knowledge to action model

10.1111/wvn.12016. Child Health, Health Equity, Integrated Knowledge Translation, Canadian Institutes of Health Research (CIHR, https://www.ncbi.nlm.nih.gov/pubmed/16557505, practical guide to designing a KT intervention. Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney SE: Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project. However, as shown by our study, citation searching in isolation from citation analysisthe detailed examination of full-textis unable to discriminate between where a model is simply mentioned in passing or even for cosmetic reasons and where it represents an explicit intellectual and conceptual contribution. Worldviews Evid Based Nurs. Article Straus S, Graham I: Development of a mentorship strategy: a knowledge translation case study. Implement Sci. Developed by Ian Graham and colleagues [1], the KTA Framework is based on the commonalities of over 30 planned-action theories (which make up the action cycle) with the addition of a knowledge creation component. Tabak RG, Khoong EC, Chambers DA, Brownson RC: Bridging research and practice: models for dissemination and implementation research. 2014, 11: 26-34. Development of a theory coding scheme. Molfenter and colleagues [23] describe a strategy to assist clinicians with patient selection which could be interpreted as seeking to influence organisational barriers such as competing priorities, as well as addressing knowledge-related barriers. The following analysis focuses on results relating to these ten integrated studies. Why use theory to guide the process of moving evidence into action? It is possible some potentially relevant studies were excluded during the initial sift stage. Several strategies were used to counter this risk. Knowledge synthesis is essential when considering an initiatives potential for widespread implementation and collates existing knowledge using rigorous methodologies. This was necessary given the limited resources available to support the review process. The KTA Framework was adapted to different health service settings and resources, indicating a good fit for the diversity of real-world health care. Helfrich CD, Damschroder LJ, Hagedorn HJ, Daggett GS, Sahay A, Ritchie M, Damush T, Guihan M, Ullrich PM, Stetler CB: A critical synthesis of literature on the promoting action on research implementation in health services (PARIHS) framework. Primary studies, exploring the direct experience and perceptions of different stakeholders in implementation projects, which have been guided by conceptual frameworks, or theories, would add to our understanding of the utility and impact of these tools. Nurs Stand. The Knowledge to Action Cycle (KTA) breaks down the implementation process into 7 actionable phases starting with determining the knowledge-practice/policy gap through to sustaining the change. Straus S, Tetroe J, Graham ID: Knowledge Translation in Health Care. We acknowledge that there are multiple choices available when conducting citation searches. The action cycle is iterative and includes the deliberate application of knowledge to cause change in behaviours and/or attitudes. The KTA Framework was enacted in a variety of ways, from informing to full integration, showing flexibility of use and that it can fit local circumstances and need. Interest in using systematic literature reviews to investigate theories, models and conceptual frameworks has increased in recent years [7],[39]. Edited by: Straus S, Tetroe J, Graham ID. Methods They reviewed 31 planned action theories about the process of change. Citation searches were limited to the period from 2006 (the date of publication of the source paper) to July 2013. Papers could be scrutinised according to how their aims and objectives had been operationalised. All ten described using the Action Cycle and seven referred to Knowledge Creation. Notably, the KTA Framework assumes a systems perspective and situates knowledge producers and users within a system of knowledge that is responsive, adaptive, and unpredictable. Importantly, these integrated studies included examples to illustrate how the KTA Framework had been used as a guide. Int J Nurs Educ Scholarsh. Others argue that the effectiveness and generalisability of implementation studies are hindered by weak theoretical underpinnings [40],[43],[44]. Bartholomew and Mullen [42] suggest that the prevailing wisdom in the field of health-related behaviour change is that well-designed and effective interventions are guided by theory (p. S20). https://doi.org/10.1186/s13012-014-0172-2, DOI: https://doi.org/10.1186/s13012-014-0172-2. Regardless of the approach, its critical to ensure that interventions are tailored to address the specific issue, audience and context to enhance uptake. 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. Harrison, S.E. Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, Altman DG, Barbour V, Macdonald H, Johnston M, Lamb SE, Dixon-Woods M, McCulloch P, Wyatt JC, Chan A-W, Michie S: Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. Interventions can be of multiple sorts: educational (passive or active strategies), professional (reminders, audit and feedback), organizational (redesign services), and patient directed (health literacy, patient decision aids) [3]. Graham I, Logan J, Harrison M, Straus S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map?. This model provides a sequence of phases for researchers and clinicians to . McLean R, Tucker J: Evaluation of CIHRs Knowledge Translation Funding ProgramCIHR.[http://www.cihr-irsc.gc.ca/e/47332.html#a2.1]. 2012, 9: 1-10.1111/j.1741-6787.2011.00240.x. The citation search yielded 1,787 records. 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).. 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 ]. The KTA could also be used as a literacy device to structure reporting of the framework. Ilott I, Gerrish K, Bray K, Laker S: Tackling the implementation challenge: bridging thegapbetweenresearchandpractice. The Knowledge to Action Framework. The full text of the 146 papers was examined to establish the extent to which the use of the KTA Framework was attributed by the authors. Menon A, Korner-Bitensky N, Kastner M, McKibbon KA, Straus S: Strategies for rehabilitation professionals to move evidencebased knowledge into practice: a systematic review. questionnaires). Bartholomew LK, Mullen PD: Five roles for using theory and evidence in the design and testing of behaviour change interventions. 2012, 8: 174-84. Search for more papers by this author. As demonstrated here, the Knowledge to Action Process model provides an excellent guide for clinicians, managers, and researchers who wish to incite change in patient care. II provided BF with clinical supervision for her MSc dissertation. Included articles were re-examined and re-coded according to this more detailed classification. PubMedGoogle Scholar. (Dignan, M.B & Carr, P.A. Powell BJ, McMillen C, Proctor E, Carpenter CR, Griffley RT, Bunger AC, Glass JE, York JL: A compilation of strategies for implementing clinical innovations in health and mental health. Rycroft-Malone J, Bucknall T: Models and Frameworks for Implementing Evidence-Based Practice. When the framework was integral to knowledge translation, it guided action in idiosyncratic ways and there was theory fidelity. Each study applied the framework in an idiosyncratic way. Matern Child Nutr. The search results are illustrated in Figure 2, the PRISMA flow chart. This frequency of use in Canada could be explained by the influence of national Canadian networks and dissemination activities. The KTA Framework comprises two distinct but related components: (i) Knowledge Creation (represented by the funnel) surrounded by (ii) the Action Cycle (Figure 1). 