Review
Pediatrics
Daniela Nasu Monteiro Medeiros, Audrey Ogawa Shibata, Cristiane Freitas Pizarro, Maria de Lourdes Alves Rosa, Marta Pessoa Cardoso, Eduardo Juan Troster
Summary: Implementing managed protocols can improve clinical practice and treatment outcomes, reducing hospital stay and mortality rates. Challenges exist in low-middle-income countries, including limited resources and unique disease characteristics.
FRONTIERS IN PEDIATRICS
(2021)
Review
Computer Science, Interdisciplinary Applications
Matteo Perno, Lars Hvam, Anders Haug
Summary: Since the introduction of the concept of digital twins in 2002, there has been a rapid increase in practical applications in various industries. However, implementing digital twins poses significant challenges for companies due to the novelty of the concept. This study contributes to the existing knowledge on digital twins by organizing the literature and proposing conceptual models that describe the enablers and barriers to implementation.
COMPUTERS IN INDUSTRY
(2022)
Article
Psychiatry
Justine Fletcher, Lisa Brophy, Jane Pirkis, Bridget Hamilton
Summary: By utilizing the CFIR framework, the study found that successful implementation of Safewards requires attention to key staff engagement including managers, prioritizing training for all ward staff, thorough planning of the implementation process, and creating an environment in each inpatient unit that prioritizes and enables regular Safewards interventions by staff.
FRONTIERS IN PSYCHIATRY
(2021)
Review
Integrative & Complementary Medicine
Matthew J. Leach, Yasamin Veziari
Summary: This review study identifies diverse barriers and enablers to evidence implementation in complementary medicine, mainly stemming from structural and cognitive factors. The findings emphasize the need for a targeted, multidimensional solution involving multiple stakeholders to optimize evidence-based practice in complementary medicine.
INTEGRATIVE MEDICINE RESEARCH
(2022)
Review
Medicine, General & Internal
Tao Wang, Jing-Yu (Benjamin) Tan, Xian-Liang Liu, Isabella Zhao
Summary: This study identified the barriers and enablers to implementing clinical practice guidelines (CPGs) recommendations in primary care. The findings suggest that policy-driven strategies should be developed to optimize resource allocation, promote integrated care models, establish well-coordinated multidisciplinary networks, increase technical support, encourage healthcare providers and patients' engagement, standardize guideline reporting, enhance education and training, and stimulate motivations to facilitate the uptake of CPGs recommendations in primary care.
Review
Medicine, General & Internal
Charlotte Rothwell, Amelia Kehoe, Sophia Farhene Farook, Jan Illing
Summary: This study reviewed international literature to identify enablers of and barriers to effective clinical supervision in the workplace, as well as the benefits of effective clinical supervision in a healthcare setting. Enablers included regular supervision, protected time, private space, flexibility, choice of supervisor, mutual trust, cultural understanding, focused on individual needs, training for supervisors, and the use of a mixed supervisor model. Barriers included lack of time, space, trust, shared understanding, and ongoing support and engagement from leadership and organizations.
Article
Multidisciplinary Sciences
Louisa Lawrie, Katie Gillies, Eilidh Duncan, Loretta Davies, David Beard, Marion K. Campbell
Summary: This study explores the multi-faceted factors that affect the implementation of RAS and proposes strategies to optimize the implementation, which is of great importance for improving RAS service adoption.
Article
Green & Sustainable Science & Technology
Ahmed H. H. Alsharif, Nor Zafir Md Salleh, E. Alharthi Rami Hashem, Ahmad Khraiwish, Lennora Putit, Lily Suriani Mohd Arif
Summary: This paper explores the perceptions and perspectives of academicians in Malaysia regarding the limitations, challenges, and potential solutions of implementing neuromarketing. A semi-structured interview with 16 academicians was conducted, revealing various obstacles to the growth of neuromarketing, such as ethical concerns, high costs, the need for specialized expertise, and lack of resources. However, several potential solutions were suggested, including collaboration, providing labs and facilities, and increasing financial resources. This study contributes to the body of knowledge by increasing awareness of the difficulties in implementing neuromarketing and guiding future research and development.
