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Introduction: The routine use of evidence-based upper limb rehabilitation interventions after stroke has the potential to improve function and increase independence. Two such interventions are Constraint Induced Movement Therapy and Robot Assisted Therapy. Despite evidence to support both interventions, their use within the National Health Service appears, anecdotally, to be low. We sought to understand user perceptions in order to explain low uptake in clinical practice. Methods: A combination of a cross-sectional online survey with therapists and semi-structured interviews with stroke patients was used to explore uptake and user opinions on the benefits, enablers and barriers to each intervention. Findings: The therapists surveyed reported low use of Constraint Induced Movement Therapy and Robot Assisted Therapy in clinical practice within the Scottish National Health Service. Barriers identified by therapists were inadequate staffing, and a lack of training and resources. Interviews with stroke patients identified themes that may help us to understand the acceptability of each intervention, such as the impact of motivation. Conclusion: Barriers to the uptake of Constraint Induced Movement Therapy and Robot Assisted Therapy within the clinical setting were found to be similar. Further qualitative research should be completed in order to help us understand the role patient motivation plays in uptake. [ABSTRACT FROM AUTHOR]

Background: Despite evidence that Silver Diamine Fluoride (SDF) can be effective in managing carious lesions in primary teeth, the use of SDF in the UK remains limited. This study explored dental professionals' views and experiences of using SDF for managing carious lesions in children. In addition, it explored what they perceived to be the advantages, disadvantages, barriers and enablers to the use of SDF in practice. Methods: Fifteen semi-structured face-to-face or over-the-phone interviews were conducted with 14 dental professionals from NHS Tayside and NHS Grampian in Scotland. Interviews were transcribed verbatim, coded and analysed using a thematic approach. Results: Thirteen of 14 dental professionals interviewed were familiar with, or had some existing knowledge of, SDF. Four had used it to treat patients. The majority of participants thought that the main advantage of SDF was that it required minimal patient cooperation. SDF was also perceived as a simple, pain-free and non-invasive treatment approach that could help acclimatise children to the dental environment. However, SDF-induced black staining of arrested carious lesions was most commonly reported as the main disadvantage and greatest barrier to using it in practice. Participants believed that this discolouration would concern some parents who may fear that the black appearance may instigate bullying at school and that others may judge parents as neglecting their child's oral health. Participants thought that education of clinicians about SDF use and information sheets for parents would enhance the uptake of SDF in dental practice. Participants believed that younger children might not be as bothered by the discolouration as older ones and they anticipated greater acceptance of SDF for posterior primary teeth by both parents and children. Conclusion: Dental professionals were aware that SDF can be used for arresting carious lesions. They pointed out that the staining effect of carious lesions is a major disadvantage and had preconceived ideas that this could be a barrier for many parents. Participants considered the application process to be simple and non-invasive and requires a minimum level of child cooperation. Participants appreciated the potential of SDF in paediatric dentistry and suggested actions that could help overcome the barriers they highlighted. [ABSTRACT FROM AUTHOR]

The rural land use sector could potentially mitigate a large amount of GHG emissions. Implementation requires the engagement of farmers and other land managers. Understanding the barriers and enablers for the uptake of these practices is essential both to inform policy-makers and to achieve effective policy outreach. In Scotland, the rural land use sector is subject to a greenhouse gas (GHG) emission reduction target of 21% by 2020 relative to 1990 levels. This study contributes to the body of research on stakeholders’ perspectives about suitability of climate change mitigation practices at the regional level. Mixed-methods were used to collect the data, namely participatory workshops with scientists and relevant stakeholders, a farmer questionnaire, and focus groups with farmers. Findings show that farmers were mainly willing to expand the uptake of mitigation practices they were already implementing because they consider these are the most cost-effective. Barriers to the implementation of mitigation practices are mainly related to physical–environmental constraints, lack of information and education and personal interests and values. Similarly, enablers are also related to physical–environmental factors and personal interests and values. Economic incentives, voluntary approaches and provision of information have been identified by workshop participants as the most favourable approaches needed to promote the uptake of technically feasible mitigation practices. Farmers, however, consider that agriculture is a “special case” and should have not to comply with GHG emission reduction targets. Mitigation practices, should, therefore, be integrated with other initiatives. [ABSTRACT FROM AUTHOR]