A ciência da nutrição experimentou nos últimos anos avanço bastante representativo em produção de evidências científicas, mas ainda permanece incerto em que medida tais ganhos quantitativos acarretam em melhoria da qualidade da atenção à saúde. Sendo assim, objetivou-se sistematicamente mapear e categorizar as intervenções e programas que demonstram como as condutas nutricionais baseadas em evidências têm sido implementadas por profissionais de saúde na atenção primária, buscando também compreender barreiras e potencialidades para que tal implementação aconteça. Para isso, foi realizada uma revisão do tipo scoping review seguindo os preceitos do Instituto Joanna Briggs, considerando-se estudos primários sobre implementação de práticas que abordassem questões relacionadas à alimentação e nutrição, no que diz respeito a recomendações dietéticas e/ou aconselhamento nutricional dentro do contexto da prática baseada em evidências, em serviços de atenção primária à saúde, tendo os profissionais de saúde atuantes nesses serviços como agentes da implementação. Foram consultadas sete bases de dados eletrônicas (PubMed, CINAHL, EMBASE, LILACS, PsycINFO, ERIC e SCOPUS), identificando-se 3096 registros que resultaram em 14 artigos selecionados, todos em língua inglesa, publicados entre os anos de 2004 e 2016, com maior concentração em países do continente europeu. Estes trouxeram diferentes vertentes do processo de implementação acerca de seis importantes temas: Controle de peso (Sobrepeso/Obesidade), Alimentação infantil, Consumo de bebidas alcóolicas, Aleitamento materno, Cuidado ao paciente diabético e Risco nutricional/Desnutrição. Os profissionais enfermeiros apareceram como os principais responsáveis por realizar condutas nutricionais junto à população atendida pelas unidades de saúde. O processo de implementação de condutas nutricionais baseadas em evidências em serviços de atenção primária se apoiou em quatro principais eixos: 1) Reconhecimento das necessidades de saúde e características dos serviços e profissionais de saúde para atender as demandas; 2) Desenvolvimento de ações educativas junto aos profissionais de saúde; 3) Trabalho em equipe e prática interprofissional colaborativa; 4) Adequação das intervenções à realidade dos serviços e Atenção centrada no paciente. As barreiras predominantes à implementação foram: indisponibilidade de tempo, incompatibilidade das intervenções com as condições de vida e necessidades de saúde dos pacientes, falta de recursos, e relações conflituosas entre profissionais e pacientes. Por outro lado, foram identificadas potencialidades como treinamentos pré-intervenção bem estruturados, intervenções moldáveis às necessidades de saúde dos pacientes e realidade dos serviços, supervisão e suporte de profissionais especialistas, presença de materiais de apoio e fortalecimento do trabalho em equipe. Conclui-se que o elemento-chave das condutas nutricionais não reside apenas nas evidências científicas, mas primordialmente no processo de implementação, que ao contemplar os quatro eixos acima referidos, pode contribuir em muito para uma melhor qualidade da atenção à saúde nos serviços de atenção primária à saúde. / Although in recent years, the science of nutrition has made considerable progress in the production of scientific evidence, it remains uncertain up to what extent these quantitative gains lead to improvements in the quality of health care. Thus, the objective was to systematically map and categorize interventions and programs that demonstrate how evidence-based nutritional management have been implemented by health professionals in primary care, seeking also to understand barriers and potential for such implementation to occur. For this purpose, a review of the scoping review type was carried out following the precepts of the Joanna Briggs Institute, considering primary studies on the implementation of practices that address issues related to food and nutrition, regarding dietary recommendations and / or nutritional counseling in the context of evidence-based practice in primary health care services, considering health professionals working in these services as agents of implementation. Seven electronic databases (PubMed, CINAHL, EMBASE, LILACS, PsycINFO, ERIC and SCOPUS) were consulted, identifying 3096 records that resulted in 14 selected articles, all in English, published between the years 2004 and 2016 concentrated mainly in European countries. These articles revealed different aspects of the implementation process on six important topics: Weight control (Overweight/Obesity), Infant feeding, Consumption of alcoholic drinks, Breastfeeding, Diabetic patient care and Nutritional risk / Malnutrition. Nursing professionals appeared as the main responsible for conducting nutritional management among the population served by health units. The process of implementing evidence-based nutritional management in primary care services was based on four main axes: 1) Recognition of health needs and characteristics of health services and professionals to meet the demands; 2) Development of educational actions among health professionals; 3) Collaborative teamwork and interprofessional practice; 4) Adequacy of interventions to the reality of services and Patient-centered care. The predominant barriers to implementation were: unavailability of time, incompatibility of interventions with living conditions and patients\' health needs, lack of resources, and conflicting relationships between professionals and patients. On the other hand, potentialities were identified, such as well-structured pre-intervention training; interventions that were shaped corresponding to patients\' health needs and the reality of services; supervision and support of specialist professionals; existence of materials to support the practice and strengthening of teamwork. It is concluded that the key element of nutritional management lies not only in the scientific evidence, but primarily in the implementation process, which, when encompassing the four axes mentioned above, may contribute greatly to a better quality in health primary health care services.

