#ResNetSLT Transcript

Healthcare social media transcript of the #ResNetSLT hashtag.
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See #ResNetSLT Influencers/Analytics.

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W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
Hi Sally and Amy. Following from Bremen, Germany #ReSNetSLT
Chiara Vivaldi @VivaldiC
@ReSNetSLT Hello, it's Chiara #ResNetSLT - #slt2b in London
Avril Nicoll @avrilnicoll
@ReSNetSLT Great choice of paper - looking forward to discussing #ReSNetSLT
W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
Thanks for this interesting article. #implementationscience is a rather new terminology to us and therefore, these were first thoughts coming up ... Q1 #ResNetSLT https://t.co/GANqfAIHlk
Avril Nicoll @avrilnicoll
A1 Having been thinking about #ImpSci throughout my #SLPhD, this from Clarke et al 2013 is my favourite definition https://t.co/4LC7foIiSU #ReSNetSLT https://t.co/xKOnxcyIix
Avril Nicoll @avrilnicoll
@HazelRoddam1 @ReSNetSLT Will try not to disappoint Hazel!! #ReSNetSLT
Amit Kulkarni @AmitSaLT
Hi #ReSNetSLT Kids not sleeping and computer not working but will endeavour to dip into chat nonetheless. Really interested in this topic #impsci #implementationscience
W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
@ReSNetSLT Great to find out about specific processes and key aspects that shall be considered re #implementationscience #ReSNetSLT
Chiara Vivaldi @VivaldiC
@AmySlt @W_Scharff I was surprised I hadn't come across #ImpSci before. I used to work in healthcare policy and the conversation was always about spreading good practice, but there was never a framework for it.#ResNetSLT
W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
Processes of #implementationscience may be considered bidirectional, though, in order to become sustainable #ReSNetSLT
Amit Kulkarni @AmitSaLT
Felt to me like a nice intro to the history and background of the development of the #implementationscience #ReSNetSLT
Avril Nicoll @avrilnicoll
@lena_be I have also struggled with this - the idea that #ImpSci is about an evidence pipeline rather than constant negotiation about priorities - we can apply learning about practice change whatever the catalyst has been #ResNetSLT
Avril Nicoll @avrilnicoll
RT @NickSevdalis:
Chiara Vivaldi @VivaldiC
@AmySlt @W_Scharff Agreed - I was intrigued by the idea that it could or indeed should be incorporated into all intervention studies #ResNetSLT #ImpSci
Amit Kulkarni @AmitSaLT
Would be interested to hear your thoughts about whether it was an accurate intro @NickSevdalis #ReSNetSLT Certainly very interesting to the non-expert
Avril Nicoll @avrilnicoll
A1 Although chat paper is great, it can only scratch the surface of #ImpSci. I'd recommend Nilsen 2015 to see how it can span guiding implementation, understanding / explaining implementation outcomes, and evaluating implementation https://t.co/c9nB7ZvBxU #ReSNetSLT
W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
Q2 #ReSNetSLT As our workplace is a university we're mainly teaching skills & strategies to BSc students after completion initial edu. Almost all students work as clinicians in diverse practices, hospitals, rehab centers, hence may subsequently implement evi
W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
Q2 Moreover, our curriculum includes scientific project work focus on objectives of collaborative practice partners. Stud & practitioners benefit from projects (methods, strategies) at this research/practice intersection #ReSNetSLT
Avril Nicoll @avrilnicoll
@SLTLaurenL @KathBroomfield @Katie_Chadd @ReSNetSLT @RCSLTResearch Although have to be wary using that statistic - it's quite contested, and even been suggested as something #ImpSci has adopted to justify its existence:) Some things are adopted very quickly, others take much longer #ReSNetSLT
Amit Kulkarni @AmitSaLT
@HazelRoddam1 @trishgreenhalgh @researchphysio @BronwynHemsley Yes - also found the further explanation of the different types of hybrid designs very clear #ReSNetSLT #implementationscience
Avril Nicoll @avrilnicoll
@NickSevdalis @AmySlt @VivaldiC @W_Scharff @CLAHRC_SL Knowledge broker concept is helpful here I think https://t.co/fn8l0v84YU #ReSNetSLT https://t.co/1LBXiytzzZ
Avril Nicoll @avrilnicoll
@Katie_Chadd @SLTLaurenL @KathBroomfield @ReSNetSLT @RCSLTResearch Having to 'justify' #ImpSci can be a pain in the neck - for example, you're expected to provide evidence of a gap between some sort of evidence and practice and evidence of effectiveness of the intervention before you even get on to implementation! #ReSNetSLT
Louise Connell @researchphysio
@HazelRoddam1 @bangerasai @ReSNetSLT @trishgreenhalgh Yes definitely! Sorry Iโ€™m late- just catching up! #ReSNetSLT
Avril Nicoll @avrilnicoll
I'm really glad intensity has come up in chat. So much #SLT research across client groups suggests can make a difference but capacity to implement is a HUGE issue with part-time working, mat leave, frozen posts etc #ReSNetSLT
Chiara Vivaldi @VivaldiC
@AmySlt @RobynSLT @ReSNetSLT That time and resources are barriers to #ebp uptake is known, I would think #ImpSci comes into its own by quantifying this e.g who's time, what resources etc. #ResNetSLT Can then use this to convince the higher ups to provide additional resources...
