Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Critical perspectives on implementation of evidence-based practice in occupational therapy – Exemplified by Lifestyle Redesign® in a Danish context

Glasdam, Stinne LU ; Oute, Jeppe and Stjernswärd, Sigrid LU orcid (2022) In British Journal of Occupational Therapy 85(3). p.208-218
Abstract
Introduction
Evidence-based practice is an increasing demand in occupational therapy (OT), although multiple barriers can hinder the translation of research knowledge into practice. The article illuminates the transformation of results from a randomised controlled trial into a practice development project with future practice implementation in mind.
Method
A case study was carried out, consisting of a comparison of the US randomised controlled trials (RCTs) Lifestyle Redesign® and the derived Danish practice development project.
Results
The study showed how results from RCTs of Lifestyle Redesign® were transformed into a practice development project with intentions to implement the programme in a Danish context. The... (More)
Introduction
Evidence-based practice is an increasing demand in occupational therapy (OT), although multiple barriers can hinder the translation of research knowledge into practice. The article illuminates the transformation of results from a randomised controlled trial into a practice development project with future practice implementation in mind.
Method
A case study was carried out, consisting of a comparison of the US randomised controlled trials (RCTs) Lifestyle Redesign® and the derived Danish practice development project.
Results
The study showed how results from RCTs of Lifestyle Redesign® were transformed into a practice development project with intentions to implement the programme in a Danish context. The modifications of the US RCT into a practice development project in Denmark compromised the study’s scientific execution. The practice development project was used to legitimise the intervention within OT locally by testing an evidence-based intervention, without using associated scientific tools and without considering barriers and facilitators for implementing the project in clinical practice.
Conclusion
Research design compromises in practice development projects may have implications for the internal and external dynamics of professionalisation processes regarding OT and the recognition of OT as a scientific discipline and an autonomous profession, nationally and internationally. (Less)
Abstract (Swedish)
Introduction: Evidence-based practise is an increasing demand in occupational therapy, although multiple barriers can hinder the translation of research knowledge into practice. The article illuminates the transformation of results from a randomised controlled trial into a practice development project with future practice implementation in mind.
Method: A case study was carried out, consisting of a comparison of the US RCT Lifestyle Redesign® and the derived Danish practice development project.
Results: The study showed how results from RCTs of Lifestyle Redesign® were transformed into a practice development project with intentions to implement the programme in a Danish context. The modifications of the US RCT into a practice... (More)
Introduction: Evidence-based practise is an increasing demand in occupational therapy, although multiple barriers can hinder the translation of research knowledge into practice. The article illuminates the transformation of results from a randomised controlled trial into a practice development project with future practice implementation in mind.
Method: A case study was carried out, consisting of a comparison of the US RCT Lifestyle Redesign® and the derived Danish practice development project.
Results: The study showed how results from RCTs of Lifestyle Redesign® were transformed into a practice development project with intentions to implement the programme in a Danish context. The modifications of the US RCT into a practice development project in Denmark compromised the study’s scientific execution. The practice development project was used to legitimise the intervention within OT locally by testing an evidence-based intervention, without using associated scientific tools and without considering barriers and facilitators for implementing the project in clinical practice.
Conclusion: Research design compromises in practice development projects may have implications for the internal and external dynamics of professionalisation processes regarding OT and the recognition of OT as a scientific discipline and an autonomous profession, nationally and internationally.
(Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Implementation, Evidence Based Practice, Occupational Therapy, Case study, Lifestyle Redesign
in
British Journal of Occupational Therapy
volume
85
issue
3
pages
208 - 218
publisher
SAGE Publications
external identifiers
  • scopus:85105940985
ISSN
1477-6006
DOI
10.1177/03080226211011401
language
English
LU publication?
yes
id
3daf2cf7-a87a-403f-8826-621d998cc0ea
alternative location
https://journals.sagepub.com/doi/full/10.1177/03080226211011401
date added to LUP
2021-05-11 16:15:49
date last changed
2022-06-29 19:32:37
@article{3daf2cf7-a87a-403f-8826-621d998cc0ea,
  abstract     = {{Introduction<br/>Evidence-based practice is an increasing demand in occupational therapy (OT), although multiple barriers can hinder the translation of research knowledge into practice. The article illuminates the transformation of results from a randomised controlled trial into a practice development project with future practice implementation in mind.<br/>Method<br/>A case study was carried out, consisting of a comparison of the US randomised controlled trials (RCTs) Lifestyle Redesign® and the derived Danish practice development project.<br/>Results<br/>The study showed how results from RCTs of Lifestyle Redesign® were transformed into a practice development project with intentions to implement the programme in a Danish context. The modifications of the US RCT into a practice development project in Denmark compromised the study’s scientific execution. The practice development project was used to legitimise the intervention within OT locally by testing an evidence-based intervention, without using associated scientific tools and without considering barriers and facilitators for implementing the project in clinical practice.<br/>Conclusion<br/>Research design compromises in practice development projects may have implications for the internal and external dynamics of professionalisation processes regarding OT and the recognition of OT as a scientific discipline and an autonomous profession, nationally and internationally.}},
  author       = {{Glasdam, Stinne and Oute, Jeppe and Stjernswärd, Sigrid}},
  issn         = {{1477-6006}},
  keywords     = {{Implementation; Evidence Based Practice; Occupational Therapy; Case study; Lifestyle Redesign}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{208--218}},
  publisher    = {{SAGE Publications}},
  series       = {{British Journal of Occupational Therapy}},
  title        = {{Critical perspectives on implementation of evidence-based practice in occupational therapy – Exemplified by Lifestyle Redesign® in a Danish context}},
  url          = {{http://dx.doi.org/10.1177/03080226211011401}},
  doi          = {{10.1177/03080226211011401}},
  volume       = {{85}},
  year         = {{2022}},
}