Buscando estabelecer controles públicos e empiricamente indexados para o comportamento verbal clínico do terapeuta de serviços, um modelo de Prática Psicológica por Evidências, chamado Prática Controlada, foi adaptado, testado e explorado quanto a algumas de suas possibilidades, em condições reais de aplicação. Esse modelo se fundamenta num arranjo específico dos procedimentos terapêuticos e em cinco instrumentos utilizados para a coleta de informações qualitativas e quantitativas pré-intervenção e na coleta continuada de dados empíricos referentes ao nível de perturbação psicológica do cliente, à qualidade da relação terapêutica e ao seu nível de engajamento nas tarefas terapêuticas, ao longo das primeiras 20 sessões de tratamentos de orientação analítico-comportamental para 34 clientes (10 homens, 33,3 ± 14,2 anos, e 24 mulheres, 35,6 ± 9,9 anos) em três cidades diferentes. As terapias foram conduzidas por três terapeutas experientes e quatro inexperientes. Os resultados indicaram que esse modelo de prática controlada produz indexadores empíricos que podem ancorar o comportamento verbal do terapeuta de serviços (suas interpretações e julgamentos teóricos e clínicos) e que são sensíveis à evolução de curto, médio e longo prazo da terapia, além de permitir a produção de evidências públicas clínica e socialmente relevantes dos resultados intermediários e finais do tratamento. Através da análise das séries temporais obtidas, os resultados também sugerem que a avaliação do cliente do seu nível de perturbação psicológica, do seu engajamento nas tarefas terapêuticas e na sua apreciação da qualidade da relação terapêutica pode responder a controles independentes e/ou a variáveis idiossincráticas. Apresenta-se uma discussão sobre teoria da mensuração, escalas de medidas e medidas em psicologia e em psicoterapia e algumas sugestões para pesquisas futuras são oferecidas. / Aiming to establish public and empirically based controls for the therapist-practitioner\"s clinical verbal behavior, a model of Evidence Based Psychological Practice, called Controlled Practice, was adapted, tested and explored in real-world conditions of application. This model is based on a specific arrangement of the therapeutic procedures and on five instruments for collecting qualitative and quantitative pre-intervention information and empirical data and for collecting continued empirical data on the client\"s level of psychological distress, on the therapeutic relationship\"s quality and on the client\"s level of performance at therapeutic tasks along the first 20 sessions of behavior-analytic oriented psychological treatments of 34 clients (10 males, 33,3 ± 14,2 yrs., and 24 females, 35,6 ± 9,9 yrs.) in three different towns. The therapies were delivered by three experienced therapists and four inexperienced. Results indicates that this model of controlled practice may anchor the practitioner verbal behavior (his/her clinical and theoretical interpretations and judgments) on empirically based indexers that are, at the same time, sensitive to the short, medium and long-term evolution of the therapy and may provide clinically and socially relevant public evidences of the treatment\"s intermediate and outcome results. Through the analysis of the time-series collected results also suggested that the client\"s evaluation of his/her level of psychological distress, his/her engagement in the therapeutic tasks and his/her appraisal of the therapeutic relationship may respond to independent controls and/or to idiosyncratic variables. A discussion of the theory of measurement, measurement scales and measures in psychology and psychotherapy is presented and some suggestions for future researches are offered.

