Barriers and Facilitators to the Adoption of Evidence-Based Interventions for Adults Within Occupational and Physical Therapy Practice Settings: A Systematic Review

Kinney, Adam R.; Stearns‐Yoder, Kelly A.; Hoffberg, Adam S.; Middleton, Addie; Weaver, Jennifer; Roseen, Eric J.; Juckett, Lisa A.; Brenner, Lisa A.

doi:10.1016/j.apmr.2023.03.005

Cited by 6 publications

(1 citation statement)

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“…A known implementation challenge is the time needed for the implementation process, in addition to other factors like knowledge, allocated personnel, and finances [ 58 , 59 ]. The process can be sped up by employing hybrid implementation-effectiveness study designs [ 60 ].…”

Section: Challenges For Researchmentioning

confidence: 99%

Current and Future Challenges for Rehabilitation for Inflammatory Arthritis

Moe,

Vliet Vlieland

2024

JCM

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This narrative review discusses the importance of rehabilitation in rheumatic and musculoskeletal diseases (RMDs), ultimately aiming to reduce their impact on individuals and society. It specifically emphasizes the need for rehabilitation in inflammatory arthritis (IA), particularly in cases where medical management is insufficient. It acknowledges that the complexity of rehabilitation demands a flexible approach. Thereby, it touches on the various models of rehabilitation, which may include multidisciplinary team care, extended practice models, shared care, remote care, and work rehabilitation. It discusses the challenges in research, practice, and policy implementation. In research, the need for innovative research designs is highlighted, whereas regarding clinical practice the importance of early detection of disability and patient engagement is underlined, as well as the role of telehealth and AI in reshaping the rehabilitation landscape. Financial barriers and work force shortages are identified as challenges that hinder the effective delivery of rehabilitative care. On the policy level, this paper suggests that the allocation of healthcare resources often prioritizes acute conditions over chronic diseases, leading to disparities in care. This paper concludes by emphasizing the critical role of evidence-based rehabilitation in improving the quality of life for people with RMDs, in particular for those with IA, and promoting their healthy aging. It also calls for tailored rehabilitation models and the early identification of persons with rehabilitation needs as future challenges in this field.

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Section: Challenges For Researchmentioning

confidence: 99%

Current and Future Challenges for Rehabilitation for Inflammatory Arthritis

Moe,

Vliet Vlieland

2024

JCM

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Middle-Level Managers: Untapped Champions of Evidence-Based Practice?

Grandbois,

Penrod,

McGrath

et al. 2024

Perspect ASHA SIGs

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Purpose: The purpose of this article is to contend that middle-level managers (MMs) are an untapped resource in speech-language pathology to champion the implementation of evidence-based practices in routine clinical settings. Relevant literature is presented related to middle-level managers and their role in closing the research-to-practice gap. We additionally describe empirical examples from related fields and clinical examples from individuals who are conducting this work now in speech-language pathology. Conclusions: Although more research is needed, there is growing evidence that MMs have responsibilities beyond traditional supervisory roles. We argue that they may be key personnel to closing the research-to-practice gap by championing the implementation of evidence-based practice and, as such, we recommend further research and exploration of this innovative area.

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