Implementation of a knowledge translation strategy to promote early evidence-based rehabilitation for children with cerebral palsy.

The study had no control group, so observed changes (or lack thereof) cannot be definitively attributed to the intervention rather than natural variation or other external factors. The sample size was small (22 analysed participants), which limits the statistical power to detect meaningful differences. Participants were recruited via convenience sampling and may have been more motivated than the average therapist, potentially skewing acceptability results. The intervention period (15 weeks) was short, and site champions noted that this may not have been enough time to see behavioral changes in practice. Outcomes relied on self-report, which is subject to bias, and there was no objective measure of actual patient outcomes or fidelity of toolkit use.

The project was funded by the Canadian Institute for Health Research and the Kids Brain Health Network Implementation Funding. The authors declared no conflicts of interest.

Do not interpret the high acceptability and feasibility ratings as evidence that the toolkit improved clinical practice or patient outcomes. The primary outcomes showed no significant change in evidence-based practice activities, attitudes, or resources, and the study lacked a control group to rule out other explanations for the observed trends.