Exploration of Potential Determinants of Implementation of a Clinical Practice Guide to Enhance Physical Activity...

Purpose: This project explored the potential determinants (barriers and facilitators) of implementing a recently developed clinical practice guide (CPG) for the promotion and enhancement of the physical activity participation of children with developmental coordination disorder (DCD) prior to its release for clinical use. Method: The validated Clinician Guideline Determinants Questionnaire was used to explore the potential determinants reported by nine physiotherapists who provide services to children with DCD. Results: There was 100% agreement with the CPG content. All participants also agreed that following the CPG recommendations would improve care delivery and patient outcomes. Potential barriers of implementation were related to several factors, such as guideline factors (e.g., a lot of information, need for a visual summary), individual health professional factors (e.g., need for CPG training and experience), professional interactions (e.g., need to create community and school partnerships), and incentives and resources (e.g., need for dedicated time). Facilitators were having the above-mentioned needs met. Conclusions: Successful implementation of this CPG by paediatric physiotherapists may require: (1) that certain CPG and educational resources be put in place; (2) support to develop community and school partnerships, and (3) support from managers.