The P4C Research Study

Description of the Research Study

The Partnering for Change: Implementation and Evaluation study received funding from the Ontario Ministry of Health and Long-Term Care (2013–2015) to examine the impact of the P4C model in 40 schools within three school boards through partnerships with the Central West and Hamilton, Niagara, Haldimand, Brant Community Care Access Centres. The Ontario Ministry of Education funded further evaluation of the P4C model of service in the 2014–2015 school year.

  • Schools that participated in the project varied in size, location and socioeconomic distribution to enable consideration of the model’s impact in different school settings and school cultures.
  • Two Community Care Access Centres (CCACs) funded the services to enable study of different service provider organizations and varied processes for managing caseloads and waitlists.

Partnering with CCACs

For the two years of the P4C Research project, occupational therapy health services were provided by two Community Care Access Centres:

Central West Community Care Access Centre Halton Niagara Haldimand Brant Community Care Access Centre

  • Central West (CW) CCAC, at 20 schools
  • Hamilton Niagara Haldimand Brant (HNHB) CCAC, at 20 schools

The project began with the establishment of a Steering Committee to provide governance, advice, and review of deliverable reports for the two years of the study. A multi-disciplinary team of scientists at CanChild worked with partners in the CCAC. A Working Group was established to develop the specific steps needed for implementation and careful evaluation of the P4C model. The Steering Committee and Working Group also included representation from Toronto Central CCAC. As the project evolved, it became apparent that providing P4C services in schools in the Toronto District School Board was not feasible at that time; however, Toronto Central CCAC continued to be very supportive of the P4C project.

A detailed ethics proposal was submitted to the Hamilton Health Sciences and McMaster University Research Ethics Board. Once approval had been obtained, similar proposals were submitted for review by both CCACs and then by each of the three school boards. Ethics approval was renewed each year. Any changes to the research process were submitted as amendments and received approval.

Once approval was received from all ethics boards, members of the P4C research team and representatives from each CCAC met with school board administration to describe the study and to determine which schools would be involved. Throughout the project, investigators and P4C staff gave numerous workshops and presentations at school board or CCAC levels to support the paradigm shift that was taking place through this transformation of service provision.

Occupational therapy services provided via the model were funded by CW and HNHB CCACs, and were delivered and evaluated in 40 elementary schools across three school boards.

Peel District School Board

Peel District School Board (20)

  • Arnott Charlton
  • Caledon Central
  • Dunrankin
  • Eldorado
  • Grenoble
  • Marvin Heights
  • Palgrave
  • Ridgewood
  • Sir Winston Churchill
  • Springdale
  • Beryl Ford
  • Conestoga
  • Eastbourne
  • Fairlawn
  • Madoc
  • Massey Street
  • Ridgeview
  • Russell D.
  • SouthFields Village
  • Terry Fox
Halton District School Board

Halton District School Board (10)

  • Brant Hills
  • C.H. Norton
  • Dr. Charles Best
  • Glenview
  • John T. Tuck
  • Lakeshore
  • Mohawk Gardens
  • Paul A. Fisher
  • Ryerson
  • Tecumseh
Hamilton-Wentworth Catholic District School Board

Hamilton Wentworth Catholic District School Board (10)

  • Annunciation of Our Lord
  • St. John Paul
  • Immaculate Conception
  • Our Lady of Lourdes
  • Our Lady of Mount Carmel
  • St. Brigid
  • St. David
  • St. Joachim
  • St. Luke
  • St. Patrick

View P4C School Map in a full screen map

Expanded Service

In the 2014–2015 school year, the Central West CCAC expanded the OT service to 20 schools in two additional school boards, Upper Grand District School Board and Dufferin-Peel Catholic District School Board. At the conclusion of the study, P4C was being offered in 60 schools across five school boards.

