scholarly journals Implementation Research: Embracing Practitioners' Views

2018 ◽  
Vol 61 (3) ◽  
pp. 645-657 ◽  
Author(s):  
Julie L. Feuerstein ◽  
Lesley B. Olswang ◽  
Kathryn J. Greenslade ◽  
Patricia Dowden ◽  
Gay Lloyd Pinder ◽  
...  
Keyword(s):  
Early Intervention ◽  
Young Children ◽  
Implementation Research ◽  
Qualitative Data ◽  
Physical Disabilities ◽  
Critical Role ◽  
Implementation Process ◽  
Routine Practice ◽  
Intentional Communication ◽  
The Impact

Purpose This research explores practitioners' perspectives during the implementation of triadic gaze intervention (TGI), an evidence-based protocol for assessing and planning treatment targeting gaze as an early signal of intentional communication for young children with physical disabilities. Method Using qualitative methods, 7 practitioners from 1 early intervention center reported their perceptions about (a) early intervention for young children with physical disabilities, (b) acceptability and feasibility in the use of the TGI protocol in routine practice, and (c) feasibility of the TGI training. Qualitative data were gathered from 2 semistructured group interviews, once before and once after TGI training and implementation. Results Qualitative results documented the practitioners' reflections on recent changes to early intervention service delivery, the impact of such change on TGI adoption, and an overall strong enthusiasm for the TGI protocol, despite some need for adaptation. Conclusion These results are discussed relative to adapting the TGI protocol and training, when considering how to best bring about change in practice. More broadly, results highlighted the critical role of researcher–practitioner collaboration in implementation research and the value of qualitative data for gaining a richer understanding of practitioners' perspectives about the implementation process.

scholarly journals Contextual Barriers and Enablers to Safewards Implementation in Victoria, Australia: Application of the Consolidated Framework for Implementation Research

2021 ◽  
Vol 12 ◽  
Author(s):  
Justine Fletcher ◽  
Lisa Brophy ◽  
Jane Pirkis ◽  
Bridget Hamilton
Keyword(s):  
Implementation Research ◽  
Qualitative Data ◽  
Routine Practice ◽  
Ward Staff ◽  
Effective Implementation ◽  
International Evidence ◽  
Barriers And Enablers ◽  
Implementation Period ◽  
Service Environments ◽  
Key Staff

Background: Safewards is a complex psychosocial intervention designed to reduce conflict and containment on inpatient mental health units. There is mounting international evidence of the effectiveness and acceptability of Safewards. However, a significant challenge exists in promising interventions, such as Safewards, being translated into routine practice. The Consolidated Framework for Implementation Research (CFIR) provides a framework through which to understand implementation in complex health service environments. The aim was to inform more effective implementation of Safewards using the CFIR domains and constructs, capitalizing on developing an understanding of variations across wards.Method: Seven Safewards Leads completed the Training and Implementation Diary for 18 wards that opted in to a trial of Safewards. Fidelity Checklist scores were used to categorize low, medium and high implementers of Safewards at the end of the 12-week implementation period.Results: Qualitative data from the diaries were analyzed thematically and coded according to the five CFIR domains which included 39 constructs. Twenty-six constructs across the five domains were highlighted within the data to have acted as a barrier or enabler. Further analysis revealed that six constructs distinguished between low, medium, and high implementing wards.Discussion: Our findings suggest that for implementation of Safewards to succeed, particular attention needs to be paid to engagement of key staff including managers, making training a priority for all ward staff, adequate planning of the process of implementation and creating an environment on each inpatient unit that prioritize and enables Safewards interventions to be undertaken by staff regularly.

The impact of the “Stirrup Some Fun” therapeutic horseback riding program: A qualitative investigation

2008 ◽  
Vol 7 (2) ◽  
pp. 19 ◽  
Author(s):  
Steven Elliott, PhD ◽  
Janet A. Funderburk, PhD, LRT/CTRS ◽  
James M. Holland
Keyword(s):  
Social Relationships ◽  
Qualitative Data ◽  
Physical Disabilities ◽  
Therapeutic Riding ◽  
Horseback Riding ◽  
Qualitative Investigation ◽  
Therapeutic Horseback Riding ◽  
The Social ◽  
Perceived Impact ◽  
The Impact

Therapeutic horseback riding is an intervention utilizing horses in the treatment of individuals with emotional, cognitive, and/or physical disabilities. The purpose of this study was to investigate the perceived impact of a therapeutic riding program on children with mild to moderate physical and mental disabilities. Two groups of participants including five children (with a variety of physical and cognitive disabilities) and at least one parent of each of the five children were interviewed to investigate the impact of the Stirrup Some Fun Therapeutic Riding Program (SSF TRP). Qualitative data analysis procedures were used to explore participants’ views and opinions of the SSF TRP. Several themes emerged from the interviews with the participants and their parents, including (a) enjoyment, (b) the child/animal connection, (c) social relationships with volunteers, (d) perceived physical benefits, and (e) the social and mental benefits of the program.

