For example, if a strategy has the goal of improving social networking, and the barrier is weak ties between end-users, the social support theory [8] may be used to design an intervention that involves the use of change agents to transfer information [2]. Step KTA 3.B - Center on Knowledge Translation for Technology Transfer Davies and colleagues [40] note that less than 6% of 235 studies, albeit published before 1998, explicitly used theories of behaviour or behaviour change. All authors read and approved the final manuscript. Implement Sci. Change may occur at more than one level, and for more than one intended end-user, and may require multiple methods of monitoring knowledge use. questionnaires). 2010, 5: 92-10.1186/1748-5908-5-92. Each study demonstrates the particularity of implementation activities. A prospective design would strengthen research studies. 2009, 338: a3152-10.1136/bmj.a3152. Implementation Sci 9, 172 (2014). Some indication of the impact of this article can be gained from constructing a normalised citation count for comparison purposes. Methods: We used the Knowledge to Action framework, which was developed to map how science is translated into effective health programs, to examine how the evidencebased intervention from the 2002 Diabetes Prevention Program trial was translated into the Centers for Disease Control and Prevention's largescale National Diabetes Prevention A scoping review of full-spectrum knowledge translation theories This involved checking whether the four elements were described. Cookies policy. However, adaptation of guidelines also runs the risk of deviating from the original evidence base to address this, a systematic approach to guideline adoption has been developed by a Canadian collaboration called ADAPTE [4]. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. So-called action (or planned action) models are process models that facilitate implementation by offering practical guidance in the planning and execution of implementation endeavours and/or implementation strategies. J Adv Nurs. There was substantial variation in the setting and target audience for each documented change, the methods used to apply the KTA Framework and the terminology employed to report the phases within Knowledge Creation and the Action Cycle. Selection bias is another limitation given that we aimed to identify papers reporting usage of the KTA Framework rather than considering or comparing with other conceptual frameworks. In other cases, we made an initial judgement, based on the abstract or a Google text fragment, that the paper was not about an empirical, real-life, knowledge translation or implementation project. Application of knowledge translation (KT) theories, models, and frameworks (TMFs) is one method for successfully incorporating evidence into clinical care. Armstrong R, Waters E, Dobbins M, Anderson L, Moore L, Petticrew M, Clark R, Pettman TL, Burns C, Moodie M, Conning R, Swinburn B. Kitson A, Powell K, Hoon E, Newbury J, Wilson A, Beilby J. LaRocca R, Yost J, Dobbins M, Ciliska D, Butt M. Kothari AR, Bickford JJ, Edwards N, Dobbins MJ, Meyer M. National Collaborating Centre for Methods and Tools (2010). This involves valuing the utility of the knowledge to the problem, setting and circumstances, as well as tailoring the knowledge to the specific situation. IL We did not assess the research rigour of the individual knowledge translation projects. 2023 BioMed Central Ltd unless otherwise stated. Evidence-Based Decision Making 5: Knowledge Translation and the However, none of these knowledge translation strategies, designed to target different barriers, featured in the included studies, with one exception. A further eighteen (12%) were categorised as directed because the KTA Framework influenced the project design or helped to plan, structure or conceptualise what was done, but with no examples given. Further information about how the different studies applied the phases within the Action Cycle are shown in Table 6. 61656, Rockford, Nine were published in peer-reviewed journals with the exception being a Master of Science degree dissertation [19]. 2007, 14: 936-941. Crosby R, Noar SM: Theory development in health promotion: are we there yet?. Knowledge becomes more refined as it moves through these three steps. Today well highlight one of the most highly cited conceptual frameworks in Canada the Knowledge-to-Action (KTA) Framework. Furthermore, knowledge can inform each phase of the action cycle and the knowledge funnel can rotate to feed into different phases. McLean R, Tucker J: Evaluation of CIHRs Knowledge Translation Funding ProgramCIHR.[http://www.cihr-irsc.gc.ca/e/47332.html#a2.1]. Only ten studies reported and gave supportive examples of incorporating the KTA Framework in an integrated way. It is possible some potentially relevant studies were excluded during the initial sift stage. This scheme may be useful for similar studies examining theory use. This flexibility was intended, as Graham and colleagues [1] state the framework can also accommodate different phases being accomplished by different stakeholders and groups (working independently of each other) at different points in time (p. 18). 2011, 71 (Suppl 1): S20-S33. Nine of the studies reported assessing barriers to change [17]-[19],[21]-[26]. Initial screening out by title and abstract on the basis of partial information from Google Scholar may also have excluded relevant studies. Davies P, Walker AE, Grimshaw JM: A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations. to the Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. Note that action steps may not be sequential, and one can start at any phase of the cycle. J Adv Nurs. This inner component of the model is broken down into 3 phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) the creation of knowledge tools and products. Box. Others related to specific conditions, such as stroke [23],[24], children with cerebral palsy and motor difficulties [25] and osteoarthritis [26]. Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare The Knowledge to Action (KTA) Framework was developed in Canada by Graham and colleagues in the 2000s, following a review of 31 planned action theories. The Action Cycle outlines a process, representing the activities needed for knowledge to be applied in practice; knowledge is adapted to the local context, and barriers and facilitators to its use are explicitly assessed. A strategy informed by theory is also much more likely to be effective in changing behaviours and attitudes. The one-hour conversation between Dr. Marianne Farkas of Boston University's Center for Psychiatric Rehabilitation and Dr. Ian Graham was presented in . Acad Emerg Med. The source paper was cited four times more frequently than the next highest cited article from the same journal published in the same year. One hundred and forty-six studies described usage to varying degrees, ranging from referenced to integrated. Seven described using both the Knowledge Creation and the Action Cycle components [18],[20]-[24],[27]. The lead author (BF) contributed to this study while undertaking the National Institute for Health Research/Health Education England Clinical Academic Training Programme Master in Clinical Research scheme. 10.1111/j.1365-2648.2012.06037.x. Worldviews Evid Based Nurs. Implementation researchers and health professionals can learn from this flexibility. 2013, 13: 118-10.1186/1471-2288-13-118. Data-Information-Knowledge-Action Model | SpringerLink Kitson AL, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A: Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Conventional views support the use of theories, models and conceptual frameworks to underpin the process of change, yet in practice, their application seems more limited [40],[43]-[45]. Journal of Continuing Education in the Health Professions, 30, 167-171. doi:10 We recognise that assimilation and utilisation of an influential framework is a continuous process and that we have employed essentially a cross-sectional method to survey the literature. The taxonomy enabled us to refine the inclusion criteria to identify studies that reported explicit application of the KTA Framework. Safari. 10.2340/16501977-0451. Google Scholar references often included an incomplete text fragment rather than a more traditional abstract. Provided by the Springer Nature SharedIt content-sharing initiative. We recommend using the latest version of IE11, Edge, Chrome, Firefox or Hua D, Carter S, Bellerive J, Allu SO, Reid D, Tremblay G, Lindsay P, Tobe SW: Bridging the gap: innovative knowledge translation and the Canadian hypertension education program. This showed that the degree of usage varied from merely citing the KTA Framework to full integration into the study. We did not follow up references (including book chapters) or contact authors of included or excluded studies. It focuses on two main areas of activity: knowledge creation and knowledge tailoring . Questionnaires, interviews, workshops, focus groups and needs assessment were used to identify barriers to change. Only ten studies were integrated, signifying that the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. Finfgeld-Connett D, Johnson ED: Literature search strategies for conducting knowledge-building and theory-generating qualitative systematic reviews. Jacqueline Tetroe MA, Bjrk IT, Lomborg K, Nielsen CM, Brynildsen G, Frederiksen A-MS, Larsen K, Reierson I, Sommer I, Stenholt B: From theoretical model to practical use: an example of knowledge translation. BMC Med Res Methodol. What is Knowledge Translation? | School of Physical & Occupational The authors attribution of use was variable, with most merely referencing the framework or describing how it was used to inform or structure projects. The knowledge to action (KTA) is a process model that helps you select implementation strategies. It would be interesting to review the conceptual papers we excluded to explore how they were influenced by the framework and informed the development of conceptual frameworks more generally. Knowledge-to-action cycle | BMJ Evidence-Based Medicine Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE: Knowledge translation of research findings. A few authors have attempted this, such as McEvoy and colleagues [43] who examined benefits reported by authors using the Normalization Process Theory. Using the Knowledge to Action Process Model to Incite - ResearchGate We focus on all things knowledge translation (KT) and patient engagement (PE), from a health research and healthcare perspective. There are a number of factors that can hinder or enhance the uptake of knowledge, including issues relating to the knowledge itself, factors relating to those who will be using the knowledge, and the context where the knowledge is to be used. Only 10 of 146 papers reported direct use, with examples demonstrating that the framework was integral to their study. Conceptual frameworks are recommended as a way of preparing for the multiple, dynamic and interactive factors that influence the uptake of evidence in practice [3]-[5]. PDF Introduction to Knowledge into Action - The Centre for Evidence-Based Five studies applied one or more phases [18],[20],[22],[24],[26]. Citation searching for the original reference by Graham and colleagues [1] optimised the sensitivity and specificity of the search strategy. The papers were coded according to the taxonomy in Table 1. The Knowledge to Action (KTA) framework is an effective approach in the implementation science literature to methodically guide the translation of evidence-based research findings into practice, putting knowledge into practical use. Unfortunately, an implemented change is not usually self-sustaining and requires ongoing monitoring and effort. "The KT Library is designed to provide information to NIDRR grantees and interested members of the public about a wide spectrum of knowledge translation and evidence-based resources.". Most studies focused on improving knowledge or awareness, supporting what we know about the preponderance of professional or educational knowledge translation strategies within interventions aiming to promote the uptake of evidence [31]. 2013, 69: 194-204. These goals are to increase (a) the use of evidence-based research and (b) the understanding and use of KT principles. 2012, 7: 48-10.1186/1748-5908-7-48. This article presents independent research by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Yorkshire and Humber (NIHR CLAHRC YH).
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