Physical Therapists' Perceptions of Implementing and Sustaining Pediatric Intensive Therapy Programs: A Survey Study.

Area of Science:

• Pediatric Physical Therapy
• Healthcare Program Implementation
• Knowledge Translation

Background:

• Intensive physical therapy (PT) programs are recognized for their potential in pediatric care.
• Understanding the practical challenges and facilitators of these programs is crucial for their success.

Purpose of the Study:

• To explore the experiences of pediatric physical therapists regarding the implementation and sustainability of intensive PT programs in the U.S.
• To identify barriers and enablers for these specialized programs.

Main Methods:

• A 35-question survey utilizing multiple-choice, Likert scale, and open-ended questions was administered.
• The Knowledge to Action Cycle Framework guided survey development.
• Mixed methods analysis was applied to quantitative and qualitative data.

Main Results:

• Clinicians expressed a strong value for intensive PT programs.
• Implementation and sustainability are significantly influenced by "Funding, Flexibility, and Foundational Knowledge."
• Logistical challenges were frequently cited as a major hurdle.

Conclusions:

• Pediatric physical therapists highly value intensive PT programs.
• Formal training, robust research evidence, and institutional support are essential areas for enhancing program implementation and sustainability.
• Addressing logistical and resource-related barriers is critical.