Hanson Jessica, Sasitharan Akash, Ogourtsova Tatiana, Majnemer Annette
The Research Center of the Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, Canada.
School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
Disabil Rehabil. 2025 Feb;47(4):827-839. doi: 10.1080/09638288.2024.2360661. Epub 2024 Jun 8.
Cerebral palsy (CP) is the most common childhood physical disability, imposing substantial costs on individuals and society. Early interventions that promote brain optimization and reorganization are vital for children with CP. Integrating early evidence-based practice (EBP) remains challenging but enhances functional outcomes.
Following a scoping review methodology, databases were searched to identify studies examining the impact of knowledge translation (KT) strategies for pediatric CP interventions. Extraction included study characteristics, methodology, KT strategies, barriers, and facilitators. Numerical and inductive content analysis identified themes among KT strategies. A final stakeholder consultation to discuss the results was conducted.
This review included seventeen articles. Common outcomes included participant change in EBP knowledge and behaviour. Common barriers included a need for more resources, protected time, and funding. Most studies followed a multifaceted KT approach. Various KT strategies were used, primarily mentoring, workshops, case studies, and online tools.
Results underscored the need for tailored KT strategies for implementing EBP for children with CP. Additionally, user-friendly KT tools and involving mentors to facilitate the intervention can haste EBP uptake. Successful adoption depends on challenges in healthcare settings. This study provides insights into current KT strategies for advancing best practices for children with CP.
脑性瘫痪（CP）是儿童期最常见的身体残疾，给个人和社会带来巨大成本。促进大脑优化和重组的早期干预对脑性瘫痪儿童至关重要。整合早期循证实践（EBP）仍然具有挑战性，但能改善功能结局。
遵循范围综述方法，检索数据库以识别研究儿科脑性瘫痪干预措施知识转化（KT）策略影响的研究。提取内容包括研究特征、方法、KT策略、障碍和促进因素。数值和归纳性内容分析确定KT策略中的主题。最后进行了利益相关者咨询以讨论结果。
本综述纳入了17篇文章。常见结果包括参与者在循证实践知识和行为方面的改变。常见障碍包括需要更多资源、受保护的时间和资金。大多数研究采用多方面的知识转化方法。使用了各种知识转化策略，主要是指导、工作坊、案例研究和在线工具。
结果强调需要为脑性瘫痪儿童实施循证实践制定量身定制的知识转化策略。此外，用户友好的知识转化工具以及让指导者参与促进干预可以加速循证实践的采用。成功采用取决于医疗环境中的挑战。本研究为推进脑性瘫痪儿童最佳实践的当前知识转化策略提供了见解。