Workshops and Presentations

Invited Presentations about Partnering for Change

Invited Presentations about Partnering for Change

  • McGillivray, P., Gagnier, C., Talag, A., & Delaney L. (accepted). Promising Practices in School Based OT: A Panel Discussion. Presentation to be given at the 2015 Ontario Society of Occupational Therapists (OSOT) Conference, Kingston, ON. September, 2015.
  • Bennett, S., & Missiuna, C. (2015). Partnering for Change: An Innovative Service with Relevance to the Special Needs Strategy. Invited presentation given at the Regional Superintendents of Special Education Conference, Niagara on the Lake, Ontario. May, 2015.
  • Campbell, W. (2015). Partnering to Implement a New School-Based Health Care Service Delivery Model: Lessons Learned from Implementation Science. Invited presentation given at the Chedoke Grand Rounds, Chedoke Hospital, Hamilton, ON. May, 2015.
  • Campbell, W. (2015). Partnering to Implement a New School-Based Health Care Service Delivery Model: Lessons Learned from Implementation Science. Invited presentation given at the School of Rehabilitation Science Research Rounds, McMaster University, Hamilton, ON. April, 2015.
  • Missiuna, C., Bennett, S., & Floyd, K. (2015). Partnering for Change: An Innovative Service with Relevance to the Special Needs Strategy. Invited presentation given to the Toronto and Area Regional Office (TARO) Regional Special Education Advisory Committee (RSEC) at the Peel District School Board office, Mississauga, Ontario. February, 2015.
  • Missiuna, C., & Campbell, W. (2015). Partnering for Change: An Innovative Service with Relevance to the Special Needs Strategy. Invited presentation given at the Special Needs Strategy biweekly meeting for 18 invitees from the MOHLTC, EDU, MCYS and MCSS, Toronto, Ontario. February, 2015.
  • Missiuna, C., Bennett, S., & Campbell, W. (2015). Partnering for Change: An Innovative Service with Relevance to the Special Needs Strategy. Invited presentation given for the Special Education Policy and Programs Branch, Ministry of Education, Toronto, Ontario. January, 2015.
  • Ainsley, J., & Patterson, K. (2015). Are they ready to write? Invited presentation given for the Love of Literacy Conference, Burlington, Ontario. April, 2015.
  • Floyd, K., & Haughton, D. (2014). Partnering for Change: From Research to Implementation in the School Health Support Service Program. Invited presentation given at the Ontario Association of Community Care Access Centres (OACCAC) Conference, Toronto, Ontario. June, 2014.
  • Missiuna, C., Campbell, W., Gaines, B. R., & Pollock, N. (2014). A new approach to school-based intervention for children with Developmental Coordination Disorder. Invited presentation given to the Peel District School Board Speech Language Pathologists, Mississauga, Ontario. January, 2014.
  • Dix, L., Missiuna, C., Pollock, N., & Campbell, W. (2013). Partnering for Change: Working to build capacity through coaching and collaboration in school contexts. Invited presentation given to the Peel District School Board Special Education Resource Teachers, Mississauga, Ontario. December, 2013.
  • Missiuna, C., & Pollock, N. (2013). Partnering for Change: Identifying and managing children with Developmental Coordination Disorder. Invited presentation given to the Peel District School Board Psychologists, Mississauga, Ontario. November, 2013.
  • Pollock, N., Campbell, W., & Missiuna, C. (2013). Partnering for Change: Building capacity through coaching and collaboration in school contexts. Invited presentation given to the Peel District School Board Special Education Advisory Committee, Mississauga, Ontario. November, 2013.
  • Missiuna, C., Dix, L., Pollock, N., & Campbell, W. (2013). Implementing and evaluating Partnering for Change: Project overview. Invited presentation given to the Peel District School Board Itinerant Teachers and Consultants, Mississauga, Ontario. November, 2013.
  • Dix, L., Missiuna, C., Pollock, N., & Stewart, D. (2013). Partnering for Change: Working with children with Developmental Coordination Disorder. Invited presentation given to the Hamilton Wentworth Catholic District School Board, Hamilton, Ontario. November, 2013.

