{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T20:40:53Z","timestamp":1751488853642,"version":"3.40.5"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T00:00:00Z","timestamp":1699228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Many speech sound disorder (SSD) interventions with a long\u2010term evidence base are \u2018new\u2019 to clinical practice, and the role of services in supporting or constraining capacity for practice change is underexplored. Innovations from implementation science may offer solutions to this research\u2013practice gap but have not previously been applied to SSD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explain variation in speech and language therapy service capacity to implement new SSD interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>We conducted an intensive, case\u2010based qualitative study with 42 speech and language therapists (SLTs) in three NHS services (<jats:italic>n<\/jats:italic> = 39) and private practice (<jats:italic>n<\/jats:italic> = 3) in Scotland. We explored therapists\u2019 diverse experiences of SSD practice change through individual interviews (<jats:italic>n<\/jats:italic> = 28) or self\u2010generated paired (<jats:italic>n<\/jats:italic> = 2) or focus groups (<jats:italic>n<\/jats:italic> = 3). A theoretical framework (Normalization Process Theory) helped us understand how the service context contributed to the way therapists engaged with different practice changes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>We identified six types (\u2018cases\u2019) of practice change, two of which involved the new SSD interventions. We focus on these two cases (\u2018Transforming\u2019 and \u2018Venturing\u2019) and use Normalization Process Theory's Cognitive participation construct to explain implementation (or not) of new SSD interventions in routine practice. Therapists were becoming aware of the new interventions through knowledge brokers, professional networks and an intervention database. In the Transforming case, new SSD interventions for selected children were becoming part of local routine practice. Transforming was the result of a favourable service structure, a sustained and supported \u2018push\u2019 that made implementation of the new interventions a service priority, and considerable collective time to think about doing it. \u2018Venturing\u2019 happened where the new SSD interventions were not a service priority. It involved individual or informal groups of therapists trying out or using one or more of the new interventions with selected children within the constraints of their service context.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; implications<\/jats:title><jats:p>New, evidence\u2010based SSD interventions may be challenging to implement in routine practice because they have in common a need for therapists who understand applied linguistics and can be flexible with service delivery. Appreciating what it really takes to do routine intervention differently is vital for managers and services who have to make decisions about priorities for implementation, along with realistic plans for resourcing and supporting it.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:sec><jats:title>What is already known on the subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Many SSD interventions have an evidence base but are not widely adopted into routine clinical practice. Addressing this is not just about individual therapists or education\/training, as workplace pressures and service delivery models make it difficult to change practice.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to the existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This paper applies innovations from implementation science to help explain how what is going on in services can support or constrain capacity for implementing evidence\u2010based SSD interventions.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Service managers and therapists will have a clearer idea of the time and support they may realistically have to invest for new SSD interventions to be used routinely.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12979","type":"journal-article","created":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T10:12:39Z","timestamp":1699265559000},"page":"1002-1017","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Understanding capacity for implementing new interventions: A qualitative study of speech and language therapy services for children with speech sound disorder*"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9677-4817","authenticated-orcid":false,"given":"Avril","family":"Nicoll","sequence":"first","affiliation":[{"name":"Aberdeen Centre for Women's Health Research University of Aberdeen  Foresterhill, Aberdeen UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Roulstone","sequence":"additional","affiliation":[{"name":"Bristol Speech &amp; 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