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Facilitators are likely to have a relatively strong voice in setting the broad components of adaptive PD, including determining the activities that teachers will engage in and defining the structure of their engagement.
After carefully considering how teacher will respond to the selected video clips, facilitators are likely better equipped to attend to the ideas that emerge and to make choices about how to organize those ideas in the discussion in order to achieve the intended learning goals.
Finally, because each of the domains of the TDF appeared to be relevant to many different types of clinical quality intervention, it is important that those attempting to implement these interventions begin with an open mind as to which barriers and facilitators are likely to be salient in a particular organizational context.
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Gaining the requisite knowledge to become an effective facilitator is likely to be a relatively lengthy, socially constructed process, involving in-depth study and disciplined inquiry (Elliott et al. 2009; Jenlink and Kinnucan-Welsch 2001).
To ensure these interventions are appropriately designed and effective, it is important that they address genuine barriers to research uptake, and utilise facilitators which are likely to affect research uptake.
Facilitator working conditions are likely to affect student learning.
Effective facilitators are more likely to engage students in constructive debate and encourage them to self-reflect and share their perspective than tutors who are didactic.
Moreover, it has been suggested that KT interventions based on assessments of barriers and facilitators are more likely to be effective [ 110], indicating that this is an important first step in the knowledge-to-action process.
However, it is appropriate to consider whether there are other contexts within which our key findings regarding barriers and facilitators to primary care are likely transferable.
At the same time, facilitators and focus group coordinators are likely to become as common in Fort Edward as engineers in hip-waders.
The perspectives of other cadres of clinic staff could also be explored in further work, although the general nature of the barriers and facilitators that emerged from this work are likely to be applicable to other staff.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com