Peer Reviewed Presentations and Workshops

Peer Reviewed Presentations and Workshops

  • Camden, C., Campbell, W., Stewart, D., Dix, L., McCauley, D., & Missiuna, C. (accepted). Implementing a new school-based occupational therapy service delivery model: What do stakeholders say about access, service quality, and sustainability. Poster to be presented at the 2015 Canadian Association of Paediatric Health Centres (CAPHC) Annual Conference, Quebec City, Quebec, October, 2015.
  • Wlodarczyk, K., Pollock, N., Dix, L., Campbell, W., Sahagian Whalen, S., & Missiuna, C. (2015, July). Classroom strategies and support for children with Developmental Coordination Disorder. Poster presented at the 11th International Conference on Developmental Coordination Disorder (DCD 11), Toulouse, France.
  • Stewart, D., Hecimovich, C., Pollock, N., Campbell, W., Camden, C., Bennett, S., Gaines, R., McCauley, D., Cairney, J., O’Reilly, D., Floyd, K., Haughton, D., Wlodarczyk, K., Dix, L., DeCola, C., & Missiuna, C. (2015, July). Partnering for Change: An innovative and evidence-based model for managing children with developmental coordination disorder in school settings. Poster presented at the 11th International Conference on Developmental Coordination Disorder (DCD 11), Toulouse, France.
  • Gaines, R., Campbell, W., DeCola, C., Pollock, N., Bennett, S., Camden, C., McCauley, D. & Missiuna, C. (2015, July). Evaluating the Partnering for Change service delivery model: Teachers’ pre-intervention evaluation of school functioning in children with Developmental Coordination Disorder. Poster presented at the 11th International Conference on Developmental Coordination Disorder (DCD 11), Toulouse, France.
  • Missiuna, C., Campbell, W., Pollock, N., DeCola, C., & McCauley, D. (2015, July). Finding the children who “fall through the cracks”: Describing children with developmental coordination disorder who are identified using the Partnering for Change service delivery model. Oral presentation given at the 11th International Conference on Developmental Coordination Disorder (DCD 11), Toulouse, France.
  • Missiuna, C., Pollock, N., Whalen, S.S., Dix, L., & Stewart, D. (2015, July). nnovations in management of Developmental Coordination Disorder in the schools: What does it take to shift occupational therapy practice? Poster presentation given at the 11th International Conference on Developmental Coordination Disorder (DCD 11), Toulouse, France.
  • Campbell, W., Bennett, S., Camden, C., Gaines, R., Pollock, N., McCauley, D., DeCola, C., Cairney, J., & Missiuna, C. (2015, July). Children with suspected Developmental Coordination Disorder: What do parents and teachers say about their social-emotional and behavioral functioning? Poster presentation given at the 11th International Conference on Developmental Coordination Disorder (DCD 11), Toulouse, France.
  • Campbell, W., Camden, C., Stewart, D., Graham, E., Dix, L., & Missiuna, C. (2015, July). Evidence-Based Management of Children with DCD: What Can Implementation Science Offer? Oral presentation given at the 11th International Conference on Developmental Coordination Disorder (DCD 11), Toulouse, France.
  • Camden, C., Campbell, W., Stewart, D., Hecimovich, C., Dix, L., Floyd, K., Haughton, D., Graham, E., McCauley, D., & Missiuna, C. (2015, July). mplementing the “Partnering for Change” service delivery model: What do stakeholders say? Oral presentation given at the 11th International Conference on Developmental Coordination Disorder (DCD 11), Toulouse, France.
  • Bennett, S., Campbell, W., Camden, C., Dix, L., Pollock, N., Wlodarczyk, K., & Missiuna, C. (2015, July). School-based educators and occupational therapists collaborating to support students with developmental coordination disorder (DCD). Oral presentation given at the 11th International Conference on Developmental Coordination Disorder (DCD 11), Toulouse, France.