Syftet med studien är att undersöka om omsorgspersonalens upplever en förändring under införande av en ny arbetsmetod som är framtagen av Socialstyrelsen, ÄBIC (Äldres behov i centrum). Studien baseras utifrån sju stycken utförares upplevelser i äldreomsorgens hemtjänstgrupper i den utvalda kommunen. Respondenterna är kvinnor i blandade åldrar (uppskattningsvis mellan 20 till 60 år). Studien utgår ifrån kvalitativ metod med fenomenologisk ansats som tillvägagångsätt. Empirin hämtades genom semi-strukturerade intervjuer för att få en mer djupgående förståelse kring respondenternas upplevelser. Intervjuerna ägde rum på varje enskild respondents arbetsplats/enhet för att uppnå en mer trivsam situation för respondenten. Informationen som framkom via intervjuerna har sedan transkriberats och analyserats för att kunna framställa de resultat som varit passande för studiens syfte och frågeställningar. Tidigare forskning och valda teorier för denna studie är framtagna ur forskningsartiklar, avhandlingar, teorier och kurslitteratur som handlar om områden liknande ÄBIC, samt områden/teorier som Socialstyrelsen har använt sig av för att bygga upp metoden. I studiens resultat har det framkommit fyra övergripande kategorier; Implementering, delaktighet och inflytande, utförarnas upplevelser av respons för ÄBIC för den enskilde samt behovsbedömning. Studien framlyser att arbetsmetoden ÄBIC i implementeringsskedet ter sig ge en mer administrativ förändring än synbar förändring för den enskilde kunden. Respondenterna uppger att kunderna/de enskilda överlag är nöjda med hjälpen som vid tidigare arbetssätt. I slutsatsen så framkommer det till största del att kommunen vid införande av ny arbetsmetod inte har fokuserat på alla delar som skall vara kompatibelt med ÄBIC innan uppstart av implementering. Utförarna anser att deras arbetsverktyg är en stor ”bov” i att ÄBIC inte får någon större förändring i själva utförandet. Förhoppningen är att förändringen sker fullt ut när allt är kompatibelt och att denna arbetsmetod bidrar till ett mer kvalitetssäkrat arbete i vård och omsorg för äldre. / The purpose of this study is to investigate whether home care personnel experience a change while introducing a new working method developed by the National Board of Health, “ÄBIC” (Elderly needs in the center). This study is based on data gathered from seven home care staff in the elderly care home groups in the selected municipality. Respondents are women of mixed ages (estimated between 20 to 60m years). This study is based on qualitative methodology with a phenomenological approach. The empirical data was collected through semi-structured interviews to gain a deeper understanding of the respondents’ experiences. The interviews took place at each individual respondent’s workplace / unit in order to achieve a more pleasant situation for the respondent. The information obtained through the interviews has since been transcribed and analyzed to produce the results that were appropriate for the purpose and questions of this study. Previous research and selected theories for this study were developed from research articles, dissertations, theories and course literature that is related to areas similar to ÄBIC, as well as areas / theories that was used by the National Board of Health to build their method. In the results from this study, four main categories have been identified; Implementation, participation and influence, home service staff experiences of ÄBIC responses for the customer / individual, and needs assessment. The results suggests that the working method ÄBIC in the implementation phase appears to give a more administrative change rather than a visible change for the individual customer. Respondents state that customers / individuals are satisfied with the help as in previous work practices. In conclusion, it is largely found that, when introducing a new working method, the municipality are not focused on all parts to be compatible with ÄBIC before launching implementation. The home care staff consider their work tool to be a big "villain" in the fact that ÄBIC does not result in a major change in the performance itself. The hope is that the change takes place fully when everything is compatible and that this method contributes to a more quality assured job in the health and social care for the elderly.

