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Towards a paradigm shift in pediatric rehabilitation: accelerating the uptake of evidence on participation into routine clinical practice.

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Title: Towards a paradigm shift in pediatric rehabilitation: accelerating the uptake of evidence on participation into routine clinical practice.
Authors: Anaby, D., Khetani, M., Piskur, B., van der Holst, M., Bedell, G., Schakel, F., de Kloet, A., Simeonsson, R., Imms, C.
Source: Disability & Rehabilitation. May2022, Vol. 44 Issue 9, p1746-1757. 12p.
Subjects: Well-being, Stakeholder analysis, Health outcome assessment, Disability determination, Rehabilitation of children with disabilities, Interprofessional relations, Health promotion
Abstract: Evidence for the importance of focusing on participation to promote health and wellbeing in childhood-onset disability exists, but practice is slow to change. This paper provides a knowledge translation roadmap to accelerate uptake of participation evidence into day-to-day practice. A structured roadmap to guide knowledge translation initiatives for implementing participation-based practices in co-creation with service users was developed based on elements from: the Five-factorframework for predicting implementation outcomes, the Cultural Cone framework, and the Knowledge-to-Action model. Guiding principles paired with examples of multi-component knowledge implementation strategies to facilitate readiness for change by stakeholders at the micro (e.g., client/family, service providers), meso (e.g., administrators within organisations such as rehabilitation centres, hospitals, schools) and macro (e.g., local and governmental policy, regulatory bodies) levels are introduced. Solution-based strategies are provided to facilitate "readiness to change" for each stakeholder group. The strategies are examples for successful implementation of evidence-based interventions/approaches that can be contextualized across settings. The knowledge translation roadmap can assist children and families, service providers, administrators, and policymakers to bridge existing knowledge-to-practice gaps surrounding participation. Partnering and collaborating through a "family-clinician-manager-community leader-policymaker" synergy is key for achieving strategic practice change focussed on participation. Sound evidence surrounding the topic of participation, including effective assessments and interventions, is available and ready for use. Shifting towards participation-focused practices for children and youth with disabilities requires a systemic multi-level KT approach. Our Participation-KT roadmap, comprised of a framework and a list of principles and strategies for implementation, can be used to guide all stakeholders to foster a shift in practice. Forming partnerships and working collaboratively with all stakeholders is key for successful implementation. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Towards a paradigm shift in pediatric rehabilitation: accelerating the uptake of evidence on participation into routine clinical practice.
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  Data: <searchLink fieldCode="AR" term="%22Anaby%2C+D%2E%22">Anaby, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Khetani%2C+M%2E%22">Khetani, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Piskur%2C+B%2E%22">Piskur, B.</searchLink><br /><searchLink fieldCode="AR" term="%22van+der+Holst%2C+M%2E%22">van der Holst, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Bedell%2C+G%2E%22">Bedell, G.</searchLink><br /><searchLink fieldCode="AR" term="%22Schakel%2C+F%2E%22">Schakel, F.</searchLink><br /><searchLink fieldCode="AR" term="%22de+Kloet%2C+A%2E%22">de Kloet, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Simeonsson%2C+R%2E%22">Simeonsson, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Imms%2C+C%2E%22">Imms, C.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. May2022, Vol. 44 Issue 9, p1746-1757. 12p.
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  Data: Evidence for the importance of focusing on participation to promote health and wellbeing in childhood-onset disability exists, but practice is slow to change. This paper provides a knowledge translation roadmap to accelerate uptake of participation evidence into day-to-day practice. A structured roadmap to guide knowledge translation initiatives for implementing participation-based practices in co-creation with service users was developed based on elements from: the Five-factorframework for predicting implementation outcomes, the Cultural Cone framework, and the Knowledge-to-Action model. Guiding principles paired with examples of multi-component knowledge implementation strategies to facilitate readiness for change by stakeholders at the micro (e.g., client/family, service providers), meso (e.g., administrators within organisations such as rehabilitation centres, hospitals, schools) and macro (e.g., local and governmental policy, regulatory bodies) levels are introduced. Solution-based strategies are provided to facilitate "readiness to change" for each stakeholder group. The strategies are examples for successful implementation of evidence-based interventions/approaches that can be contextualized across settings. The knowledge translation roadmap can assist children and families, service providers, administrators, and policymakers to bridge existing knowledge-to-practice gaps surrounding participation. Partnering and collaborating through a "family-clinician-manager-community leader-policymaker" synergy is key for achieving strategic practice change focussed on participation. Sound evidence surrounding the topic of participation, including effective assessments and interventions, is available and ready for use. Shifting towards participation-focused practices for children and youth with disabilities requires a systemic multi-level KT approach. Our Participation-KT roadmap, comprised of a framework and a list of principles and strategies for implementation, can be used to guide all stakeholders to foster a shift in practice. Forming partnerships and working collaboratively with all stakeholders is key for successful implementation. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/09638288.2021.1903102
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              Text: May2022
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