W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
Q3 #ReSNetSLT https://t.co/N25fzaODrX
Avril Nicoll @avrilnicoll
@RobynSLT @ReSNetSLT Dare I ask if your department is involved in @PDCOMM_trial Robyn? An opportunity not just to offer full LSVT and other standard NHS intervention, but to contribute to building evidence base in a UK multi-centred trial. Incs process evaluation looking at implementation #ReSNetSLT
Chiara Vivaldi @VivaldiC
@lena_be I'm hoping to become one :-) #ResNetSLT
Avril Nicoll @avrilnicoll
@KathBroomfield @volkmer_anna @AmySlt @SLTLaurenL @Katie_Chadd @ReSNetSLT @RCSLTResearch In my #SLPhD on practice change, intervention was only part of the story, and mattered differently to different SLTs and managers compared with caseload, candidacy (who should access) and service priorities - professional context crucial #ReSNetSLT
W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
Other domains consider sets of techniques and tools for process improvement, in order to improve the output and identify barriers - like Six Sigma or LEAN. Why not consider #impsci as a similar catalyse re clinical work #ReSNetSLT
Avril Nicoll @avrilnicoll
@NickSevdalis @RobynSLT @ReSNetSLT @CLAHRC_SL There's also this paper on The Adaptome https://t.co/7HPOI5vNxH #ReSNetSLT
Avril Nicoll @avrilnicoll
@RobynSLT @ReSNetSLT @PDCOMM_trial Please do! I'll message you outside the chat. #ReSNetSLT
Chiara Vivaldi @VivaldiC
@Katie_Chadd @KathBroomfield @volkmer_anna @AmySlt @SLTLaurenL @ReSNetSLT @RCSLTResearch I have, but only because of #ResNetSLT - maybe there's something about making forums like this more prominent to #slt2b , as well as including it in teaching
W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
Q4 Consider communication of evidence-based policy documents; Call on graduates to serve as knowledge brokers to promote #impsci transfer / translation of research into practice #ReSNetSLT
Avril Nicoll @avrilnicoll
@BCAphasia @sallymorganslt @SLTLaurenL @KathBroomfield @AmySlt @Katie_Chadd @ReSNetSLT @RCSLTResearch A couple of other websites in addition to those already mentioned: RE-AIM https://t.co/ompNtwD3W7 and database of methods and tools for knowledge translation research https://t.co/5AWDPfbSR2 #ReSNetSLT
Avril Nicoll @avrilnicoll
@RCSLTResearch Have you seen @dr_know plain language blog of #ImpSci tools:) PARiHS, RE-AIM, NPT https://t.co/7xVGwNlnQg #ReSNetSLT
Avril Nicoll @avrilnicoll
@BCAphasia @sallymorganslt @SLTLaurenL @KathBroomfield @AmySlt @Katie_Chadd @ReSNetSLT @RCSLTResearch And don't think #NPT Normalisation Process Theory has been mentioned https://t.co/Rhny0L3Ufd #ReSNetSLT
W Scharff Rethfeldt ๐Ÿ•Š @W_Scharff
@KathBroomfield ... and we also need to call on employers and stakeholders and raise awareness for #impsci - quite a challenge #ReSNetSLT
Chiara Vivaldi @VivaldiC
Thank you @ReSNetSLT and @sallymorganslt for hosting. It's been nice to stick my head out of revision world! #ResNetSLT
Avril Nicoll @avrilnicoll
@RCSLTResearch @NickSevdalis @Katie_Chadd @KathBroomfield @SLTLaurenL @CLAHRC_SL If only we had such a thing as big funded trials!! It's really difficult to get #SLT trials funded, and by the time you've brought enough sites on board the funding is about to run out. #ImpSci also crucial in understanding how we implement non-commercial trials #ReSNetSLT
Avril Nicoll @avrilnicoll
@KathBroomfield @W_Scharff At risk of banging on about my #SLPhD student/practice issue was VERY interesting. In brief, suggested if no-one saw a practice happening, even if they had been taught about it, it wasn't a real thing to consider doing. Clinical educators need to model practice change #ReSNetSLT
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