Evidence map›Paper›PMID 41881508›Full record

ArticleBMJ paediatrics open2026

Exploring the barriers and facilitators of implementing family-focused child development programmes in real-world settings: a scoping review.

Samantha Noyek, Vanessa Tomas, Jessica Hanson, Catherine Demers, Natalina Pace, Mandy Young, André Bussières, Carrie Costello, Annette Majnemer, Nicole Askin and 1 more

Abstract readScoping Review
In one paragraph

Article in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Samantha NoyekDepartment of Pediatrics, University of Manitoba, Winnipeg, Manitoba, Canada sam.noyek@umanitoba.ca.ORCID http://orcid.org/0000-0002-8379-017X
Vanessa TomasCanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, Ontario, Canada.
Jessica HansonChildren's Treatment Network, Barrie, Ontario, Canada.
Catherine DemersOccupational Therapy Department, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.ORCID http://orcid.org/0000-0001-7504-9843
Natalina PaceChild Bright Network, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Mandy YoungChild Bright Network, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
André BussièresSchool of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada.
Carrie CostelloRehabilitation Centre for Children, Winnipeg, Manitoba, Canada.
Annette MajnemerSchool of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada.
Nicole AskinWinnipeg Regional Health Authority, University of Manitoba, Winnipeg, Manitoba, Canada.
Kristy WittmeierDepartment of Pediatrics, University of Manitoba, Winnipeg, Manitoba, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundServices and supports for early childhood development can enhance overall caregiver well-being, reduce stress and increase caregiver confidence in parenting a child with disabilities or developmental differences. Numerous programmes have been developed that provide access to child development supports and services for young children and their families. Despite their proven efficacy, implementing these as programmes beyond a research setting remains challenging. The objective of this scoping review was to explore factors that influence the real-world implementation of family-focused programmes designed to support early childhood development.

methodsThis scoping review followed Arksey and O'Malley's (2005) six-step process. Eight electronic databases were searched using keywords and controlled vocabulary based on the sample, phenomenon of interest and design. To be included in this review, articles must have clearly described, defined or categorised barriers/facilitators to implementation of a family-focused programme designed to support early childhood development (0-8 years). Barriers and facilitators were mapped to the Consolidated Framework for Implementation Research (CFIR).

results20 521 citations were retrieved, 12 151 were screened for titles/abstracts after removing duplicates. A total of 129 full-text articles were screened, yielding 31 included articles. 26 programmes were identified across the included articles. A cumulative total of 204 barriers and 183 facilitators were identified and mapped onto the CFIR.

conclusionsFindings highlight the importance of early and ongoing assessment of contextual factors, particularly those influencing families' opportunity to engage. By examining barriers and facilitators reported in existing implementation science and practice literature, this manuscript sheds light on important multi-level implementation determinants for researchers, healthcare organisations and policymakers to tailor and improve implementation efforts of child development programmes in their respective contexts.

Indexed as

Child DevelopmentChild Health ServicesChildChild, PreschoolFamily SupportHumansInfantProgram DevelopmentChild HealthHealth services researchInfant

Identifiers

PMID41881508
PMCPMC13034245

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.