scholarly journals Unintended consequences: a qualitative study exploring the impact of collecting implementation process data with phone interviews on implementation activities

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Inga Gruß ◽  
Arwen Bunce ◽  
James Davis ◽  
Rachel Gold
Keyword(s):  
Data Collection ◽  
Qualitative Data ◽  
Implementation Process ◽  
Process Data ◽  
Data Collection Methods ◽  
Implementation Processes ◽  
The Impact ◽  
Collection Methods ◽  
Qualitative Data Collection

Abstract Background Qualitative data are crucial for capturing implementation processes, and thus necessary for understanding implementation trial outcomes. Typical methods for capturing such data include observations, focus groups, and interviews. Yet little consideration has been given to how such methods create interactions between researchers and study participants, which may affect participants’ engagement, and thus implementation activities and study outcomes. In the context of a clinical trial, we assessed whether and how ongoing telephone check-ins to collect data about implementation activities impacted the quality of collected data, and participants’ engagement in study activities. Methods Researchers conducted regular phone check-ins with clinic staff serving as implementers in an implementation study. Approximately 1 year into this trial, 19 of these study implementers were queried about the impact of these calls on study engagement and implementation activities. The two researchers who collected implementation process data through phone check-ins with the study implementers were also interviewed about their perceptions of the impact of the check-ins. Results Study implementers’ assessment of the check-ins’ impact fell into three categories: (1) the check-ins had no effect on implementation activities, (2) the check-ins served as a reminder about study participation (without relating a clear impact on implementation activities), and (3) the check-ins caused changes in implementation activities. The researchers similarly perceived that the phone check-ins served as reminders and encouraged some implementers’ engagement in implementation activities; their ongoing nature also created personal connections with study implementers that may have impacted implementation activities. Among some study implementers, anticipation of the check-in calls also improved their ability to recount implementation activities and positively affected quality of the data collected. Conclusion These results illustrate the potential impact of qualitative data collection on implementation activities during implementation science trials. Mitigating such effects may prove challenging, but acknowledging these consequences—or even embracing them, perhaps by designing data collection methods as implementation strategies—could enhance scientific rigor. This work is presented to stimulate debate about the complexities involved in capturing data on implementation processes using common qualitative data collection methods. Trial registration ClinicalTrials.gov, NCT02325531. Registered 15 December 2014.

scholarly journals Changes in out of home care and permanence planning among young children in Scotland, 2003 to 2017

2018 ◽  
Vol 42 (3) ◽  
pp. 282-294 ◽  
Author(s):  
Ruth Woods ◽  
Gillian Henderson
Keyword(s):  
Foster Care ◽  
Early Intervention ◽  
Young Children ◽  
Home Care ◽  
Extended Family ◽  
Out Of Home Care ◽  
Two Samples ◽  
Birth Family ◽  
The Uk ◽  
The Impact

UK policy has increasingly promoted early intervention and permanence planning for children who experience, or are at risk of experiencing, abuse or neglect, raising the question of whether these practices have actually increased ‘on the ground.’ There is already evidence of growing early intervention in the form of out of home care, in England as well as Australia and Canada. However, we do not yet know whether this trend also exists in Scotland. Furthermore, there is no research investigating whether rates of permanence planning have changed anywhere in the UK or globally. The current study addressed these gaps through a comparison of two samples of children in Scotland: 110 children born in 2003 and 117 born in 2013, all of whom were placed under compulsory measures of supervision prior to three years of age. The 2013 cohort was significantly more likely than the 2003 cohort to be removed from their parents at birth, to reside away from parents throughout the first three years of life and to live apart from parents at three years of age. Significantly more of the 2013 cohort than the 2003 cohort had a plan for permanence by three years. These findings are consistent with the view that policy changes in the UK are affecting practice (although practice changes may have resulted from other sources as well/instead). The fall in parental care was largely compensated by an increase in the use of foster care, which has resource implications. Children removed from their parents at birth were usually not returned in the first three years of life, not raised by extended family members, and were separated from one or more siblings. This typically reduced instability for young children, but also entailed substantial birth family fragmentation. The impact on children and families of early removal into foster care must therefore be carefully assessed in light of the increasing prevalence of this practice in Scotland and elsewhere.

scholarly journals Confronting Racism and Bias Within Early Intervention: The Responsibility of Systems and Individuals to Influence Change and Advance Equity

2021 ◽  
pp. 027112142199247
Author(s):  
Sheresa Boone Blanchard ◽  
Jennifer Ryan Newton ◽  
Katherine W. Didericksen ◽  
Michael Daniels ◽  
Kia Glosson
Keyword(s):  
Early Intervention ◽  
Young Children ◽  
Conceptual Model ◽  
Social Stratification ◽  
Equitable Access ◽  
Children Of Color ◽  
Systemic Racism ◽  
Level Change ◽  
The Impact ◽  
Harmful Effects

