Related Experiment Video
Updated: Aug 6, 2026
Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
Barriers and facilitators to implementing early intervention for children with non-progressive motor disorders: A
Nahdiah Purnamasari1,2, Fadhia Adliah2, Tim Rapley3
1Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Insights
Barriers to early motor interventions for children with non-progressive motor disorders include complexity and funding. Strategies like workforce development and telehealth can improve intervention accessibility and effectiveness.
Area of Science:
- Pediatrics
- Developmental Neurology
- Rehabilitation Science
Background:
- Early motor interventions are critical for children with non-progressive motor disorders.
- Identifying implementation barriers and facilitators is essential for optimizing intervention delivery.
- Scalability and effectiveness of these interventions require strategic planning.
Purpose of the Study:
- To identify and analyze barriers and facilitators to implementing early motor interventions for children with non-progressive motor disorders.
- To propose strategies for enhancing the scalability and effectiveness of these interventions.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (MEDLINE, Embase, CINAHL, PubMed, PsycInfo, Scopus).
- A mixed-methods approach included empirical studies reporting stakeholder perspectives.
- Narrative synthesis and framework mapping (CFIR, NPT, ERIC) informed strategy development.
Main Results:
- Twenty-two studies were identified, predominantly randomized controlled trials.
- Key barriers included intervention complexity, financial constraints, workforce shortages, and infrastructure issues.
- Facilitators comprised intervention adaptability, caregiver engagement, interdisciplinary collaboration, and telehealth.
Conclusions:
- Addressing systemic, organizational, and individual barriers is crucial for effective early motor interventions.
- Readiness assessments, workforce development, and family-centered approaches enhance implementation.
- Digital integration and professional collaboration improve service accessibility and sustainability.
Aim:
To identify and analyse barriers and facilitators to implementing early motor interventions for children with non-progressive motor disorders, and to propose strategies to enhance scalability and effectiveness.
Method:
We searched databases including MEDLINE, Embase, CINAHL, PubMed, PsycInfo, and Scopus for studies examining motor interventions for children (≤3 years) with non-progressive motor disorders in any setting. A mixed-methods approach was adopted, and all empirical study designs reporting stakeholders' perspectives were eligible. Included studies were critically appraised using the Critical Appraisal Skills Programme. A narrative synthesis was undertaken, with extracted barriers and facilitators mapped into the Consolidated Framework for Implementation Research, normalization process theory, and Expert Recommendations for Implementing Change frameworks to inform implementation strategies.
Results:
Twenty-two studies were identified, mainly randomized controlled trial designs. Barriers included intervention complexity, financial constraints, workforce shortages, and infrastructure challenges. Facilitators encompassed intervention adaptability, caregiver engagement, interdisciplinary collaboration, and telehealth accessibility. Framework-informed strategies focus on workforce development, locally supported digital approaches, and family-centred support.
Interpretation:
Addressing systemic, organizational, and individual barriers is crucial for effective intervention. Solutions such as readiness assessments, workforce development, and family-centred approaches enhance implementation. Digital integration and professional collaboration improve service accessibility and sustainability.