  • Camden, C., Campbell, W., Stewart D., Dix, C., McCauley, D., & Missiuna, C. (2015, May). Processus d’implantation et résultats associés au modèle de services “Partnering for Change” pour les enfants d’âge scolaire: Qu’en pensent les principaux acteurs? Oral presentation given at the Congress in Adaptation-Rehabilitation Research, Boucherville, Quebec.
  • Camden, C., Campbell, W., Shikako-Thomas, K., & Thomas, A. (2015, May). Bridging the Research-to-Practice Gap with Implementation Science: Perspectives of Rehabilitation Clinician Scientists. Canadian Association for Health Services and Policy Research (CAHSPR) Conference, Montreal, Quebec.
  • Campbell, W., Camden, C., Stewart, D., Graham, E., Dix, L., & Missiuna, C. (2015, May). Partnering to Implement a New School Health Service Delivery Model for Children with Chronic Conditions: Reflections and Lessons Learned. Oral presentation given at the annual conference of the Canadian Association of Health Services and Policy Research (CAHSPR) Conference, Montreal, Quebec.
  • Camden, C., Campbell, W., Stewart, D., Dix, L., McCauley, D., & Missiuna, C. (2015, May). Implementing a new school-based occupational therapy service delivery model: What do stakeholders say about access, service quality, and sustainability? Poster presented at the annual conference of Canadian Association for Health Services and Policy Research (CAHSPR) Conference, Montreal, Quebec.
  • Floyd, K., & Haughton, D. (2015, May). Partnering for Change: From Research to Implementation in the School Health Support Service Program. Presentation given at Achieving Excellence Together — the 2015 Ontario Association of Community Care Access Centres (OACCAC) annual conference, Toronto, Ontario.
  • Pollock, N. (2015, May). Partnering for Change: An innovative and evidence-based model for school-based occupational therapy. Presentation given at the Child Health Symposium at Western University, London, Ontario.
  • Floyd, K., & Haughton, D. (2014, November). Partnering for Change: From Research to Implementation in the School Health Support Service Program. Poster presented at the Health Quality Transformation Conference, Toronto, Ontario.
  • Bennett, S., & Wlodarczyk, K. (2014, November). Partnering for Change: Building Educator Capacity and Improving Outcomes for Students with Developmental Co-ordination Disorder. Oral presentation given at the Ontario Council for Exceptional Children (CEC) 58th Annual Special Education Conference, Niagara Falls, Ontario.
  • Wlodarczyk, K. (2014, November). All for one and one for all: Coaching Education for Change. Oral resentation given at the Canchild Family Engagement Day, Hamilton, Ontario.
  • Pollock, N., Carson, S., Gerber, L. (2014, November). dentification, Diagnosis and Management of Children with Developmental Coordination Disorder. Presentation given at the Annual Scientific Assembly (ASA) 52, Premier Family Medicine Conference, Toronto, Ontario.
  • Campbell, W. (2014, November). Moving Research Evidence into Practice: Practical Tips & Strategies From Implementation Science. Presentation given at the American Speech-Language Hearing Association Annual Conference, Orlando, Florida.
  • Missiuna, C., Pollock, N., Hecimovich, C., Bennett, S., Gaines, R., Campbell, W., Stewart, D., Camden, C., McCauley, D., DeCola, C., Dix, L., Whalen, S., Wlodarczyk, K., & Cairney, J. (2014, June). Partnering for Change: An innovative model for providing OT services in school settings. Paper presented at the 16th International Congress of the World Federation of Occupational Therapists, Yokohama, Japan.
  • Rivard, L., Camden, C., Pollock, N., & Missiuna, C. (2014, June). The utility of a new online clinical tool for physiotherapists managing children with developmental coordination disorder: Impact on self-reported knowledge, skills, and practice. Paper presented at the Annual Congress of the Canadian Physiotherapy Association, Edmonton, Alberta.
  • Camden, C., Rivard, L., Pollock, N., & Missiuna, C. (2014, May). Promoting activity and participation: Development and impact of an online educational resource for clinicians working with children with developmental coordination disorder. Paper presented at the 19th Congress of the French Society of Physical Medicine and Rehabilitation and the 19th European Congress of Physical Medicine and Rehabilitation, Marseille, France.
