Healthy Baby Carriers, Inc.

Nicole Boyko

Carolyn Michalski

Bridget Promaulayko

Introduction Educational module that incorporates

general knowledge of: Body mechanics Child transfers Childcare equipment

Practical skills Everyday application

Introduction Reasons for implementation

No current program exists PTs possess thorough knowledge of topic Primary childcare providers at high risk for

injury Promote health awareness Provide community with opportunity for

prevention

Mission Statement Healthy Baby Carriers, Inc. is dedicated to

the incorporation of body mechanics into routine childcare. We are committed to educating childcare providers on safe and efficient utilization of child transportation equipment and manual transfer techniques.

Community Needs Assessment Contacts

OB-GYN Pediatricians Maternity

department Daycare Centers Community Centers Churches Prenatal classes

Needs Assessment Tools Questionnaire Interviews Literature Review Task Analysis

Community Needs AssessmentQuestionnaire

Target Group Expectant couples Guardians Day Care workers Other primary caregivers

Key Issues Body Mechanics Safety of self and child Injury prevention

Question-type Likert scale Open-ended questions

Testing survey questions Review by colleagues Pilot survey

Survey Results Interest – 75%

Pain – 85%

Injured – 80%

Not aware of body mechanics – 75%

Given at community/day care center

Would pay $75-100 Most difficult

Car seat; crib; floor

Least difficult Waist level

Community Needs Assessment

Literature Review Injuries 2° to poor body

mechanics Workers Compensation

in the Daycare setting Lack of research on parents

Task Analysis Performed at a daycare center Direct observation and

documentation Review Findings

Interviews Parents/Guardians Doctors Nurses Physical therapists Daycare workers Other primary care providers

Kumagai et al (1995), King et al (1996), Lynch et al (2000), Leff et al (2000)

Literature Review Teachers in daycare

spent half of day at 20° lumbar flexion

When working with ages 0-1, lifted 46 times/day

Inadequate work heights

Sitting on floor w/o back support

Proven efficacy of body mechanics training

Relatively inexpensive

Not much info on parents and lifting

Program Needs Assessment Materials Needed

Projector & laptop for PowerPoint pres

Handouts, manuals Demo products

Strollers Carriers Dolls

Tables, chairs Open Space

Potential sites Community center Hospitals Day Care Center

Language = English Can be adapted to

other languages Participants may

bring interpreter

Program Needs Assessment Accessibility? Parking? Childcare for

program participants? Cost of program and

affordability? Outside funding?

No prerequisites needed except literacy and interest in childcare

Goals and StandardsChild Transportation Equipment

Goal: To graduate clients who demonstrate safe and successful use of child transportation equipment.

Standard: Upon review of final practical exam scores, 100% of participants will score 75% or greater.

Goal: To graduate clients who demonstrate knowledge of types of safe infant/young child transportation equipment.

Standard: Upon review of midterm written exam scores, 100% will score 75% or greater.

Cognitive ObjectivesChild Transportation Equipment

Knowledge: The participants will be able to state the proper usage for various types of child transportation equipment.

Comprehension: The participants will be able to discuss the advantages and disadvantages of using various types of child transportation equipment.

Application: Given a situation and piece of equipment, the participants will be able to interpret the possible risks of not utilizing appropriate body mechanics.

Cognitive ObjectivesChild Transportation Equipment

Analysis: The participants will be able to classify various types of transportation equipment according to their level of safety to child and caregiver.

Synthesis: Given a case scenario and particular type of transportation equipment, the participant will be able to formulate a plan for transferring the child using optimal body mechanics.

Evaluation: The participants will be able to independently select the most appropriate child transportation equipment for a given case scenario..

Affective Objectives Receiving- The participants will attend a class on proper body

mechanics during childcare.

Responding- The participants will discuss the areas of their body mechanics that need improvement.

Valuing- The participants will seek ways to improve their body mechanics in their everyday lives.

Organizing- The participants will favor the execution of proper body mechanics when caring for a child.

Characterization- The participants will volunteer to assist others in shopping for ergonomic childcare equipment.

Psychomotor ObjectivesChild Transportation Equipment

Perception: The participants will observe teachers demonstrating safe carrying techniques.

Set: The participants will adjust their body positions to safely carry a child.

Mechanism: The participants will perform a safe carrying technique with minimal assistance from the instructor.

Psychomotor ObjectivesChild Transportation Equipment

Complex Overt Response: The participants will independently complete a safe carrying technique.

Adaptation: The participants will independently perform a safe carrying technique.

Organization: The participant will utilize safe carrying techniques to carry more than one child independently.

Teaching Strategies Lecture/Recitation

Efficient delivery Incorporates many learning styles Small/large groups Day 1: traditional lecture with opportunity for Q &A Day 2: recitation; case scenarios, brainstorming,

discussion & problem solving Audiovisual: PowerPoint, overheads, videos,

handouts

Teaching Strategies Lab

Demonstration/Return Demonstration Practical Observation & performance

Discussion Case scenarios

Problem solving Critical thinking

Materials Learning styles

Teaching StrategiesPOTENTIAL PROBLEMS

Technical problems (i.e. AV equipment) Lack of participation Student/teacher ratio Language barriers Environmental constraints (i.e. size of room, home accessibility)

Evaluation Formative

Purpose: to revise instruction, identify problem areas & give feedback to instructors/students

Tools In class questioning One-minute papers Midterm quiz Skills checklist

Evaluation Summative

Purpose: assess outcome or mastery of learning; determine if goals are met

Tools Final practical exam Course evaluation

Reliability of Eval Methods Split-half reliability

Midterm quiz Cronbach’s Alpha & Kappa Statistic

Surveys and course eval Interrator reliability

Final practical Peer review

All tools

Validity of Eval Methods Face Validity

Multiple choice questions to test knowledge of subject matter

Final practical to assess performance of skills

Content Validity Midterm quiz will assess cognitive objectives Final practical will assess pyschomotor objectives

Predictive Validity Prediction of safe practice techniques at home

ConstraintsTimeMoneyInterestManpowerSpace

Conclusion Make a positive impact on the area of

childcare & body mechanics

Contribute to growth of PT profession

Increase PT involvement in educating community

Questions?