This thesis focuses on the changed governance of the public sector and what it can entail for professional work in substance abuse treatment. The point of departure is one of these new forms of governing, namely ‘knowledge governance’, which refers to a policy-driven process for promoting the use of evidence-based practice.  The overall aim is to contribute to understanding and knowledge of the meaning and the conditions for knowledge governance in substance abuse treatment. The thesis studies how knowledge is interpreted by professionals and adapted to local practice in relation to organizational and professional conditions. The thesis also highlights the implications that   these conditions may have for knowledge development on a professional and organizational level. The empirical material comprises three studies. Study 1 included a document analysis and a literature review. The document analysis examines how knowledge governance is described in official documents, while the focus of the literature review is on the concept of knowledge management. In Studies 2 and 3 focus group interviews were conducted with professionals who participated in a specific project, and professionals who use structured interview methods in their work (Addiction Severity Index, ASI, or Documentation of clients, DOC). The theoretical perspectives used in the thesis are neo-institutional theory, professional theory and perspectives on workplace learning.   The results of Study 1 showed that knowledge governance embodies a steering of organizations, in comparison with knowledge management as a means for steering in organizations. The analyses from the focus group interviews demonstrate that knowledge governance becomes the subject of translations and edits to a local context. This process was affected by both organizational and professional conditions. The thesis is concluded with a discussion of the conditions that must be present if knowledge governance can lead to development of knowledge. The main result is that strategies must be tailored to each organization's specific condition and must be anchored throughout the organization.

Objective: To date, the main focus in frequency lowering hearing aid studies has been in relation to speech perception abilities. With improvements in hearing aid technology, there is a growing interest in musical perception as a dimension that could improve hearing aid users’ quality of life. The purpose of this study was two-fold: Firstly, to develop a test of music perception for adult hearing aid users and secondly, to evaluate the influence of non-linear frequency compression (NFC) on music perception with the use of the Music Perception Test (MPT) compiled by the researcher. Research design and research sample: Phase 1 entailed the compilation of the MPT and can be described as design-based. A quasi-experimental research design was selected to establish the structure of the method employed in Phase 2, which involved the fitting of participants (n=40) with NFC hearing aids. Objective data was obtained with the hearing aids with NFC active and inactive. Phase 3 was characterized by a survey design which elicited subjective impressions of the participants’ musical experiences with NFC active and inactive. Results: Results proved that normal hearing adults as well as adults using hearing aids were able to complete all the sub-tests of the MPT. Furthermore, the use of NFC resulted in a statistically significant improvement in hearing aid users’ perception of timbre and melody, but not of pitch. Overall, no statistically significant improvement in their perception of rhythm was observed, although their performance on some rhythm sub-tests improved significantly. The use of NFC also brought about a statistically significant improvement in hearing aid users’ perception of the music qualities of overall fidelity, tinniness and reverberance. Although participants experienced the loudness, fullness, crispness, naturalness and pleasantness of music more positively with NFC, these benefits were not statistically significant. Conclusion: The MPT can be used successfully for assessing music perception in hearing aid users within the South African context and may therefore result in more accountable hearing aid fittings. The use of NFC may increase hearing aid users’ appreciation of music whilst not influencing music perception negatively. Given that a large percentage of hearing aid users express a loss in enjoyment of music, audiologists should not ignore the possible benefits of NFC, especially if one takes into account that previous research indicated speech perception benefits with this technology. / Thesis (DPhil)--University of Pretoria, 2012. / Speech-Language Pathology and Audiology / Unrestricted