Article
Health Care Sciences & Services
Ashika D. Maharaj, Sue M. Evans, John R. Zalcberg, Liane J. Ioannou, Marnie Graco, Daniel Croagh, Charles H. C. Pilgrim, Theresa Dodson, David Goldstein, Jennifer Philip, James G. Kench, Neil D. Merrett, Rachel E. Neale, Kate White, Peter Evans, Trevor Leong, Sally E. Green
Summary: This study interviewed specialists in Australia and found that strong organizational focus, beliefs about the benefits of MDT discussions, and the use of technology were key enablers for MDT practices. On the other hand, barriers to MDT practices included the lack of palliative care representation, a high number of MDT meetings, and reduced confidence to participate in discussions.
BMJ QUALITY & SAFETY
(2021)
Article
Medicine, General & Internal
Bashar Qumseya, April Goddard, Amira Qumseya, David Estores, Peter Draganov, Christopher Forsmark
Summary: Physicians generally have positive attitudes towards guideline adherence, but major barriers include complexity of guideline documents, high number of weak recommendations, and time constraints due to clinical responsibilities. Improved training focus and access to relevant guidelines at the point of care may be important to enhance guideline adherence.
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
(2021)
Review
Critical Care Medicine
Michiel Schinkel, Prabath W. B. Nanayakkara, W. Joost Wiersinga
Summary: This article is one of the ten selected reviews from the Annual Update in Intensive Care and Emergency Medicine 2022, providing the latest information in the field of intensive care and emergency medicine.
Article
Green & Sustainable Science & Technology
Maarten van Keulen, Julian Kirchherr
Summary: The research explores a business model experimentation in the value chain of a coffee importer in Amsterdam to address the gaps in sector-specific understanding of barriers and enablers in the Circular Economy (CE). It identified coherence in governmental policies, industry silo thinking, and circular design standardization as major barriers, while common awareness, vision, and solid business models were crucial enablers. Additionally, the study highlighted the sensitivity of companies' identity and market perception, the importance of fact-based communication, and the clear interaction between barriers and enablers in the adoption of CE initiatives. This research complements existing literature on CE with a sector-specific perspective from the coffee industry.
JOURNAL OF CLEANER PRODUCTION
(2021)
Article
Oncology
Angel Arnaout, Anubha Prashad, Nadine Dunk, Jess Rogers, Annemarie Edwards, Mary Argent-Katwala, Christian Finley
Summary: The study found variations in the implementation of surgery standards across Canada, with major under-implemented categories including quality assurance, data collection, and pathology turnaround time. Enablers, barriers, and opportunities for standards implementation were discussed in a focus group. Future efforts should focus on promoting quality improvement strategies and effective resource allocation to enhance patient outcomes.
Review
Computer Science, Information Systems
Kerry Y. Y. Fang, Jeewani Anupama Ginige, Jim Basilakis, Heidi Bjering, Bahman Javadi
Summary: Smart homecare utilizes advanced technologies to support and improve remote healthcare for older adults, while addressing challenges such as data security and privacy. This paper proposes a conceptual framework and a comprehensive guide to facilitate the implementation of smart homecare solutions and promote their practical application in broader practice.
Review
Green & Sustainable Science & Technology
Juan Henriques, Paulo Ferrao, Rui Castro, Joao Azevedo
Summary: The study focuses on analyzing the emerging process of industrial symbiosis globally, identifying key factors and barriers with an emphasis on important dimensions within economic sectors. It provides recommendations to reinforce synergies process and overcome barriers in each sector.
Article
Rehabilitation
Priscilla Tjokrowijoto, Renerus J. Stolwyk, David Ung, Monique F. Kilkenny, Joosup Kim, Lachlan L. Dalli, Dominique A. Cadilhac, Nadine E. Andrew
Summary: This study examined the types of mental health treatment accessed by community-based stroke survivors and the factors associated with treatment access. The results showed that only 30% of stroke survivors with depression/anxiety had accessed mental health services, primarily through government-funded Medicare schemes.
DISABILITY AND REHABILITATION
(2023)
Article
Health Policy & Services
Joosup Kim, Rohan Grimley, Monique F. Kilkenny, Greg Cadigan, Trisha Johnston, Nadine E. Andrew, Amanda G. Thrift, Natasha A. Lannin, Vijaya Sundararajan, Dominique A. Cadilhac
Summary: This study aimed to describe the costs of hospital care for stroke and transient ischaemic attack (TIA) and investigate factors associated with costs. The results showed that medical and nursing costs were the major expenses for most patients with stroke or TIA and were relatively expensive.
