Evidence map›Paper›PMID 39773757›Full record

ArticleImplementation science communications2025

Education strategies are the most commonly used in pediatric rehabilitation implementation research: a scoping review.

Sahar Ghahramani, Sophia C Larson, Allison J L'Hotta, Kelly M Harris, Kim Lipsey, Elvin H Geng, Lisa A Juckett, Catherine R Hoyt

Erratum issuedAbstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Sahar GhahramaniDivision of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA. sghahram@usc.edu.ORCID http://orcid.org/0000-0002-9983-777X
Sophia C LarsonProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0009-0000-4829-4106
Allison J L'HottaSchool of Medicine, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO, USA.ORCID http://orcid.org/0000-0001-7825-2492
Kelly M HarrisProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-5282-4226
Kim LipseyWashington University School of Medicine, Becker Medical Library, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-6225-3957
Elvin H GengDepartment of Medicine, Division of Infectious Disease, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-0825-1424
Lisa A JuckettSchool of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-8587-7172
Catherine R HoytProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-3398-9439

Funding

Early Identification Of Developmental Delay Among Infants And Toddlers With Sickle Cell DiseaseK23HL161328 · NHLBI · WASHINGTON UNIVERSITY · PI Catherine Rose Hoyt · 2023 to 2026
$554k
NHLBI NIH HHS K23 HL161328NHLBI NIH HHS K23HL161328-01A1Washington University School of Medicine in St. Louis CDI_2023-01-CAM
6 · The paper itself

Abstract

backgroundApproximately one in six children has a disability, and effective, evidence-based rehabilitation can ameliorate the impact of these conditions over the lifespan. However, implementing interventions in real-world settings remains a challenge. This scoping review aimed to summarize the characteristics, implementation strategies, and outcomes of implementation studies in pediatric rehabilitation.

methodsA comprehensive search was conducted in PubMed/MEDLINE, EMBASE, CINAHL, SCOPUS, and Web of Science from the database inception to December 2, 2022. Studies testing implementation strategies in pediatric rehabilitation interventions were included. Data extracted included study characteristics (e.g., country, intervention type, field of rehabilitation), implementation strategies characterized using the Expert Recommendations for Implementing Change taxonomy, and outcomes based on the Implementation Outcomes Framework.

resultsOf the 11,740 studies identified, 44 met the inclusion criteria. Most studies were conducted in the United States (n = 15, 34%) or Canada (n = 10, 23%) and used a mixed-methods design (n = 13, 30%). Interventions primarily targeted motor skills (n = 19, 43%) and were conducted in outpatient settings (n = 14, 32%) or homes (n = 11, 23%). The most commonly used implementation strategies were "train and educate key informant" (n = 21, 48%) and "use evaluative/iterative strategies" (n = 19, 43%). Feasibility (n = 19, 43%) and acceptability (n = 16, 36%) were the most frequently targeted implementation outcomes.

conclusionsReporting implementation strategies and outcomes in pediatric rehabilitation studies is limited and highly variable. Most strategies focused on developing and sharing educational materials, while administrative and systems-level interventions were largely absent. Standardized documentation of implementation strategies and outcomes could advance the field's understanding of the effective development of interventions designed for implementation, encouraging faster uptake of effective interventions.

Indexed as

ImplementationOccupational therapyPediatricsPhysical therapyRehabilitationSpeech language pathology

Identifiers

PMID39773757
PMCPMC11706032

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.