Orientador: Neusa Maria Costa Alexandre / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Enfermagem / Made available in DSpace on 2018-08-24T10:49:29Z (GMT). No. of bitstreams: 1 Rospendowiski_Karina_M.pdf: 1729835 bytes, checksum: f1388fbb6295fbb3e521138374665f49 (MD5) Previous issue date: 2014 / Resumo: INTRODUÇÃO: A Prática Baseada em Evidência compreende "o uso consciente, explícito e judicioso da melhor evidência atual para a tomada de decisão sobre o cuidar individual do paciente". Para a implantação da prática de enfermagem baseada em evidências, compete ao enfermeiro a busca de estratégias que permitam a utilização de pesquisa na prática. O instrumento "Evidence-based practice questionnaire" (EBPQ), avalia atitudes, conhecimento e implantação da Prática Baseada em Evidências. Utiliza Escala de Likert com pontuação de um a sete em três domínios: prática, atitudes e conhecimentos relacionados à Prática Baseada em Evidências. Mostrou-se uma ferramenta útil para mensurar a implantação desta prática com enfermeiros no Reino Unido e na Espanha. OBJETIVO: O presente estudo tem como objetivo adaptar culturalmente o instrumento EBPQ para a língua portuguesa do Brasil e avaliar suas qualidades psicométricas. METODOLOGIA: Estudo metodológico em que fizeram parte professores e alunos de uma Universidade Pública e enfermeiros de um Hospital Público. Foram seguidos os passos essenciais de adaptação cultural de instrumentos de medida: tradução do instrumento para a língua portuguesa, síntese, retro-tradução, avaliação pelo comitê de juízes e pré-teste. Foi verificada a confiabilidade por meio da avaliação da consistência interna e da estabilidade pelo teste-reteste e a validade de constructo com abordagem de grupos conhecidos, do qual fizeram parte enfermeiros com pós-graduação em Mestrado ou Doutorado e enfermeiros com graduação completa. RESULTADOS: As etapas de tradução, síntese e retro-tradução foram realizadas satisfatoriamente. A avaliação pelo comitê de juízes resultou em alterações em alguns itens, assegurando as equivalências entre as versões original e traduzida. Durante o pré-teste, foi verificada a compreensão dos itens para torná-los mais claros. Na avaliação das propriedades psicométricas, a versão brasileira do instrumento mostrou-se confiável, com Coeficiente Alfa de Cronbach satisfatório em todos os domínios (0,91 ¿ 0,68). O Coeficiente de Correlação Intraclasse, que avaliou a estabilidade do instrumento mostrou-se satisfatório para o instrumento como um todo (0,90). Na avaliação da validade de constructo, o instrumento foi capaz de demonstrar diferenças nos escores entre os grupos conhecidos, com pontuações mais elevadas no grupo de enfermeiros com Mestrado ou Doutorado. CONCLUSÃO: As etapas necessárias para a adaptação cultural de instrumentos de medida foram concluídas com sucesso. A versão brasileira obtida apresenta propriedades psicométricas confiáveis para a sua utilização nessa população / Abstract: INTRODUCTION: The Evidence-Based Practice comprehends "the conscious, explicit and judicious use of current best evidence for decision making about the individual caring of patients". To implement the evidence-based practice of nursing, the nurse is responsible for searching strategies that allow the use of research in practice. The instrument "Evidence-based practice questionnaire" (EBPQ) assesses attitudes toward, knowledge of and use of evidence-based practice. It uses Likert Scale which is a seven point scale used in three areas: practice, attitudes and knowledge related to Evidence Based Practice. It was proved to be a useful tool to measure the implementation of this practice with nurses in the United Kingdom and Spain. OBJECTIVE: This study aims to adapt culturally the tool EBPQ to the Portuguese Language and to evaluate its psychometric qualities. METHODOLOGY: For this methodological study, the participants were some teachers and students of a Public University and some nurses of a Public Hospital. The essential steps of cultural adaptation of measurement instruments were followed: instrument translation into Portuguese language, synthesis, retro-translation, evaluation by the committee of judges and pretest .The reliability was checked by means of evaluation of internal consistency and the stability by test-retest and the construct validity with known groups approach. The first group was formed by nurses with Masters' degree or PhD and the second group was formed by nurses with bachelor's degree. RESULTS: The steps of translation, retro-translation and synthesis were performed satisfactorily. The evaluation by the expert panel resulted in changes in some items, ensuring the equivalence between the original and translated versions .During the pretest, the understanding of the items was done in order to make them clearer. The Brazilian version was reliable , with satisfactory results , and it was obtained Cronbach's alpha similar to International studies for all domains ( .91 to .68 ) .The intraclass correlation coefficient , which evaluated the stability was satisfactory for the instrument as a whole ( 0,90 ) .In the assessment of construct validity , there was significant difference between groups in relation to evidence-based practice , with higher scores in the group of nurses with master's or PhD. CONCLUSION: The necessary steps for the cultural adaptation of the measurement instruments were finished successfully. The Brazilian version obtained presents reliable psychometric properties for its use in this population / Mestrado / Enfermagem e Trabalho / Mestra em Ciências da Saúde