10.1111/j.1365-2648.2012.06037.x. Hamilton, ON: McMaster University. Implement Sci. Similarly, we acknowledge that some readers may be interested in precise reasons for exclusions. 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 . Phys Ther. Manage cookies/Do not sell my data we use in the preference centre. 10 at the Canadian Institutes for Health Research. 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. 10.1007/s10865-010-9260-1. It sets out the key The inclusion criteria were based on an affirmative answer to two questions Does the paper describe a KT project? and Is the KTA Framework a fundamental guide to this project? The initial sift phase was carried out by one researcher (BF), with another researcher coding a proportion of these (II). 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. Provided by the Springer Nature SharedIt content-sharing initiative. Two studies reported using all phases of Knowledge Creation [20],[26] (see Table 4). This may explain the varying degrees to which the framework was used. 10.1111/j.1553-2712.2007.tb02369.x. 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. Perhaps more significantly, the KTA Framework is associated with the Canadian Institutes of Health Research [27]. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. 10.7748/ns2002.05.16.37.38.c3201. School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK, School of Nursing and Midwifery, University of Sheffield, Sheffield, UK, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK, You can also search for this author in . However, our review focused primarily on examining how a conceptual framework had been used in practice. Four of the ten studies [17],[19],[21],[23] reported gaining ethical approval, suggesting that these had been independently characterised as research. Between 2009 and 2013, she was a Knowledge Translation Project Lead with the NIHR CLAHRC SY. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. Data collection Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. 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. 60607, Chicago, This is noteworthy given Canadian research may be published in French language journals. 2002, 38: 94-104. -[http://www.cihr-irsc.gc.ca/e/39033.html]. BMC Med Res Methodol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. Health professionals across the globe share the challenges of translating the best available evidence into actual health interventions in a timely way to provide the most effective care and service. Next, 911 records were excluded at the sift stage. Finfgeld-Connett D, Johnson ED: Literature search strategies for conducting knowledge-building and theory-generating qualitative systematic reviews. The search strategy was limited to citation searching of three databases. 10.1002/chp.20077. None described applying every phase of the KTA Framework. Finding Health Statistics: Going Beyond the Literature, Learning, Leadership, and Professionalism, NExT Online Course for Public Health Nursing, Program planning for health education and promotion, Special Collections & University Archives, Nursing Experts: Translating the Evidence - Public Health Nursing, The Canadian Institute of Health Research, https://pubmed.ncbi.nlm.nih.gov/16557505/, https://medium.com/knowledgenudge/kt-101-the-knowledge-to-action-framework-7fbe399723e8, "Knowledge translation strategies to improve the use of evidence in public health decision making in local government: intervention design and implementation plan" (2013), "Knowledge translation within a population health study: how do you do it?" We initially included 146 studies that reported using the KTA Framework. Our experience certainly confirms that this search method circumvents the problems of variation in terminology typically encountered in topic-based searches of bibliographic databases. Lost in knowledge Translation: time for a map? 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. 2010, 29: 1-8. The KTA Framework is a framework for guiding the process of KT, adopted by the Canadian Institutes of Health Research (CIHR) and other organizations worldwide. research findings not being translated. Their findings suggested that the more domains that were targeted, the less effective the intervention was [9]. The data were extracted from the integrated studies where the KTA Framework was applied in practice. Steps involved in Translating the Evidence into Practice: The Knowledge to Action (KTA) Framework is used for facilitating the use of research knowledge by several stakeholders, such as practitioners, policymakers, patients and the public. Implement Sci. This citation analysis and systematic review investigated the practical application of a well-established conceptual frameworkthe KTA Framework [1]. J Contin Educ Health Prof. 2008, 28: 117-122. The knowledge to action (KTA) is a process model that helps you select implementation strategies. The KTA process has two components: Knowledge Creation and Action. The authors declare that they have no competing interests. Addressing sustainability also involves planning for both the spread and scaling up of knowledge use, and concerns whether an innovation continues to be used beyond the initial implementation. We did not assess the research rigour of the individual knowledge translation projects. 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. Citation searching seeks to optimise sensitivity and specificity when seeking to identify reports of practical applications of a model or framework. Others related to specific conditions, such as stroke [23],[24], children with cerebral palsy and motor difficulties [25] and osteoarthritis [26]. All results were imported and combined into an Excel spreadsheet for review by two reviewers. These were the question and study design, recruitment and selection and methods of data collection and analysis. We chose citation searching as our preferred method to identify reports of practical applications of a model or framework [14],[15]. 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]. 10.1016/j.amepre.2012.05.024. review papers, conceptual or descriptive papers and those describing a single knowledge translation strategy or not topically relevant), we excluded against a single criterion, even when multiple criteria applied, as practical considerations rendered it unnecessary to exhaustively document all possible reasons for exclusion for each paper.

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