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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Since the beginning of the 21st century&#44; there have been important developments in thinking about the concepts of health and disability&#46; In 2001&#44; the World Health Organization &#40;WHO&#41; published an updated version of its framework for health&#58; the International Classification of Functioning&#44; Disability and Health &#40;usually called the ICF&#41;&#46; Based upon this framework&#44; Canadian researchers published an approach to childhood disability&#44; in a paper called &#8220;<span class="elsevierStyleItalic">The F-words in Childhood Disability&#58; I swear this is how we should think&#33;</span>&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The six &#8216;F-words&#8217; &#40;function&#44; fitness&#44; family&#44; friendship&#44; fun&#44; and future&#41; present a set of linked ideas&#46; These words aim to unfold&#44; and bring to life&#44; new ways of thinking about childhood disability&#44; indeed about all aspects of child development&#44; and to engage stakeholders &#40;any &#8220;individual or group who is responsible for or affected by health- or healthcare-related decisions that can be informed by research evidence&#8221;&#41; to implement these new ideas in clinical practice&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">This proposed shift in paradigm expands beyond looking solely at &#8220;fixing&#8221; impairments to focus on promoting activity and participation engagement in home&#44; school&#44; and community settings&#46; This change is consistent with current evidence that shows that gains obtained from &#8220;treatments&#8221; in the domain of body structure and function do not&#44; as has traditionally been assumed&#44; automatically transfer to other domains&#44; such as activity and participation&#46; Indeed&#44; while all the ICF domains are interconnected&#44; functional improvement depends on a myriad of factors and not solely on improvement in impairments&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3&#44;4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The authors of the &#8216;F-words&#8217; paper advocate that these six words&#44; designed to bring the ICF to daily use&#44; encompass the basis of every child&#39;s life&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In this context&#44; the &#8220;F-word&#8221; <span class="elsevierStyleBold">Function</span>&#44; in the activity domain of the ICF framework&#44; means what a child does&#44; such as executing an action or a task on his&#47;her environment &#8211; however he&#47;she can accomplish it&#33; <span class="elsevierStyleBold">Fitness</span> is incorporated in the body structure and function domain and refers to become physically active &#8211; something that is often a challenge for people with impairments&#46; <span class="elsevierStyleBold">Fun</span>&#44; an element of the ICF framework &#40;participation and personal factors&#41;&#44; means what a child wants to do &#8211; and can be used for &#8216;therapies&#8217;&#33; <span class="elsevierStyleBold">Friendships</span> are also placed within the same ICF domain as Fun&#44; and are considered an essential component of social development &#40;namely&#44; <span class="elsevierStyleBold">Participation</span>&#41;&#44; highlighting the quality of social interactions&#46; <span class="elsevierStyleBold">Family</span> encompasses the most essential environment of any child and represents a key focus for family-centered service&#46; Finally&#44; the sixth &#8220;F-word&#8221;&#44; <span class="elsevierStyleBold">Future</span>&#44; represents the imperative to think about the &#8216;F-words&#8217; concepts in a positive way&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Taking all these &#8216;F-words&#8217; together will remind us what is relevant to consider in &#40;re&#41;habilitation &#40;we prefer to say &#8216;developmental&#8217;&#41; services of children whose development is always moving forward toward the future&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Since its publication about a decade ago&#44; the &#8216;F-words&#8217; paper has been cited more than 250 times and downloaded more than 20<span class="elsevierStyleHsp" style=""></span>000 times from the publisher&#39;s website&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Soper and colleagues undertook a citation analysis study to explore &#8220;Who is using the &#8216;F-words&#8217;&#8216;&#8221; and &#8220;How are the F-words being cited&#47;referenced&#47;used&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> This study showed that the &#8216;F-words&#8217; have been used&#58; &#40;i&#41; to reach a variety of stakeholders &#40;audiences&#41; focused on diverse health conditions &#40;populations&#41;&#59; &#40;ii&#41; to present the &#8216;F-words&#8217; as an application of the ICF concepts&#59; &#40;iii&#41; to support the modern way of thinking about disability approaches&#44; in contrast to traditional ideas &#40;i&#46;e&#46;&#44; people with disability should be &#8220;fixed&#8221;&#41;&#59; and &#40;iv&#41; as facilitators to promote participation in physical activity and rehabilitation interventions&#46; Among the 26 countries contributing to the information&#44; just three countries from WHO-defined low and middle-income countries &#40;LMICs&#41;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#44;7</span></a> &#40;Brazil&#44; China&#44; and South Africa&#41; had more than two &#8216;F-words&#8217; citations&#46; However&#44; it is still uncertain how the &#8216;F-words&#8217; are being implemented and what barriers&#47;facilitators limit their use in clinical practice in LMICs&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Although service providers from high income countries &#40;e&#46;g&#46;&#44; United States&#44; Wales&#44; Austria&#41; and LMICs &#40;Brazil&#44; Belize&#44; Philippines&#44; and Puerto Rico&#41; have approved the use of &#8216;F-words&#8217; as good practice&#44; they have reported challenges in implementing them in clinical settings&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> The reported potential barriers were&#58; &#40;1&#41; the strong focus of stakeholders on the biomedical approaches &#40;&#8220;fixing the child&#8221;&#41;&#59; &#40;2&#41; limited resources to support the &#8216;F-words&#8217; implementation&#44; especially access to health care systems and financial limitations in LMICs&#59; and &#40;3&#41; the meaningful translation and cultural adaptation of the &#8216;F-words&#8217; in other languages&#46; These findings highlight the challenges of transferring the &#8216;F-words&#8217; knowledge for use in LMICs&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">In 2014&#44; aiming to disseminate the &#8216;F-words&#8217; into practice&#44; a research team from <span class="elsevierStyleItalic">CanChild Centre</span> &#40;Canada&#41; created a three-minute English-language awareness video&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> At that time&#44; the video reached a broad audience&#44; with the majority of the views being from high income countries&#46; In 2015&#44; this same team&#39;s interest to provide tools and action-oriented resources led to the development of a Web-based Knowledge Translation &#40;KT&#41; resource entitled &#8220;The &#8216;F-words&#8217; in childhood disability Knowledge Hub&#8221;&#44; hosted on CanChild website&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;11</span></a> A pilot study survey was conducted to evaluate the &#8216;F-words&#8217; Knowledge Hub&#46; Individuals who completed the survey &#40;families and researchers&#41; from high and LMICs reported that the &#8220;F-words&#8221; videos and the &#8220;F-words&#8221; tools &#40;e&#46;g&#46;&#44; &#8216;F-words&#8217; agreement&#44; picture collages&#44; profile and goal sheet&#41; &#40;supplemental online material&#41;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;12&#8211;16</span></a> were the best features on the Knowledge Hub&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> The &#8216;F-words&#8217; poster has been translated into well over 20 different languages &#40;including languages used in LMICs&#41;&#46; But only one WHO-classified LMIC &#40;Brazil&#41; has created an &#8216;F-words&#8217; awareness video &#40;produced by nossacasa&#46;org&#46;br&#41;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> and translated the &#8216;F-words&#8217; tools into their own language &#40;data available at <a href="http://www.canchild.ca/">www&#46;canchild&#46;ca</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> The &#8216;F-words&#8217; Brazilian video available at <span class="elsevierStyleItalic">Instituto Nossa Casa</span> YouTube&#46;com<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> has had approximately 5700 views&#44; but considering the population in Brazil &#40;more than 200 million people&#41;&#44; the number of views is still very small&#46; Taken together&#44; a knowledge-to-action &#40;KTA&#41; framework is crucial to translate the &#8216;F-words&#8217; knowledge to practice&#44; especially in LMICs&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">The KTA framework provides a conceptual map of the steps needed to translate knowledge to practice&#44; called the &#8216;action cycle&#8217;&#46; This action cycle encompasses a dynamic model where first the knowledge is created and refined and then&#44; through planned action&#44; the knowledge is implemented considering the diversity of each context &#40;e&#46;g&#46;&#44; non-English language&#44; financial limitations and resources&#44; etc&#46;&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> Since the &#8216;F-words&#8217; knowledge creation &#40;i&#46;e&#46;&#44; knowledge inquiry&#44; synthesis&#44; and tools&#47;products&#41; is already refined and available in the &#8216;F-words&#8217; knowledge hub&#44;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> the action strategies by the agents of these ideas must be implemented considering the challenges of the LMICs&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">A diversity of strategies have been reported by studies in LMICs that could be used to increase &#8216;F-words&#8217; KT<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;20</span></a>&#58; &#40;1&#41; establish regional &#8216;F-words&#8217; opinion leaders&#44; who will engage and implement others&#8217; strategies&#59; &#40;2&#41; create training programs &#40;e&#46;g&#46;&#44; demonstrations and practical activities&#41;&#59; &#40;3&#41; distribute materials for tailored implementation &#40;e&#46;g&#46;&#44; posters&#44; manuals&#44; videos&#44; and