HEALTH INFORMATION MANAGEMENT JOURNAL
(2023)
Article
Clinical Neurology
Seana L. Gall, Valery Feigin, Amanda G. Thrift, Timothy J. Kleinig, Dominique A. Cadilhac, Derrick A. Bennett, Mark R. Nelson, Tara Purvis, Shabnam Jalili-Moghaddam, Gemma Kitsos, Rita Krishnamurthi
Summary: This study aims to reduce stroke risk through a personalized mobile app. The study will compare the difference in modifiable cardiovascular risk scores between a group using the app and a group receiving usual care, and assess various secondary outcomes.
INTERNATIONAL JOURNAL OF STROKE
(2023)
Article
Rehabilitation
T. Thayabaranathan, C. Baker, N. E. Andrew, R. Stolwyk, A. G. Thrift, H. Carter, K. Moss, J. Kim, S. J. Wallace, E. Brogan, R. Grimley, N. A. Lannin, M. L. Rose, D. A. Cadilhac
Summary: People with communication disabilities post-stroke have poorer quality-of-life compared to those without communication disabilities. They are more likely to experience anxiety, depression, pain, difficulties in self-care, limitations in daily activities, and reduced mobility. However, they report less fatigue, poorer cognitive skills, and lower social participation.
TOPICS IN STROKE REHABILITATION
(2023)
Article
Rehabilitation
Stephanie Thompson, William Levack, Jeroen Douwes, Jackie Girvan, Ginny Abernethy, P. Alan Barber, John Fink, John Gommans, Alan Davis, Matire Harwood, Dominique A. Cadilhac, Harry McNaughton, Valery Feigin, Andrew Wilson, Hayley Denison, Marine Corbin, Joosup Kim, Annemarei Ranta
Summary: It is important to understand the perceptions of stroke care services from both consumers (people with stroke/family members/caregivers) and health workers. A survey was conducted among consumers and health workers from across New Zealand to gather their views on stroke care, access barriers, and service centralization. The results indicated differences in perceptions between consumers and health workers, highlighting the need for involving both parties in service co-design. Improving communication, post-hospital follow-up, and geographic equity emerged as key areas for improvement.
DISABILITY AND REHABILITATION
(2023)
Article
Health Care Sciences & Services
Kathleen L. Bagot, Tara Purvis, Shaun Hancock, Henry Zhao, Skye Coote, Damien Easton, Bruce C. V. Campbell, Steve M. Davis, Geoff A. Donnan, Shane Foster, Francesca Langenberg, Karen Smith, Michael Stephenson, Stephen Bernard, Sharon McGowan, Bernard Yan, Peter Mitchell, Sandy Middleton, Dominique A. Cadilhac
Summary: A comprehensive implementation evaluation of the first Australian Mobile Stroke Unit (MSU) service identified successes and challenges in the pre- and initial operations. Major themes addressing stakeholders, vehicle, knowledge, training/education, communication, work processes, and working relationships emerged from surveys and interviews.
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)
Article
Neurosciences
Rohan S. Grimley, Taya Collyer, Helen M. Dewey, Nadine Andrew, Dominique A. Cadilhac
Summary: The study aimed to assess the effects of a non-admitted management pathway following ED presentation with suspected TIA on stroke, ED re-presentations, overnight admission, LOS, and costs. The pathway resulted in decreased overnight admissions, reduced LOS, and lower hospital costs but led to an initial increase in recurrent stroke and a sustained rise in ED re-presentation. These findings suggest that although the pathway can reduce hospital use and costs, it may be associated with increased risks of recurrent stroke and ED re-presentations.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2023)
Review
Clinical Neurology
Dominique A. Cadilhac, Dawn M. Bravata, Janet Prvu Bettger, Robert Mikulik, Bo Norrving, Ezinne O. Uvere, Mayowa Owolabi, Annemarei Ranta, Monique F. Kilkenny
Summary: This research paper aims to summarize the published evidence on the adoption of Learning Health System (LHS) concepts in stroke care. The study highlights the limited examples of LHS implementation in stroke care globally, likely due to the lack of agreed classification terms. The authors hope that this review will encourage the dissemination of related activities and facilitate the identification of evidence-based practices.