  • Campbell, W., Missiuna, C., Pollock, N., & Gaines, R. (2014, May). Partnering for Change: An innovative model of collaborative service delivery. Poster presented at the 2014 Bi-Annual Convention of the Canadian Association of Speech-Language Pathologists and Audiologists, Ottawa, Ontario.
  • Missiuna, C., Pollock, N., Hecimovich, C., Gaines, R., Bennett, S., Campbell, W., Camden, C., Cairney, J., & DeCola, C. (2013, October). Partnering for Change: transforming health services for children with DCD. Poster presented at the European Academy of Childhood Disability Conference, Newcastle, United Kingdom.
  • Camden, C, Wilson, B., Kirby, A., & Missiuna, C. (2013, June). Best practice principles in Developmental Coordination Disorder: A scoping review. Paper presented at the DCD X International Conference on Developmental Coordination Disorder. Ouro Preto, MG Brazil.
  • Missiuna, C., Pollock, N., Hecimovich, C., Whalen, S., Gaines, R., Bennett, S., Campbell, W., Levac, D., Rivard, L., DeCola, C., & Cairney, J. (2013, June). Partnering for change: Transforming health services for children with developmental coordination disorder in school settings. Poster presented at the DCD X International Conference on Developmental Coordination Disorder, Ouro Preto, MG Brazil.
  • Missiuna, C., Pollock, N., Camden, C., Rivard, L., Wlodarczyk, K., Wilson, B., Gaines, R., Bennett, S., DeCola, C., & Cairney, J. (2013, June). Developing and evaluating resources to promote understanding of DCD. Resources presented at the DCD X International Conference on Developmental Coordination Disorder, Ouro Preto, MG Brazil.
  • Camden, C., Rivard, L., Missiuna, C., & Pollock, N. (2013, June). Evaluation of an online workshop to support evidence-based physiotherapy management of children with DCD. Paper presented at the DCD X International Conference on Developmental Coordination Disorder, Ouro Preto, MG Brazil.
  • Rivard, L., Camden, C., Missiuna, C., & Pollock, N (2013, June). Knowledge-to-Action: involvement of physiotherapists in developing an online workshop to support management of children with DCD. Paper presented at the DCD X International Conference on Developmental Coordination Disorder, Ouro Preto, MG Brazil.
  • Rivard, L., Camden, C., Pollock, N., & Missiuna, C. (2013, May). Knowledge-to Action: Involvement of physiotherapists in developing an online workshop to support management of children with developmental coordination disorder. Poster presented at the Canadian Child Health Clinician Scientist Program 11th Annual Symposium, Toronto, Ontario.
  • Rivard, L., Camden, C., Pollock, N., & Missiuna, C. (2013, May). Knowledge-to Action: Involvement of physiotherapists in developing an online workshop to support management of children with developmental coordination disorder. Poster presented at the McMaster University Faculty of Health Sciences 2013 Research Plenary, Hamilton, Ontario. *Poster awarded an Excellence in Poster Presentation Award.
  • Wilson, B., Kirby, A., Camden, C., & Missiuna, C. (2013, May). Best Practice Principles in Developmental Coordination Disorder: A scoping review. Extended discussion presented at the Canadian Association of Occupational Therapists’ National Conference, Victoria, British Columbia.

Invited Keynote Speeches

Invited Keynote Speeches

  • Missiuna, C. (2014, May). Implementing and Evaluating Partnering for Change: Project Overview. Keynote speaker at a forum in Cardiff, Whales.
  • Missiuna, C. (2014, May). Putting the “O” back in: The Challenges and opportunities of occupation centred practice. Keynote speaker at the Association of Occupational Therapists Conference. Wexford, Ireland.
  • Missiuna, C. (2014, May). Count me in: Putting the “O” back in OT. Keynote speaker at the Research in Child and Youth Occupations Conference, London, England.