Implementation of a knowledge translation strategy to promote early evidence-based rehabilitation for children with cerebral palsy

实施知识转化策略,以促进脑瘫儿童早期循证康复

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Abstract

AIM: To understand the impact of a knowledge translation strategy that integrates the Early Detection and Intervention Toolkit for Cerebral Palsy (EDIT-CP) electronic knowledge translation toolkit to support rehabilitation professionals using evidence-based interventions. METHOD: A mixed-methods study using the Knowledge-to-Action Framework evaluated the knowledge translation strategy. Twenty-three rehabilitation professionals participated in a 15-week knowledge translation strategy, including online training, newsletters, and support for site champions. Baseline and post-intervention assessments measured changes in evidence-based practice (EBP) activities, attitudes, confidence, and resources. Feasibility, acceptability, and appropriateness of the toolkit were also assessed. Focus groups provided qualitative data on organizational barriers and facilitators. RESULTS: No significant change was found across the three EBP constructs. The largest effect was for EBP attitudes/confidence (r = 0.49), followed by resources (r = 0.26) and activities (r = 0.22). One mentorship-related item reached significance (p < 0.05). Participants rated the toolkit as acceptable and feasible, though systemic challenges may limit sustainability. INTERPRETATION: The knowledge translation strategy enhanced EBP uptake among rehabilitation professionals working with children with cerebral palsy. Addressing organizational challenges is essential for long-term success.

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