Navigating the challenges of moving from research to clinical care: The example of the Teen Online Problem Solving program.
Purpose/Objective: The pathway from clinical trials to implementation is lengthy and often unsuccessful. Thus, identifying strategies that promote clinical implementation is necessary. The Framework for Reporting Adaptations and Modifications-Enhanced was employed to characterize adaptations to the...
| Publicado en: | Journal of Pediatric Rehabilitation Medicine Vol. 19; no. 3; pp. 281 - 293 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | case study research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196038901&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196038901 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18745393 B2KR jtl: Journal of Pediatric Rehabilitation Medicine issn: 18745393 maglogo: N pubinfo: dt: Aug2026 vid: 19 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 196038901 194651642 196038901 196038901 10.1177/18758894261434357 196038901 ppf: 281 ppct: 12 formats: tig: atl: Navigating the challenges of moving from research to clinical care: The example of the Teen Online Problem Solving program. aug: au: Glazer, Sandra Bonanno, KellyAnn Gies, Lisa Cirincione, Lindsay Moscato, Emily L Winning, Adrien M Leib, Sophie Austin, Cynthia Van Tubbergen, Marie Johnson, Abigail Hankin, Dina McNally, Kelly Wade, Shari L affil: Division of Physical Medicine and Rehabilitation, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA sug: subj: Brain Injuries Diagnosis Brain Injuries Therapy Problem Solving In Adolescence Adaptation, Psychological In Adolescence Internet-Based Intervention Program Implementation Program Evaluation Medical Practice, Evidence-Based Human Male Female Adolescence Young Adult Cognition Attitude of Health Personnel Brain Injuries Symptoms Cognition Disorders Communicative Disorders Attention Learning Schools Absenteeism Processing Speed Psychology Medical Practice, Research-Based Implementation Science Adolescent: 13-18 years Male Female ab: Purpose/Objective: The pathway from clinical trials to implementation is lengthy and often unsuccessful. Thus, identifying strategies that promote clinical implementation is necessary. The Framework for Reporting Adaptations and Modifications-Enhanced was employed to characterize adaptations to the Teen Online Problem Solving program (TOPS). The aim was to broaden program reach and adoption by aligning TOPS with the needs of the implementation context, extending delivery to a broader range of pediatric neurological conditions. Method: Providers completed surveys about commonly experienced neurocognitive challenges across diagnoses. Therapists delivering the program to non-traumatic brain injury (TBI) diagnoses were surveyed about their experiences. Reach to non-TBI diagnoses and adoption by therapists treating other diagnoses provided metrics of implementation impact. Results: Medical providers rated cognitive/communication issues as most common and identified physical limitations, concentration/attention problems, learning/school difficulties, planning/organization, and processing speed as top concerns. Twenty-five psychologists/trainees ranked the child's current neurocognitive challenges, mood and behavior concerns, and developmental level as the most important considerations for tailoring, with diagnosis ranked seventh. Of 828 patients enrolled, 354 had non-TBI diagnoses, and 245 had TBI. Four case studies illustrate adaptations. Conclusions/Implications: Findings suggest that transdiagnostic adaptation of evidence-based pediatric psychology programs may be acceptable to clinicians and facilitate broader implementation. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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