitation because they incorporate motor learning principles of task-oriented, challenging, and motivating practice. However, clinicians face challenges when integrating VR into clinical practice, including lim...
Poster
Virtual reality (VR) technology holds great promise for stroke rehabilitation. However, clinicians face challenges when integrating VR into clinical practice, including the limited availability of training to implement VR-based therapy using a motor learning approach. This poster describes a study in which a knowledge translation (KT) strategy desi...
Article
Objective: The purpose of this qualitative study was to investigate how frontline healthcare professionals witness and understand disparity in cancer care. Method: Six healthcare providers from a range of care settings, none with < 15 years of frontline experience, engaged with researchers in an iterative process of identifying and reflecting on...
Article
The purpose of this study was to better understand the processes of care for people living with serious mental illness who are diagnosed with cancer, from the perspectives of social workers. Interviews were conducted with 11 social workers at a multisite acute and tertiary care centre in Ontario, Canada. Analysis showed how patients diagnosed with...
Article
The Nintendo Wii is a popular virtual reality (VR) video gaming system in rehabilitation practice and research. As evidence emerges related to its effectiveness as a physical therapy training method, clinicians require information about the pragmatics of its use in practice. The purpose of this descriptive qualitative study is to explore observatio...
Article
Full-text available
Purpose: Little is known about physical therapists' views on the use of portfolios to evaluate professional competence. The purpose of this study was to gather the opinions of physical therapists on the feasibility and acceptability of a portfolio prepared to demonstrate evidence of clinical specialization through reported activities and accomplish...
Article
Little is known about how therapists promote learning of functional motor skills for children with acquired brain injuries. This study explores physiotherapists' description of these interventions in comparison to virtual reality (VR) video game-based therapy. Six physiotherapists employed at a children's rehabilitation center participated in semi-...
Article
Patient involvement in care practice has many and diverse proponents. It is endorsed by health care institutions and promoted by community agencies representing people with illness. A vast literature documents the benefits of patient involvement and describes ways to enable it. This article contributes to a critical literature on patient involvemen...
Article
Full-text available
Purpose: To estimate the predictive accuracy and clinical usefulness of the Chedoke-McMaster Stroke Assessment (CMSA) predictive equations. Method: A longitudinal prognostic study using historical data obtained from 104 patients admitted post cerebrovascular accident was undertaken. Data were abstracted for all patients undergoing rehabilitation...
Article
Social expectations surrounding sickness have undergone a transformation in Western welfare states. Emerging discourses about patients' roles and responsibilities do not however always map neatly onto patients' actions, experiences or desires. This paper emerges from a study in Ontario, Canada. Drawing on in-depth interviews with 5 women diagnosed...
Article
Full-text available
The College of Physiotherapists of Ontario implemented an Onsite Assessment to evaluate the continuing competence of physical therapists. This study was undertaken to examine the reliability of the various tools used in the Onsite Assessment and to consider the relationship between the final decision and demographic factors. This was a psychometric...
Article
Evaluation of professional competence can occur at various times throughout the career of health professionals. Three studies were undertaken to gain information about the competence of Canadian physical therapists (PTs) using tools designed to: (i) assess entry-level competence, (ii) assess continuing competence, and (iii) differentiate among PTs...
Article
Little is known about the predictors of success on the written component of the Physiotherapy Competency Examination (PCE), the requirement for licensure in most Canadian jurisdictions. The purpose of this study was to examine the relationship between educational factors and the performance of Canadian educated physical therapists (CEPTs) and inter...
Article
Full-text available
To evaluate the construct validity of the Activity Inventory of the Chedoke-McMaster Stroke Assessment and the Clinical Outcome Variables Scale (COVS), 2 measures of functional mobility. A retrospective longitudinal study of 24 inpatients (mean age 83 years (standard deviation 7)) on a geriatric rehabilitation unit. The primary reasons for admissio...
Article
Introduction: Videoconferencing (VC) is becoming a common method for the delivery of continuing education (CE) to clinicians in remote locations. The purpose of this study was to compare the effectiveness, acceptability, and costs of a full-day training workshop (TW) delivered through two different formats: face-to-face (FTF) and VC. The TW was des...
Article
Full-text available
Physical therapists are expected to engage in self-assessment in order to ensure competent practice and to identify appropriate professional development activities. This paper reviews the current literature on the accuracy and role of self-assessment in physical therapy. Current literature indicating that self-assessment cannot be conducted with an...
Article
Purpose: The purpose of this study was to gain insight into the experiences of novice physiotherapists whose initial employment was in private practice and to gain an understanding of how they adapted to their new role. Methods: Using a qualitative grounded theory approach, 10 novice physiotherapists employed in private practice participated in a s...
Article
The Chedoke Arm and Hand Activity Inventory (CAHAI) was developed to address the need for a valid, clinically relevant, responsive functional assessment of the recovering paretic upper limb. The purpose of this article is to describe the development of the measure including its theoretical constructs, item generation, and item selection. From the l...
Article
The overall impression of this cohort of graduates is that of a group of physiotherapists who are pleased with their choice of profession and who enjoy their interactions with patients and colleagues. Arguably, the quantitative (survey) data conflict with the qualitative data; 20% of those surveyed stated that they were uncertain if they had chosen...
Article
Many physical therapists depend on their professional journals for high-quality evidence. The purpose of this study was to evaluate the rigor of research and review articles in 4 national physical therapy journals. All articles in 6 consecutive issues of the Australian Journal of Physiotherapy, Physical Therapy, Physiotherapy, and Physiotherapy Can...
Article
Full-text available
The purpose of this qualitative study was to examine how a move to program management (PM) from a traditional department structure affected the professional practice of physical therapists in a large Canadian teaching hospital. Twenty-five physical therapists participated in 1 of 5 focus groups, and 4 physical therapists participated in individual...
Article
Little is known about physical therapists' perceptions of empowerment. In this study, Kanter's theory of structural power in organizations was used to examine physical therapists' perceptions of empowerment in a large Canadian urban teaching hospital. Kanter's theory, which has been studied extensively in the nursing profession, proposes that power...

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