{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T14:29:49Z","timestamp":1771079389893,"version":"3.50.1"},"reference-count":62,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;amp;R"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This methodological paper explores the intricacies of implementing evidence\u2010based medicine in the health care sector specifically focusing on the clinical practice guideline (CPG) published by the American Physical Therapy Association's Academy of Oncologic Physical Therapy for diagnosing upper quadrant lymphedema secondary to cancer (diagnosis CPG). Although CPGs are widely available, their implementation into clinical practice remains inconsistent, slow, and complex. To address this challenge, this paper employs the Knowledge\u2010to\u2010Action framework, offering a detailed description of the seven stages through the lens of an in\u2010progress case study on the implementation of the diagnosis CPG. This paper underscores the important role of knowledge translation in identifying both barriers and facilitators to effective CPG implementation. Through targeted strategies, such as stakeholder engagement and adaptation of interventions, this paper offers a framework for aligning clinical practice with evidence\u2010based recommendations to improve overall workflow and improved patient outcomes.<\/jats:p>","DOI":"10.1002\/pmrj.13304","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T05:18:29Z","timestamp":1736227109000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Methodological description of knowledge translation: Implementation of clinical practice guidelines into clinical practice"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1212-8582","authenticated-orcid":false,"given":"Elizabeth","family":"Campione","sequence":"first","affiliation":[{"name":"Board Certified Clinical Specialist in Oncological Physical Therapy, LANA Certified Lymphedema Therapist Midwestern University, Physical Therapy Program  Downers Grove Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meredith","family":"Wampler","sequence":"additional","affiliation":[{"name":"Board Certified Clinical Specialist in Oncological Physical Therapy Oregon State University\u2010Cascades, Program in Physical Therapy  Bend Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaina","family":"Newell","sequence":"additional","affiliation":[{"name":"Board Certified Clinical Specialist in Oncological Physical Therapy, Board Certified Clinical Specialist in Women's Health Physical Therapy, LANA Certified Lymphedema Therapist Select Medical, ReVital Cancer Rehabilitation  Mechanicsburg Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzaa023"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.081229"},{"key":"e_1_2_6_4_1","volume-title":"APTA Clinical Practice Guideline Process Manual, Revised","year":"2022"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010133\u20104\u2010200008150\u201000102"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/esmoopen\u20102018\u2010000385"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare4030036"},{"key":"e_1_2_6_8_1","volume-title":"Integrated and End\u2010of Grant Approaches","author":"Guide to knowledge translation planning at CIHR","year":"2012"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed\u20102015\u2010205461"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzx050"},{"key":"e_1_2_6_11_1","unstructured":"Canadian Institutes of Health Research (CIHR).Knowledge translation: definition.2016http:\/\/www.cihr-irsc.gc.ca\/e\/29529.htmlAccessed March 17 2020."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/xeb.0000000000000086"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2020.12.031"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010015\u20100242\u20100"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010018\u20100842\u20106"},{"issue":"6","key":"e_1_2_6_16_1","first-page":"I129","article-title":"From understanding health care provider behavior to improving health care: the QUERI framework for quality improvement. Quality enhancement research initiative","volume":"38","author":"Rubenstein LV","year":"2000","journal-title":"Med Care"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/chp.47"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20104\u201050"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010022\u201001245\u20100"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2004.011155"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20107\u201037"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2004.01007.x"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.11.2.174"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010015\u20100295\u20100"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00064"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488\u2010010\u20100319\u20107"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102474\u201012\u2010106"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43058\u2010021\u201000181\u20102"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd11.130184"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.REO.0000000000000075"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.REO.0000000000000115"},{"issue":"2","key":"e_1_2_6_32_1","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.1007\/s11606-006-0269-7","article-title":"Toward evidence\u2010based quality improvement. Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966\u20101998","volume":"21","author":"Grimshaw J","year":"2006","journal-title":"J Gen Intern Med"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010023\u201007589\u2010733"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/NPT.0000000000000364"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1161\/strokeaha.119.027450"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43058\u2010021\u201000205\u2010x"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2020.03.006"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27461"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2021.0149"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118413555.ch09"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20109\u20107"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118413555.ch10"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010016\u20100440\u20104"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare8030285"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/86.2.205"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/npt.0000000000000229"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010018\u20100763\u20104"},{"key":"e_1_2_6_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2017.01.016"},{"key":"e_1_2_6_49_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961\u2010020\u201000588\u20108"},{"key":"e_1_2_6_50_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201008741\u20105"},{"key":"e_1_2_6_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692155221141036"},{"key":"e_1_2_6_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010023\u201001475\u20101"},{"key":"e_1_2_6_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100628\u20102"},{"key":"e_1_2_6_54_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.REO.0000000000000310"},{"key":"e_1_2_6_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20102850.2009.01187.x"},{"key":"e_1_2_6_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11414\u2010015\u20109475\u20106"},{"key":"e_1_2_6_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010015\u20100351\u20109"},{"key":"e_1_2_6_58_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102016\u2010005473"},{"key":"e_1_2_6_59_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118413555.ch22"},{"key":"e_1_2_6_60_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20102\u201040"},{"key":"e_1_2_6_61_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102015\u2010005004"},{"key":"e_1_2_6_62_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzaa087"},{"key":"e_1_2_6_63_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100637\u20101"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.13304","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:26:43Z","timestamp":1764253603000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.13304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,7]]},"references-count":62,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/pmrj.13304"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.13304","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,7]]},"assertion":[{"value":"2023-08-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}