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1. Implementation in rehabilitation: a roadmap for practitioners and researchers

Author

Morris, JH, Bernhardsson, S, Bird, M-L, Connell, L, Lynch, E, Jarvis, K, Kayes, NM, Milleri, K, Mudge, S, Fisher, R, Morris, JH, Bernhardsson, S, Bird, M-L, Connell, L, Lynch, E, Jarvis, K, Kayes, NM, Milleri, K, Mudge, S, and Fisher, R

Abstract

Purpose: Despite growth in rehabilitation research, implementing research findings into rehabilitation practice has been slow. This creates inequities for patients and is an ethical issue. However, methods to investigate and facilitate evidence implementation are being developed. This paper aims to make these methods relevant and accessible for rehabilitation researchers and practitioners.Methods: Rehabilitation practice is varied and complex and occurs within multilevel healthcare systems. Using a "road map" analogy, we describe how implementation concepts and theories can inform implementation strategies in rehabilitation. The roadmap involves a staged journey that considers: the nature of evidence; context for implementation; navigation tools for implementation; strategies to facilitate implementation; evaluation of implementation outcomes; and sustainability of implementation. We have developed a model to illustrate the journey, and four case studies exemplify implementation stages in rehabilitation settings.Results and Conclusions: Effective implementation strategies for the complex world of rehabilitation are urgently required. The journey we describe unpacks that complexity to provide a template for effective implementation, to facilitate translation of the growing evidence base in rehabilitation into improved patient outcomes. It emphasizes the importance of understanding context and application of relevant theory, and highlights areas which should be targeted in new implementation research in rehabilitation.Implications for rehabilitationEffective implementation of research evidence into rehabilitation practice has many interconnected steps and a roadmap analogy is helpful in defining them.Understanding context for implementation is critically important and using theory can facilitate development of understanding.Research methods for implementation in rehabilitation should be carefully selected and outcomes should evaluate implementation success as well as

Published
2020

2. VERNALIZATION1 Modulates Root System Architecture in Wheat and Barley

Author

Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., Hickey, L. T., Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., and Hickey, L. T.

Published
2018

3. VERNALIZATION1 Modulates Root System Architecture in Wheat and Barley

Author

Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., Hickey, L. T., Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., and Hickey, L. T.

Published
2018

4. VERNALIZATION1 Modulates Root System Architecture in Wheat and Barley

Author

Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., Hickey, L. T., Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., and Hickey, L. T.

Published
2018

5. VERNALIZATION1 Modulates Root System Architecture in Wheat and Barley

Author

Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., Hickey, L. T., Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., and Hickey, L. T.

Published
2018

6. VERNALIZATION1 Modulates Root System Architecture in Wheat and Barley

Author

Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., Hickey, L. T., Voss-Fels, K. P., Robinson, H., Mudge, S. R., Richard, C., Newman, S., Wittkop, B., Stahl, A., Friedt, W., Frisch, M., Gabur, I., Miller-Cooper, A., Campbell, B. C., Kelly, Alison M., Fox, G., Christopher, J., Christopher, Mandy, Chenu, K., Franckowiak, J., Mace, E. S., Borrell, A. K., Eagles, H., Jordan, D. R., Botella, J. R., Hammer, G., Godwin, I. D., Trevaskis, B., Snowdon, R. J., and Hickey, L. T.

Published
2018

7. The influence of grassland management on the radionuclide inventory of soils in West Cumbria, UK

Author

Horrill, A.D., Mudge, S., Horrill, A.D., and Mudge, S.

Abstract

The 137Cs, 239,240Pu, 238Pu, 241Am and 40K activities in soils and vegetation under grassland management in west Cumbria were investigated. Uptake of these radionuclides by the vegetation is affected by the land management practices employed. The more intensively utilised areas have lower concentrations in soils and the plants show reduced uptakes of the artificial radionuclides. It is proposed that this is due to differences in the physical mixing of the soil, natural and artificial chemical additives, contamination of the vegetation with soil by animal usage and the regular cropping of grass for silage. Comparison of the soil data with samples taken on Exmoor indicates that the west Cumbrian samples were enriched by factors of ∼2·5 for 137Cs and ∼10 for 239,240Pu.

Published
1990

8. The influence of grassland management on the radionuclide inventory of soils in West Cumbria, UK

Author

Horrill, A.D., Mudge, S., Horrill, A.D., and Mudge, S.

Abstract

The 137Cs, 239,240Pu, 238Pu, 241Am and 40K activities in soils and vegetation under grassland management in west Cumbria were investigated. Uptake of these radionuclides by the vegetation is affected by the land management practices employed. The more intensively utilised areas have lower concentrations in soils and the plants show reduced uptakes of the artificial radionuclides. It is proposed that this is due to differences in the physical mixing of the soil, natural and artificial chemical additives, contamination of the vegetation with soil by animal usage and the regular cropping of grass for silage. Comparison of the soil data with samples taken on Exmoor indicates that the west Cumbrian samples were enriched by factors of ∼2·5 for 137Cs and ∼10 for 239,240Pu.

Published
1990

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