Article
Clinical Neurology
Mathew J. Reeves, Bernadette Boden-Albala, Dominique A. Cadilhac
Summary: In many countries, most of a person's recovery from stroke occurs in the community, as the hospital stay after an acute stroke admission is typically short. Care transitions, such as transferring between care settings or providers, pose challenges and vulnerability for stroke patients and caregivers. Underserved and minority populations, due to exposure to poor conditions and discrimination, are particularly susceptible to complicated care transitions, which can negatively impact stroke recovery. Evidence on how to support post-acute stroke care, especially for underserved communities, remains limited.
Article
Clinical Neurology
Joosup Kim, Dominique A. Cadilhac, Stephanie Thompson, John Gommans, Alan Davis, P. Alan Barber, John Fink, Matire Harwood, William Levack, Harry McNaughton, Virginia Abernethy, Jacqueline Girvan, Valery Feigin, Hayley Denison, Marine Corbin, Andrew Wilson, Jeroen Douwes, Anna Ranta
Summary: This study compared the costs and quality-adjusted life years of stroke patients admitted to urban and nonurban hospitals in New Zealand. The results showed that urban hospitals had higher treatment costs and quality-adjusted life years compared to nonurban hospitals, even after adjustment for other factors. These findings can help improve the level of treatment in nonurban hospitals and optimize outcomes for patients.
Article
Rehabilitation
John E. Pierce, Robyn OHalloran, Leanne Togher, Lyndsey Nickels, David Copland, Erin Godecke, Marcus Meinzer, Tapan Rai, Dominique A. Cadilhac, Joosup Kim, Melanie Hurley, Abby Foster, Marcella Carragher, Cassie Wilcox, Gillian Steel, Miranda L. Rose
Summary: This study aimed to explore the feasibility, acceptability, and preliminary efficacy of providing High-intensity Constraint-Induced Aphasia Therapy Plus (CIAT-Plus) and Multi-Modality Aphasia Therapy (M-MAT) at a lower intensity. The results showed that low-moderate intensity CIAT-Plus and M-MAT were feasible and acceptable, and both interventions demonstrated preliminary efficacy at this intensity.
TOPICS IN STROKE REHABILITATION
(2023)
Editorial Material
Clinical Neurology
Janet Prvu Bettger, Dominique A. Cadilhac
Letter
Clinical Neurology
C. Garcia-Esperon, A. Bivard, H. Johns
Article
Health Care Sciences & Services
Leeanne M. Carey, Liana S. Cahill, Jannette M. Blennerhassett, Michael Nilsson, Natasha A. Lannin, Vincent Thijs, Susan Hillier, Dominique A. Cadilhac, Geoffrey A. Donnan, Meg E. Morris, Leonid Churilov, Marion Walker, Shanthi Ramanathan, Michael Pollack, Esther May, Geoffrey C. Cloud, Sharon Mcgowan, Tissa Wijeratne, Marc Budge, Fiona Mckinnon, John Olver, Toni Hogg, Michael Murray, Brendon Haslam, Irene Koukoulas, Brittni Nielsen, Yvonne Mak-Yuen, Megan Turville, Cheryl Neilson, Anna Butler, Joosup Kim, Thomas A. Matyas
Summary: This study aims to increase access to evidence-based upper-limb rehabilitation for stroke survivors and improve their outcomes through the establishment of a national partnership. The research utilizes a knowledge transfer intervention to enhance therapists' skills and guide the implementation of SENSe therapy. Outcomes include successful delivery of therapy, improved somatosensory function, and better performance in self-selected activities and quality of life.
Article
Rehabilitation
Sally Zingelman, Sarah J. Wallace, Joosup Kim, Simon Mosalski, Steven G. Faux, Dominique A. Cadilhac, Tara Alexander, Natasha A. Lannin, Muideen T. Olaiya, Ross Clifton, Christine T. Shiner, Susan Starr, Monique F. Kilkenny
Summary: The study found that the majority of stroke patients require communication support during rehabilitation, and communication gains post-stroke are associated with long-term outcomes such as quality of life and mortality. Factors such as aphasia, age, stroke severity, and previous stroke are associated with the need for communication support.
TOPICS IN STROKE REHABILITATION
(2023)