Introduction: The field of implementation science provides the variables adoption and reach, which can be used to evaluate aspects to access, a primary incitement for integrated care. This study compared two integrated models: In Year 1, behavioral health consultants worked collaboratively with pediatricians to provide brief on-the-spot consultations to patients with behavioral concerns, and in Year 2, a structured, evidence-based treatment (EBT), the Family Check-Up, was developed to be delivered in conjunction with the existing collaborative model. Method: A chart review revealed the number of children who (a) attended a 4- to 5-year-old well-visit, (B) were screened, (c) were identified as having behavior problems, (d) were referred, and (e) accessed the services. Outcomes were calculated as percentages of children with behavioral concerns who were referred to (adoption) and received (reach) the services in each year. Results: Key findings were that (a) physician referrals increased when an EBT was added, but (b) patients had better first-session contact with the brief approach than the EBT, which few patients completed. Discussion: Results underscore the utility of measuring adoption and reach as partial indicators of access to services. These are accessible variables, collected in every practice that can be measured routinely in the context of quality improvement and, ideally, reported in studies as a way to disseminate knowledge about how to build behavioral health technology into primary care. Future research should strive for more rigor in measuring adoption and reach, and consider including a number of other implementation outcomes.

Introduction: Before 2015 the hand classification in wheelchair rugby consisted of non-sport specific tests. The hand classification was not in accordance with the classification code introduced by the International Paralympic Committee in 2003. In 2015, the newly revised wheelchair rugby classification manual was released, containing the revised wheelchair rugby hand classification. Hand tests that were not functional sport-specific tests were removed from the bench test in wheelchair rugby classification. Lumbrical, interossei and thumb opposition manual muscle testing were added to the bench test in wheelchair rugby classification. On both national and international levels of classification, classifiers verbalised their uncertainty to their fellow panel members regarding their hand placement on the athlete’s hand and interpretation of the manual muscle testing of the hand that was observed and tested. This justified reliability testing of the new hand classification. Aim: The aim of this study was to determine the intra and inter-rater reliability of the manual muscle testing in the new hand classification of wheelchair rugby. Study design: This study followed a quantitative non-experimental, cross-sectional design. Method: The raters who took part in the study were active international wheelchair rugby classifiers from all over the world. The raters received an electronic questionnaire consisting of biographic information and three videos repeated two times. Each video showed an athlete’s hand being classified by a classifier. The raters had to give a manual muscle test grade for each subject (muscle) tested in each video by using tick boxes. The manual muscle test grades that could be given were: 0-1, 2, 3 and 4-5. The first three raters in each international wheelchair rugby classification level who completed the questionnaire were used for the data analysis. Data Analysis: The statistician used the two way model for the ICC in which each subject was rated by the same raters to determine the absolute agreement for each objective. The Medcalc program was used. To indicate the strength of agreement the ranges provided by Landis and Koch (1977) were used: 0.0 – 0.2 slight, 0.21 – 0.4 fair, 0.41 – 0.6 moderate, 0.61 – 0.8 substantial and 0.81 – 1.00 almost perfect. Conclusion: Raters one, two, five, seven, eight and nine’s intraclass correlation coefficient values fell between 0.81-1.00 which is descriptive of almost perfect levels of intra-rater reliability. Raters three, four and six’s intraclass correlation coefficient values fell between 0.61-0.80 which is descriptive of substantial levels of intra-rater