10.2522/ptj.20070056. Damschroder LJ, Aron DC, Keith , Rosalind E, Kirsh SR, Alexander JA, Lowery JC: Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Discovery: The original biomedical, behavioral, or epidemiologic factor that stimulated development of an intervention (1).. Efficacy: The extent to which the intended effect or benefits were achieved under optimal conditions (2).. The target audience included the public and patients, the families of older adults, health professionals, occupational therapists, speech and language therapists, physiotherapists and educationalists/academics within universities. This review is designed to address this knowledge gap. One of the things that makes the KTA unique is that it begins with research evidence, the need to synthesize and translate that evidence - these are represented by the funnel in the middle of the cycle. This reflected our focus on whether the KTA Framework is used in practice and, if so, how it is applied. We developed a taxonomy to categorise this variation (see Table 1). This citation analysis and systematic review investigated the practical application of a well-established conceptual frameworkthe KTA Framework [1]. 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). In real-world practices of the Data-Information-Knowledge-Action model, data are collected surrounding a problem to be addressed, then the data are interpreted to identify competing explanations for the problem, as well as uncertainties of the explanations. However, we were interested in the real-world application of the KTA Framework as a guide to implementation activities in health care and whether it was used in a way that was true to the framework. Neither did we seek out grey literature or search specific thesis/dissertation databases. Judging between informed and directed was difficult, suggesting further refinement of the categories is required. A few free articles for further reading Chicago, The citation search yielded 1,787 records. It may be useful for them to consider the extent to which they wish to follow or be guided by a conceptual framework before embarking on a knowledge translation project, especially regarding outcome measures because .the focus of knowledge into action is ultimately to enhance health status [1 p. 18]. Worldviews Evid Based Nurs. This showed that the degree of usage varied from merely citing the KTA Framework to full integration into the study. The KTA Framework consists of two components: (1) Knowledge Creation Knowledge creation is represented by the funnel in the centre of the image above. 2011, 71 (Suppl 1): S20-S33. Non-stop action: The best choice for iCaf, configure-to-order gaming systems and quality-driven businesses; Non-stop durability: . The result set was reduced to 1,057 records following removal of duplicate and non-English language records. Secondly, multifaceted strategies are more likely to be successful than a single strategy [27],[46],[47], as they target different barriers [40], which reflects our interest in the real-world use of the KTA Framework, where it is probably impossible to control and isolate one strategy [48]. Google Scholar. Knowledge-related barriers [32] were the most common, indicating the appropriateness of using educational strategies to address such barriers. For Web of Science and Scopus citations, full abstracts were identified. Only ten studies were integrated, signifying that the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. Although the terms conceptual frameworks, theories and models are often used interchangeably, conceptual frameworks are broad and descriptive, whereas theories and models are more specific and amenable to hypothesis testing [6]. Article The taxonomy enabled us to refine the inclusion criteria to identify studies that reported explicit application of the KTA Framework. Involvement of stakeholders, and tailoring knowledge to the needs of people who are going to use it, is crucial. In these studies, the KTA Framework appeared to provide a practical yet flexible guide to getting research findings into practice, allowing it to be applied in idiosyncratic ways. The KTA Framework was adapted to different health service settings and resources, indicating a good fit for the diversity of real-world health care. knowledge to action gap through research-clinical partnerships in speech-language pathology. Full-text articles were obtained for any article coded for inclusion and for any articles that appeared relevant but where it was unclear whether the KTA Framework had been actually used in practice. Initial screening out by title and abstract on the basis of partial information from Google Scholar may also have excluded relevant studies. Evaluating outcomes is an area of KT that requires more attention and involves evaluating whether application of the knowledge is actually impacting the desired outcome be it patient or practitioner behaviour, health outcomes, or system-level changes. It is possible some potentially relevant studies were excluded during the initial sift stage. