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"Supporting adolescents' participation in muscle-strengthening physical" by Hayden Thomas Kelly, Jordan James Smith et al.

INTRODUCTION: In Australia, only 22% of male and 8% of female adolescents meet the muscle-strengthening physical activity guidelines, and few school-based interventions support participation in resistance training (RT). After promising findings from our effectiveness trial, we conducted a state-wide dissemination of the 'Resistance Training for Teens' (RT4T) intervention from 2015 to 2020. Despite high estimated reach, we found considerable variability in programme delivery and teachers reported numerous barriers to implementation. Supporting schools when they first adopt evidence-based programmes may strengthen programme fidelity, sustainability, and by extension, programme impact. However, the most effective implementation support model for RT4T is unclear. OBJECTIVE: To compare the effects of three implementation support models on the reach (primary outcome), dose delivered, fidelity, sustainability, impact and cost of RT4T. METHODS AND ANALYSIS: We will conduct a hybrid t ....

Department Of Education , Hunter New England Human Research Ethics Committee , Catholic Schools Office , University Of Newcastle , Resistance Training , New South Wales , Catholic Schools , Consolidated Standards , Reporting Trials , Reporting Implementation Studies , Intervention Description , Ducation Training See Medical Education ,

"Pressure ulcers in patients with COVID-19 acute respiratory distress s" by Natalie L. McEvoy, Oisin Friel et al.

Background: Prone positioning has been widely used to improve oxygenation and reduce ventilator-induced lung injury in patients with severe COVID-19 acute respiratory distress syndrome (ARDS). One major complication associated with prone positioning is the development of pressure ulcers (PUs). Aim: This study aimed to determine the impact of a prevention care bundle on the incidence of PUs in patients with COVID-19 ARDS undergoing prone positioning in the intensive care unit. Study Design: This was a single-centre pre and post-test intervention study which adheres to the Standards for Reporting Implementation Studies (StaRI) guidelines. The intervention included a care bundle addressing the following: increasing frequency of head turns, use of an open gel head ring, application of prophylactic dressings to bony prominences, use of a pressure redistribution air mattress, education of staff in the early identification of evolving PUs through regular and rigorous skin inspection and engag ....

Reporting Implementation Studies , Clinical Practice , Care Bundle , Pressure Ulcers , Prone Positioning ,

Effectiveness of knowledge brokering and recommendation dissemination for influencing healthcare resource allocation decisions: A cluster randomised controlled implementation trial

In a cluster randomized controlled implementation trial, Dr. Mitchell N Sarkies and colleagues examine the effectiveness of knowledge brokering and recommendation dissemination in influencing healthcare resource allocation decisions in Australia and New Zealand. ....

United States , South Australia , New Zealand , Elvin Hsing Geng , Jenni White , Monash Health Research Ethics Committee , National Health , Victorian Department Of Health , National Institute For Health Research , Washington University In St Louis , Health Research , Research Council , Washington University , Creative Commons Attribution License , Medical Research Council , Health Research Ethics Committee , Australian New Zealand Clinical Trials Registry , Universal Trial Number , Cluster Trials , Reporting Implementation Studies , Intervention Description , Cochrane Handbook , Systematic Reviews , College Station , National Institute , Applied Health Research ,