Key findings from the analysis of the pilot study data include: Three dimensions (culture, leadership and evaluation) of the modifiable elements of context explained 62% of the variability in reported context by the 5 professional groups. [...] Objectives 1. To test the ACT, previously developed and tested in adult acute care settings, in a pediatric setting 2. To conduct a concurrent process evaluation to assess the acceptability and feasibility of the data collection methods proposed for the multi-site Project 2 3. To assess the stability of the instrument factor structure in pediatric acute care 4. To inform any needed modifications t [...] To increase the profile of the study and to promote information about the response rates, a colorful poster illustrating, graphically, the status of response rates was posted on a weekly basis in each of the units. [...] Small tokens of appreciation in the form of boxed candy, donuts, muffins and ice-cream bars were provided to staff when they attended a meeting to discuss the study or when they discussed the study, in the clinical area, with one of the study personnel. [...] Throughout the course of the survey package and reminder distribution, various incentives and tokens of appreciation were delivered to the units with the “Compliments of the CIHR Team in Children’s Pain” sticker clearly visible.