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. Knowing your audience and assessing the value, usefulness and appropriateness of the particular knowledge is critical to its uptake and sustained use. This model provides a sequence of phases for researchers and clinicians to . The MCHRI framework includes 6 Key Steps summarised below: Steps 1 & 2 - Formative Research: engage stakeholders to identify problem from all perspectives, to scope and prioritise . Edited by: Straus S, Tetroe J, Graham ID. Article In contrast, they wanted to evaluate the impact of their intervention on peoples ability to understand their choices and make informed decisions about treatment. 10.1002/chp.20077. We focus on all things knowledge translation (KT) and patient engagement (PE), from a health research and healthcare perspective. Field, B., Booth, A., Ilott, I. et al. 2nd ed. Provided by the Springer Nature SharedIt content-sharing initiative. 2010, 5: 14-10.1186/1748-5908-5-14. Only studies applying the framework to implementation projects were included. Rycroft-Malone J: Implementing evidence-based practice in the reality of clinical practice. Using the framework itself as a device through which to examine how it had been used seemed an appropriate and pragmatic approach for our purposes. We further identified a need to use taxonomies when analysing or evaluating knowledge translation strategies [33],[34]. The KTA Framework is composed of two distinct, but related components: (i) Knowledge Creation, and (ii) the Action Cycle. Implement Sci. We acknowledge that there are multiple choices available when conducting citation searches. Further information about how the different studies applied the phases within the Action Cycle are shown in Table 6. The views and opinions expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The KTA process has two components: Knowledge Creation and Action. 2010, 29: 1-8. We did not follow up references (including book chapters) or contact authors of included or excluded studies. Further, the time frame of the citation searches only captures work up to a certain point (from the date of publication of the source paper to July 2013). An exception was the study by Russell and colleagues [25] who reported using a questionnaire to assess a range of potential barriers and facilitators. Authors identified many barriers relating to environmental factors [32] such as lack of time and/or resources. It is important to note that Graham and colleagues have continued to publish on applications of the framework and the multiple factors to be considered [29]. In the COM-B model behavior is a result of an interaction between three components, which includes: Capability, which can be psychological (knowledge) or physical (skills); Opportunity can be social (societal influences) or physical (environment); motivation can be automatic (emotion) or reflective (beliefs, intentions) [ 16, 17 ]. J Clin Epidemiol. Most studies (8/10) were conducted in Canada where the KTA Framework originated. the main menu, So in terms of doing theory-informed KT, as the saying goes if you dont have time to do it right, when will you have time to do it over?, *ISLAGIATT: Attributed to Dr. Martin P. Eccles. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. Those excluded at this stage included literature reviews and conceptual, descriptive or commentary papers, papers describing a single knowledge translation strategy or not topically relevant. Included articles were re-examined and re-coded according to this more detailed classification. contextualize the Evidence Based Review of Stroke Rehabilitation and Rehabilitation Knowledge to Action Project within the KTA model and (2) show how this process led . Google Scholar. Potential benefits from applying a conceptual framework include making the process of knowledge translation more systematic, with greater likelihood of changed practice and spread of evidence [4],[6]-[9]. Duplicates between records from the databases were identified and the most complete record was retained for the subsequent sift process. Collaboration for Leadership in Applied Health Research and Care for South Yorkshire, Collaboration for Leadership in Applied Health Research and Care for Yorkshire and Humber. A notable feature of the KTA Framework is the development of knowledge tools or products as part of Knowledge Creation. 2012, 7: 50-10.1186/1748-5908-7-50. Quality assessment of the integrated studies proved problematic given that many papers did not report research questions, traditional research designs or recruitment and selection of participants as required by the criteria [16]. IL Also, this conceptual framework may appeal because of a lack of jargon and a simple diagram depicts the knowledge translation process. Petzold, A., Korner-Bitensky, N., & Menon, A. Today well highlight one of the most highly cited conceptual frameworks in Canada the Knowledge-to-Action (KTA) Framework. The Action Cycle focuses on the processes needed to implement knowledge in healthcare settings including identifying problems; assessing determinants of KT; selecting, tailoring, implementing, and evaluating KT interventions; and determining strategies for ensuring sustained knowledge use. Can J Cardiol. Monitoring the use of knowledge is critical in understanding how and to what extent the KT strategy has had an impact on outcomes (the next phase in the action cycle). 