photographs&#41;&#59; &#40;4&#41; involve local partners &#40;e&#46;g&#46;&#44; health professionals&#44; parents&#44; and community members&#41;&#59; &#40;5&#41; disseminate materials on-line and publicly &#40;e&#46;g&#46;&#44; awareness-raising activities&#44; health kiosks at public events&#44; home visits&#44; educational messages transmitted through the media and social networks&#44; distributions of T-shirts&#44; and scientific communications&#59; &#40;6&#41; do educational outreach and meetings &#40;e&#46;g&#46;&#44; workshops and discussion forums&#41;&#59; &#40;7&#41; create artistic performances and games &#40;e&#46;g&#46;&#44; theater&#44; dance&#41;&#59; and &#40;8&#41; promote policy dialogs and disseminate the policy briefs with strategies for implementing the &#8216;F-words&#8217; in clinical setting&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;20</span></a> The <span class="elsevierStyleItalic">Instituto Nossa Casa</span>&#44; a non-governmental institute in Brazil&#44; has been a pioneer in Latin America because they have been translating the &#8216;F-words&#8217; content to Portuguese&#44; sharing the new concepts of disability management with stakeholders&#44; and developing knowledge translation tools for parents and therapists&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Finally&#44; to overcome the limited use of the &#8216;F-words&#8217; in clinical settings&#44; these 21st century ideas need to flourish across stakeholders&#46; Thus&#44; the advocates and agents of the &#8216;F-words&#8217; from LMICs are called upon to become &#8216;knowledge-broker agents&#44;&#8217; adapting new knowledge to the local context&#44; assessing potential barriers&#44; and identifying supports that can be used&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;21</span></a> We still have a long road to travel in LMICs to implement the &#8216;F-words&#8217; into practice&#44; but the first steps have been made&#46; As we know things <span class="elsevierStyleItalic">can</span> change&#44; let us continue on this path&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">PR contributed to the creation and promotion of the &#8216;F-words&#8217; ideas&#44; all of which are freely available&#46; HL and PC declare no conflicts of interest&#46;</p></span></span>"
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Editorial
Childhood disability: can people implement the F-words in low and middle-income countries – and how?
Hércules Ribeiro Leitea,
Corresponding author
hercules@ufmg.br

Corresponding author at: Graduate Program in Rehabilitation Sciences, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, CEP: 31270-901, Belo Horizonte, MG, Brazil.
, Paula Silva de Carvalho Chagasb, Peter Rosenbaumc
a Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
b Graduate Program in Rehabilitation Sciences and Physical-Functional Performance, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil
c CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario, Canada
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Since the beginning of the 21st century&#44; there have been important developments in thinking about the concepts of health and disability&#46; In 2001&#44; the World Health Organization &#40;WHO&#41; published an updated version of its framework for health&#58; the International Classification of Functioning&#44; Disability and Health &#40;usually called the ICF&#41;&#46; Based upon this framework&#44; Canadian researchers published an approach to childhood disability&#44; in a paper called &#8220;<span class="elsevierStyleItalic">The F-words in Childhood Disability&#58; I swear this is how we should think&#33;</span>&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The six &#8216;F-words&#8217; &#40;function&#44; fitness&#44; family&#44; friendship&#44; fun&#44; and future&#41; present a set of linked ideas&#46; These words aim to unfold&#44; and bring to life&#44; new ways of thinking about childhood disability&#44; indeed about all aspects of child development&#44; and to engage stakeholders &#40;any &#8220;individual or group who is responsible for or affected by health- or healthcare-related decisions that can be informed by research evidence&#8221;&#41; to implement these new ideas in clinical practice&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">This proposed shift in paradigm expands beyond looking solely at &#8220;fixing&#8221; impairments to focus on promoting activity and participation engagement in home&#44; school&#44; and community settings&#46; This change is consistent with current evidence that shows that gains obtained from &#8220;treatments&#8221; in the domain of body structure and function do not&#44; as has traditionally been assumed&#44; automatically transfer to other domains&#44; such as activity and participation&#46; Indeed&#44; while all the ICF domains are interconnected&#44; functional improvement depends on a myriad of factors and not solely on improvement in impairments&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3&#44;4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The authors of the &#8216;F-words&#8217; paper advocate that these six words&#44; designed to bring the ICF to daily use&#44; encompass the basis of every child&#39;s life&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In this context&#44; the &#8220;F-word&#8221; <span