{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:29:58Z","timestamp":1786692598032,"version":"build-2736575974"},"reference-count":51,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>\n                    <jats:bold>Importance:<\/jats:bold>\n                    The Supporting and Enhancing NICU Sensory Experiences (SENSE) program is an evidence-based intervention that promotes daily, positive sensory exposures for infants in the neonatal intensive care unit (NICU). Understanding program implementation across sites may aid in optimizing strategies for uptake of the program and subsequently improve outcomes for infants and families.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To investigate health care professionals\u2019 perceptions of implementing the SENSE program.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design:<\/jats:bold>\n                    The SENSE Program Implementation Survey was developed using Proctor et al.\u2019s model and the BARRIERS scale to probe organizational practices across sites worldwide.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    Survey distributed to 211 hospitals with a SENSE program license obtained before March 2020.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Participants:<\/jats:bold>\n                    One hundred fourteen NICU personnel (response rate = 54%).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Outcomes and Measures:<\/jats:bold>\n                    The survey sought to understand barriers and facilitators, adaptations during implementation, and associated costs.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Of the 53% (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 57 of 107) of respondents who had implemented the SENSE program, many (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 14; 31%) experienced quick timing (&lt;1 mo) to use, including spread to nearly all infants in their NICU within 6 mo (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 18; 35%). Most reported the program was used to educate families \u22643 days of birth (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 20\/59; 34%). Most of the sensory interventions in the program were performed by parents (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 38; 67%) and therapists (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 44; 77%). Barriers and facilitators at the organizational and individual levels were identified. No additional staff were hired to implement the program.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions and Relevance:<\/jats:bold>\n                    Given perceived successes and challenges, strategic enhancement of implementation can inform future administrations of the SENSE program.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Plain-Language Summary:<\/jats:bold>\n                    This study provides occupational therapists who are interested in implementing the SENSE program (Supporting and Enhancing NICU Sensory Experiences) with an understanding of common barriers, facilitators, costs, and adaptations, which can be used to advocate for program implementation in NICUs to improve outcomes for preterm infants worldwide.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2024.050450","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T15:05:42Z","timestamp":1706195142000},"page":"131-149","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Organizational Barriers to and Facilitators of the Successful Implementation and Sustainability of the Supporting and Enhancing NICU Sensory Experiences (SENSE) Program"],"prefix":"10.1177","volume":"78","author":[{"given":"Roberta","family":"Pineda","sequence":"first","affiliation":[{"name":"Roberta Pineda, PhD, OTR\/L, CNT, is Associate Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles; Department of Pediatrics and Neonatology, Keck School of Medicine and Children\u2019s Hospital of Los Angeles, Los Angeles, CA; Gehr Family Center for Health Systems Science and Innovation, Keck School of Medicine, University of Southern California, Los Angeles; and Adjunct Faculty, Program in Occupational Therapy, Washington University in St. Louis, St. Louis, MO;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Polly","family":"Kellner","sequence":"additional","affiliation":[{"name":"Polly Kellner, MSOT, OTR\/L, is Clinical Research Specialist and Occupational Therapist, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany A.","family":"Gruskin","sequence":"additional","affiliation":[{"name":"Bethany A. Gruskin, MSOT, OTR\/L, is PhD Student, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Smith","sequence":"additional","affiliation":[{"name":"Joan Smith, PhD, RN, NNP-BC, FAAN, is Director, Department of Quality, Safety, and Practice Excellence, St. Louis Children\u2019s Hospital, St. Louis, MO."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,25]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2007.12.009"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2010.10.032"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2011.01314.x"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-2238"},{"key":"e_1_3_2_6_1","first-page":"137","article-title":"Early mother\u2013infant reciprocity","author":"Brazelton T. 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