2014, 11: 26-34. Knowledge to Action Model. Each study applied the framework in an idiosyncratic way. Retrieved from http://www.nccmt.ca/registry/view/eng/70.html. Tailoring knowledge was described in three studies [18],[20],[26]. Citations were excluded where there was insufficient information to make a judgment about inclusion/exclusion criteria. The Knowledge-to-Action Process The Coordinated Implementation Model The Stetler Model of Research Utilization Conner's conceptual model for research-utilization evaluation Publication Date: August 2007 Copyright 2007 The Board of Regents of The University of Wisconsin System. Consequently, we recommend that the phase select, tailor, implement intervention be amended to include define and select outcomes and knowledge use measures, as a prompt to those using the KTA Framework to specify such outcomes when selecting which knowledge translation strategies to use. 2013, 69: 194-204. volume9, Articlenumber:172 (2014) J Adv Nurs. AB is Reader in Evidence Based Information Practice at the School of Health and Related Research (ScHARR), University of Sheffield, where he leads on systematic review and evidence synthesis activities. When the framework was integral to knowledge translation, it guided action in idiosyncratic ways and there was theory fidelity. J Nurs Care Qual. Rather, papers typically stated aims and objectives, which often related to closing evidence/knowledge-practice gaps. Action model learning (sometimes abbreviated action learning) is an area of machine learning concerned with creation and modification of software agent 's knowledge about effects and preconditions of the actions that can be executed within its environment. A secondary concern was theory fidelity [13], which relates to how this conceptual framework was being used in practice, specifically whether the KTA Framework was articulated in a way that was true to the source paper [1]. 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). 2004, 19: 297-304. the site home page. One can also move between the knowledge creation phase and the action cycle, in an iterative fashion. Knowledge Translation Portfolio, Canadian Institutes of Health Research, Ottawa, ON, Canada. Data for each phase were then synthesised across studies to help understand how the framework had been used in practice. Throughout each of these stages, researchers can take an integrated approach, tailoring their activities (be they developing research questions, messages or dissemination strategies) to that of the end-users. PRISMA flow diagram of citation analysis and systematic literature review. 10.7748/ns2002.05.16.37.38.c3201. 2009, 6: Paper 10-10.2202/1548-923X.1741. A total of 146 papers were identified as attributing use of the KTA Framework. The importance of organisational or external factors and the ability to influence them is well recognised [1],[3],[33]-[35]. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. When using the Knowledge to Action Process model to effect an evidence-based change (e.g., in a clinical practice), one of the factors that knowledge users (e.g., clinicians) may site as an impediment is an absence of the evidence appraisal and statistical analysis skills that are required in the knowledge inquiry phase. KG is a professor of nursing research at the University of Sheffield and Sheffield Teaching Hospitals NHS Foundation Trust where she leads the Translating Knowledge into Action theme of NIHR CLAHRC for Yorkshire and Humber. Seven described using both the Knowledge Creation and the Action Cycle components [18],[20]-[24],[27]. administrative databases) and/or active measurement (e.g. Petzold A, Korner-Bitensky N, Menon A: Using the knowledge to action process model to incite clinical change. Data collection Understanding the barriers to knowledge uptake and implementation strategies, as well as facilitators of change, are critical to effective knowledge translation activities. This study sought to identify and describe available full-spectrum KT TMFs to subsequently guide users. This may reflect a publication bias, between reporting process and outcomes. Lgar [32] recommends using established taxonomies developed for barriers and facilitators within knowledge translation projects. 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. [http://www.rcn.org.uk/__data/assets/pdf_file/0014/512600/2013_RCN_research_W06.pdf]. Refresh the page, check Medium 's site status, or find. statement and It may also be a reflection of the challenges for defining and reporting outcomes for knowledge translation projects. The index citation for the original paper was identified on three databasesWeb of Science, Scopus and Google Scholarwith the facility for citation searching. Over time, barriers to knowledge use may change from those initially identified, so sustaining knowledge use includes an ongoing feedback loop that cycles back through the action phases.
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