School of Physical and Occupation Therapy, McGill University, Quebec, Canada.
University of Illinois at Chicago, Chicago, IL, USA.
Disabil Rehabil. 2022 May;44(9):1746-1757. doi: 10.1080/09638288.2021.1903102. Epub 2021 Apr 8.
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.Implications for RehabilitationSound 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.
关注参与对于促进儿童期残疾者的健康和幸福至关重要，这方面已有证据，但实践转变缓慢。本文提供了一份知识转化路线图，以加速将参与证据纳入日常实践。
在与服务使用者共同创作的基础上，基于以下内容制定了指导实施基于参与的实践的知识转化举措的结构化路线图：预测实施结果的五因素框架、文化锥框架和知识转化模型。
介绍了与示例一起的指导原则，以促进微观层面（例如，客户/家庭、服务提供者）、中观层面（例如，康复中心、医院、学校等组织内的管理人员）和宏观层面（例如，地方和政府政策、监管机构）利益相关者为变革做好准备的多组件知识实施策略。为每个利益相关者群体提供了解决方案策略，以促进他们“改变的意愿”。这些策略是在不同环境中成功实施基于证据的干预/方法的示例。
知识转化路线图可以帮助儿童及其家庭、服务提供者、管理人员和政策制定者缩小参与方面现有的知识与实践差距。通过“家庭-临床医生-经理-社区领导者-政策制定者”的协同作用进行合作是实现以参与为重点的战略实践变革的关键。
围绕参与主题的相关证据，包括有效的评估和干预措施，已经存在并且可以随时使用。将残疾儿童和青年的实践转向以参与为重点，需要系统的多层面知识转化方法。我们的参与知识转化路线图，由框架和实施的原则和策略清单组成，可用于指导所有利益相关者促进实践的转变。与所有利益相关者建立伙伴关系并进行协作是成功实施的关键。