reliability. However, none of the raters scored 100% when accuracy was determined. All three levels had intraclass correlation coefficient values which is descriptive of almost perfect levels of intra-rater reliability within each level. Level 2, 3 and 4 classifiers had intraclass correlation coefficient values between 0.81- 1.00 which is descriptive of almost perfect levels of inter-rater reliability when the manual muscle testing grades for the first and repeated videos were compared. Across all nine raters there was a high intraclass correlation coefficient value which was descriptive of almost perfect inter-rater reliability. The accuracy in each level and across all nine raters was low. Finger extensors, thumb abductor and thumb flexor showed intraclass correlation coefficient values between 0.41-0.6 which is descriptive of moderate levels of intrarater reliability. The only subjects (muscles) that were graded accurately when compared to a memorandum were subjects with a manual muscle test grade 0-1 and 4-5. Most of the accurate manual muscle test grades were for athlete two in the video footage. Athlete two was classified as having a 2.0 hand. / Dissertation (MOccThe)--University of Pretoria, 2017. / Occupational Therapy / MOccThe / Unrestricted

Background Internationally, speech and language therapists (SLTs) are involving parents and providing home tasks in intervention for phonology-based speech sound disorder (SSD). To ensure that SLTs’ involvement of parents is guided by empirical research, a review of peer-reviewed published evidence is needed. Aims To provide SLTs and researchers with a comprehensive appraisal and analysis of peer-reviewed published intervention research reporting parent involvement and the provision of home tasks in intervention studies for children with phonology-based SSD. Methods & Procedures A systematic search and review was conducted. Academic databases were searched for peer-reviewed research papers published between 1979 and 2013 reporting on phonological intervention for SSD. Of the 176 papers that met the criteria, 61 were identified that reported on the involvement of parents and/or home tasks within the intervention. These papers were analysed using a quality appraisal tool. Details regarding the involvement of parents and home tasks were extracted and analysed to provide a summary of these practices within the evidence base. Main Contribution Parents have been involved in intervention research for phonology-based SSD. However, most of the peer-reviewed published papers reporting this research have provided limited details regarding what this involved. This paucity of information presents challenges for SLTs wishing to integrate external evidence into their clinical services and clinical decision-making. It also raises issues regarding treatment fidelity for researchers wishing to replicate published intervention research. Conclusions & Implications The range of tasks in which parents were involved, and the limited details reported in the literature, present challenges for SLTs wanting to involve parents in intervention. Further high-quality research reporting more detail regarding the involvement of parents and home tasks in intervention for SSD is needed.

Background: Meeting the prosthetists needs, and barriers is important to successful implement evidence into practice. Thus, several implementation methods have been initiated, the authors saw a need to create a Communication Tool based on evidence from transfemoral socket designs, to ease the process of assisting prosthetists in facilitating evidential reasoning.   Aim: To investigate if a Communication Tool can facilitate the usage of evidence into practice by assisting the clinical decision making.  Method: The study is divided into two parts. First the development of the Communication Tool, which is based on the Knowledge to Action model plus an update of studies from a systematic review by Brodie et al.2021. The second part consists of a qualitative pilot-study using semi-structured synchronously interviews to collect data from two Danish working prosthetists. For the analysis a conventional content analysis with an inductive approach was used.  Findings: Findings from the analysis of the interviews compiled eight categories and twenty-five sub-categories covering three key themes identified during the creation of the Communication Tool: Barriers, internal usability, and external usability of the Communication Tool.   Conclusion: The Communication Tool showed to be an effective method to assist and facilitate evidence-based reasonings. The participants found the tool to be useful and appraised positively regarding communicating relevant content an easy to navigate in. Minor improvements are needed, which are related to the quality assessment system and the system of reference as well as some linguistic formulations.