class="elsevierStyleBold">Function</span>&#44; in the activity domain of the ICF framework&#44; means what a child does&#44; such as executing an action or a task on his&#47;her environment &#8211; however he&#47;she can accomplish it&#33; <span class="elsevierStyleBold">Fitness</span> is incorporated in the body structure and function domain and refers to become physically active &#8211; something that is often a challenge for people with impairments&#46; <span class="elsevierStyleBold">Fun</span>&#44; an element of the ICF framework &#40;participation and personal factors&#41;&#44; means what a child wants to do &#8211; and can be used for &#8216;therapies&#8217;&#33; <span class="elsevierStyleBold">Friendships</span> are also placed within the same ICF domain as Fun&#44; and are considered an essential component of social development &#40;namely&#44; <span class="elsevierStyleBold">Participation</span>&#41;&#44; highlighting the quality of social interactions&#46; <span class="elsevierStyleBold">Family</span> encompasses the most essential environment of any child and represents a key focus for family-centered service&#46; Finally&#44; the sixth &#8220;F-word&#8221;&#44; <span class="elsevierStyleBold">Future</span>&#44; represents the imperative to think about the &#8216;F-words&#8217; concepts in a positive way&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Taking all these &#8216;F-words&#8217; together will remind us what is relevant to consider in &#40;re&#41;habilitation &#40;we prefer to say &#8216;developmental&#8217;&#41; services of children whose development is always moving forward toward the future&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Since its publication about a decade ago&#44; the &#8216;F-words&#8217; paper has been cited more than 250 times and downloaded more than 20<span class="elsevierStyleHsp" style=""></span>000 times from the publisher&#39;s website&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Soper and colleagues undertook a citation analysis study to explore &#8220;Who is using the &#8216;F-words&#8217;&#8216;&#8221; and &#8220;How are the F-words being cited&#47;referenced&#47;used&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> This study showed that the &#8216;F-words&#8217; have been used&#58; &#40;i&#41; to reach a variety of stakeholders &#40;audiences&#41; focused on diverse health conditions &#40;populations&#41;&#59; &#40;ii&#41; to present the &#8216;F-words&#8217; as an application of the ICF concepts&#59; &#40;iii&#41; to support the modern way of thinking about disability approaches&#44; in contrast to traditional ideas &#40;i&#46;e&#46;&#44; people with disability should be &#8220;fixed&#8221;&#41;&#59; and &#40;iv&#41; as facilitators to promote participation in physical activity and rehabilitation interventions&#46; Among the 26 countries contributing to the information&#44; just three countries from WHO-defined low and middle-income countries &#40;LMICs&#41;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#44;7</span></a> &#40;Brazil&#44; China&#44; and South Africa&#41; had more than two &#8216;F-words&#8217; citations&#46; However&#44; it is still uncertain how the &#8216;F-words&#8217; are being implemented and what barriers&#47;facilitators limit their use in clinical practice in LMICs&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Although service providers from high income countries &#40;e&#46;g&#46;&#44; United States&#44; Wales&#44; Austria&#41; and LMICs &#40;Brazil&#44; Belize&#44; Philippines&#44; and Puerto Rico&#41; have approved the use of &#8216;F-words&#8217; as good practice&#44; they have reported challenges in implementing them in clinical settings&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> The reported potential barriers were&#58; &#40;1&#41; the strong focus of stakeholders on the biomedical approaches &#40;&#8220;fixing the child&#8221;&#41;&#59; &#40;2&#41; limited resources to support the &#8216;F-words&#8217; implementation&#44; especially access to health care systems and financial limitations in LMICs&#59; and &#40;3&#41; the meaningful translation and cultural adaptation of the &#8216;F-words&#8217; in other languages&#46; These findings highlight the challenges of transferring the &#8216;F-words&#8217; knowledge for use in LMICs&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">In 2014&#44; aiming to disseminate the &#8216;F-words&#8217; into practice&#44; a research team from <span class="elsevierStyleItalic">CanChild Centre</span> &#40;Canada&#41; created a three-minute English-language awareness video&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> At that time&#44; the video reached a broad audience&#44; with the majority of the views being from high income countries&#46; In 2015&#44; this same team&#39;s interest to provide tools and action-oriented resources led to the development of a Web-based Knowledge Translation &#40;KT&#41; resource entitled &#8220;The &#8216;F-words&#8217; in childhood disability Knowledge Hub&#8221;&#44; hosted on CanChild website&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;11</span></a> A pilot study survey was conducted to evaluate the &#8216;F-words&#8217; Knowledge Hub&#46; Individuals who completed the survey &#40;families and researchers&#41; from high and LMICs reported that the &#8220;F-words&#8221; videos and the &#8220;F-words&#8221; tools &#40;e&#46;g&#46;&#44; &#8216;F-words&#8217; agreement&#44; picture collages&#44; profile and goal sheet&#41; &#40;supplemental online material&#41;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;12&#8211;16</span></a> were the best features on the Knowledge Hub&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> The &#8216;F-words&#8217; poster has been translated into well over 20 different languages &#40;including languages used in LMICs&#41;&#46; But only one WHO-classified LMIC &#40;Brazil&#41; has created an &#8216;F-words&#8217; awareness video &#40;produced by nossacasa&#46;org&#46;br&#41;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> and translated the &#8216;F-words&#8217; tools into their own language &#40;data available at <a href="http://www.canchild.ca/">www&#46;canchild&#46;ca</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> The &#8216;F-words&#8217; Brazilian video available at <span class="elsevierStyleItalic">Instituto Nossa Casa</span> YouTube&#46;com<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> has had approximately 5700 views&#44; but considering the population in Brazil &#40;more than 200 million people&#41;&#44; the number of views is still very small&#46; Taken together&#44; a knowledge-to-action &#40;KTA&#41; framework is crucial to translate the &#8216;F-words&#8217; knowledge to practice&#44; especially in LMICs&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">The KTA framework provides a conceptual map of the steps needed to translate knowledge to practice&#44; called the &#8216;action cycle&#8217;&#46; This action cycle encompasses a dynamic model where first the knowledge is created and refined and then&#44; through planned action&#44; the knowledge is implemented considering the diversity of each context &#40;e&#46;g&#46;&#44; non-English language&#44; financial limitations and resources&#44; etc&#46;&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> Since the &#8216;F-words&#8217; knowledge creation &#40;i&#46;e&#46;&#44; knowledge inquiry&#44; synthesis&#44; and tools&#47;products&#41; is already refined and available in the &#8216;F-words&#8217; knowledge hub&#44;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> the action strategies by the agents of these ideas must be implemented considering the challenges of the LMICs&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">A diversity of strategies have been reported by studies in LMICs that could be used to increase &#8216;F-words&#8217; KT<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;20</span></a>&#58; &#40;1&#41; establish regional &#8216;F-words&#8217; opinion leaders&#44; who will engage and implement others&#8217; strategies&#59; &#40;2&#41; create training programs &#40;e&#46;g&#46;&#44; demonstrations and practical activities&#41;&#59; &#40;3&#41; distribute materials for tailored implementation &#40;e&#46;g&#46;&#44; posters&#44; manuals&#44; videos&#44; and photographs&#41;&#59; &#40;4&#41; involve local partners &#40;e&#46;g&#46;&#44; health professionals&#44; parents&#44; and community members&#41;&#59; &#40;5&#41; disseminate materials on-line and publicly &#40;e&#46;g&#46;&#44; awareness-raising activities&#44; health kiosks at public events&#44; home visits&#44; educational messages transmitted through the media and social networks&#44; distributions of T-shirts&#44; and scientific communications&#59; &#40;6&#41; do educational outreach and meetings &#40;e&#46;g&#46;&#44; workshops and discussion forums&#41;&#59; &#40;7&#41; create artistic performances and games &#40;e&#46;g&#46;&#44; theater&#44; dance&#41;&#59; and &#40;8&#41; promote policy dialogs and disseminate the policy briefs with strategies for implementing the &#8216;F-words&#8217; in clinical setting&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;20</span></a> The <span class="elsevierStyleItalic">Instituto Nossa Casa</span>&#44; a non-governmental institute in Brazil&#44; has been a pioneer in Latin America because they have been translating the &#8216;F-words&#8217; content to Portuguese&#44; sharing the new concepts of disability management with stakeholders&#44; and developing knowledge translation tools for parents and therapists&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Finally&#44; to overcome the limited use of the &#8216;F-words&#8217; in clinical settings&#44; these 21st century ideas need to flourish across stakeholders&#46; Thus&#44; the advocates and agents of the &#8216;F-words&#8217; from LMICs are called upon to become &#8216;knowledge-broker agents&#44;&#8217; adapting new knowledge to the local context&#44; assessing potential barriers&#44; and identifying supports that can be used&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;21</span></a> We still have a long road to travel in LMICs to implement the &#8216;F-words&#8217; into practice&#44; but the first steps have been made&#46; As we know things <span class="elsevierStyleItalic">can</span> change&#44; let us continue on this path&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">PR contributed to the creation and promotion of the &#8216;F-words&#8217; ideas&#44; all of which are freely available&#46; HL and PC declare no conflicts of interest&#46;</p></span></span>"
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Idiomas
Brazilian Journal of Physical Therapy
en pt
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