Many early intervention systems are focused on “fixing” children to support development and inclusion. However, we need to acknowledge systemic racism and bias to focus on early settings, schools, and practitioners who are ready for all children. Furthermore, knowledge about the existence of bias and its possible harmful effects support a need for thoughtful, systems-level decisions. We propose a conceptual model for acknowledging the impact of social stratification mechanisms like systemic racism on the development of young children of color in early intervention to ensure equitable access and outcomes. Through this acknowledgment, we can consider systems-level change to build equity-empowered settings and classrooms that support optimal development for all children, especially children of color and with disabilities.

scholarly journals Exploring the lived experience of the Social ABCs parent-mediated intervention study

2021 ◽  
Author(s):  
Melanie Elizabeth Fenwick
Keyword(s):  
Early Intervention ◽  
Young Children ◽  
Lived Experience ◽  
Family System ◽  
Autism Spectrum ◽  
Structured Interviews ◽  
The Social ◽  
The Family ◽  
Intervention Impact ◽  
The Impact

In light of the paucity of research investigating the impact on the family of parent-inclusive models of intervention for young children with Autism Spectrum Disorder (ASD), this study explored the lived experience of families involved in the Social ABCs parent-mediated intervention for toddlers with ASD. Influenced by phenomenological inquiry, semi-structured interviews were conducted with seven parents from six families. Parents were asked a range of broad open-ended questions, some of which were guided by the literature on family outcomes of early intervention for children with disabilities. Using thematic analysis, the findings revealed several themes that highlighted the impact of the Social ABCs intervention on the child, the parent, and the family as a system. Five themes are discussed as they provide insight into the lived experience of families involved in the intervention: impact on child, impact on parents, impact on the family system, feasibility of implementation, and reflections on the Social ABCs experience. These findings may be useful for informing practice, policy and program development related to early intervention for young children with ASD and their families.

Speech outcome in young children born with unilateral cleft lip and palate treated with one- or two-stage palatal repair and the impact of early intervention

2017 ◽  
Vol 44 (2) ◽  
pp. 58-66 ◽  
Author(s):  
Liisi Raud Westberg ◽  
Lena Höglund Santamarta ◽  
Jenny Karlsson ◽  
Jill Nyberg ◽  
Erik Neovius ◽  
...  
Keyword(s):  
Early Intervention ◽  
Young Children ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Two Stage ◽  
The Impact

scholarly journals Exploring the lived experience of the Social ABCs parent-mediated intervention study

2021 ◽  
Author(s):  
Melanie Elizabeth Fenwick
Keyword(s):  
Early Intervention ◽  
Young Children ◽  
Lived Experience ◽  
Family System ◽  
Autism Spectrum ◽  
Structured Interviews ◽  
The Social ◽  
The Family ◽  
Intervention Impact ◽  
The Impact

In light of the paucity of research investigating the impact on the family of parent-inclusive models of intervention for young children with Autism Spectrum Disorder (ASD), this study explored the lived experience of families involved in the Social ABCs parent-mediated intervention for toddlers with ASD. Influenced by phenomenological inquiry, semi-structured interviews were conducted with seven parents from six families. Parents were asked a range of broad open-ended questions, some of which were guided by the literature on family outcomes of early intervention for children with disabilities. Using thematic analysis, the findings revealed several themes that highlighted the impact of the Social ABCs intervention on the child, the parent, and the family as a system. Five themes are discussed as they provide insight into the lived experience of families involved in the intervention: impact on child, impact on parents, impact on the family system, feasibility of implementation, and reflections on the Social ABCs experience. These findings may be useful for informing practice, policy and program development related to early intervention for young children with ASD and their families.

The Laryngeal Epithelium in Reflux

2011 ◽  
Vol 21 (3) ◽  
pp. 112-117 ◽  
Author(s):  
Elizabeth Erickson-Levendoski ◽  
Mahalakshmi Sivasankar
Keyword(s):  
Laryngopharyngeal Reflux ◽  
Critical Role ◽  
Structure And Function ◽  
Laryngeal Disease ◽  
Health And Disease ◽  
And Function ◽  
The Impact

The epithelium plays a critical role in the maintenance of laryngeal health. This is evident in that laryngeal disease may result when the integrity of the epithelium is compromised by insults such as laryngopharyngeal reflux. In this article, we will review the structure and function of the laryngeal epithelium and summarize the impact of laryngopharyngeal reflux on the epithelium. Research investigating the ramifications of reflux on the epithelium has improved our understanding of laryngeal disease associated with laryngopharyngeal reflux. It further highlights the need for continued research on the laryngeal epithelium in health and disease.

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