All authors read and approved the final manuscript. 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]. 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]. Google Scholar. Moving from Evidence to Practice. However, because KT interventions are usually tailored to local contexts, and mapped to specific barriers/facilitators, effectiveness in one context does not guarantee success in another. However, the method is replicable and could be repeated to update the review in future. (Dignan, M.B & Carr, P.A. There were occasions when we sensed that aspects of Knowledge Creation and Action Cycle had been done or combined, but as this was not explicit, we excluded these data. -[http://www.cihr-irsc.gc.ca/e/39033.html]. 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. 1992). The search strategy was limited to citation searching of three databases. 2013, 19: 915-24. 10.1177/1077558711430690. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. Rather, we focused on the application of, and theory fidelity to, the KTA Framework. (2013), "The effectiveness of knowledge translation strategies used in public health: a systematic review" (2012), "Uncovering Tacit Knowledge: A Pilot Study to Broaden the Concept of Knowledge in Knowledge Translation" (2011), "Assessing the public health impact of health promotion initiatives" (2010), Agency for Healthcare Research and Quality (AHRQ) - Translating Research into Practice, Canadian Institute for Health Research (CIHR) - Knowledge Translation & Commercialization, Center on Knowledge Translation for Disability and Rehabilitation Reseach (KTDRR) - KT Library, Cochrane Public Health Group - Knowledge Translation, McMaster University - Collaborations for Health (CfH) - Knowledge Translation, National Collaborating Centre for Methods and Tools - Knowledge Translation Methods and Tools for Public Health, University of Alberta - Knowledge Utilization Studies Program, Develop a PLAN - determine key stakeholders, expertise & support, Measure/collect data - baseline, process, outcomes, expenses, Implement - DO - pilot roll-out, educate, support, navigate, Manage & Adjust - ACT - Adapt, Adopt or Abandon based on evidence, Sustain & Grow - Share the results, get feedback, embed in standards or policies, spread more broadly. Edited by: Straus S, Tetroe J, Graham ID. Step KTA 3.B - Center on Knowledge Translation for Technology Transfer Knowledge producers . The National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care for South Yorkshire (CLAHRC SY) used the KTA Framework to underpin a programme of knowledge translation work undertaken between 2008 and 2013 [12]. It was cited 470 unique times across all databases. The index citation for the original paper was identified on three databasesWeb of Science, Scopus and Google Scholarwith the facility for citation searching. Lgar [32] recommends using established taxonomies developed for barriers and facilitators within knowledge translation projects. J Adv Nurs. 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]. This can be achieved through observation (e.g. Retrieved from http://www.nccmt.ca/registry/view/eng/70.html. Next, 911 records were excluded at the sift stage. Tabak RG, Khoong EC, Chambers DA, Brownson RC: Bridging research and practice: models for dissemination and implementation research. 2002, 38: 94-104. the main menu, 2009, 6: Paper 10-10.2202/1548-923X.1741. The KTA Framework is one of many frameworks, models, and theories that provides KT researchers with a practical yet systematic method of implementation. Davies and colleagues [40] note that less than 6% of 235 studies, albeit published before 1998, explicitly used theories of behaviour or behaviour change. The least reported phase, or the phase carried out least often, was sustain knowledge use. 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. Celebrate the work you have accomplished. It is frequently cited, with usage ranging from simple attribution via a reference, through informing planning, to making an intellectual contribution. This reflected our focus on whether the KTA Framework is used in practice and, if so, how it is applied. Only one study [26] reported using decision support tools as a knowledge translation strategy, although it is possible others did not report all the details of strategies they used to promote the adoption of their interventions. Implement Sci. 2010, 5: 92-10.1186/1748-5908-5-92. Am J Prev Med. 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. 10.1111/j.1365-2648.2012.06037.x. Some indication of the impact of this article can be gained from constructing a normalised citation count for comparison purposes. Implementing research findings into practice - LWW Each study demonstrates the particularity of implementation activities. 10.2340/16501977-0451. Graham, J. Logan, M.B. This article is published under license to BioMed Central Ltd. Selecting an intervention has been described as both an art and a science, and ideally should be based on evidence of its effectiveness [2]. In the context of healthcare, the Theoretical Domains Framework (which we break down in another post) is one example of a comprehensive, validated, and integrative model for assessing barriers to change that can be used to inform the development of strategies for changing attitudes and behaviours [5, 6]. Using the knowledge to action process model to incite clinic - LWW A scoping review of full-spectrum knowledge translation theories Google Scholar also enabled access to book chapters whereas Scopus and Web of Science only indexed peer-reviewed journal articles. Conceptual frameworks provide a frame of reference for organising thinking, a guide for action and interpretation. Methods 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. The index citation for the source paper for the KTA Framework Lost in knowledge translation: time for a map? by Graham and colleagues [1] was identified on each of three databases that offered functionality for citation searching. Cite this article, Conceptual frameworks are recommended as a way of applying theory to enhance implementation efforts. The KTA Framework [1] was developed in Canada by Graham and colleagues in the 2000s in response to the confusing multiplicity of terms used to describe the process of moving knowledge into action [1]. Box. J Eval Clin Pract. Implement Sci. 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. They reviewed 31 planned action theories about the process of change. Nilsens paper provides an overview of evaluation frameworks to guide evaluation of implementation strategies [7]. Offering up to 36-month product lifecycle support and 6-month end-of-life notice to allow . Education was the most frequently employed strategy albeit in a variety of forms. Springer Nature. (2010). This is a limitation of using Google Scholar for citation searches. Canadian Journal of Speech-Language Pathology . For example, difficulties in applying exclusion/inclusion criteria were discussed by the team and all subsequent decisions were then resolved by consensus. As the process of KT is iterative, not only can (i) inform (ii), but components of the action cycle also feed back to inform knowledge creation [2, 3]. 2014, 348: g1687-10.1136/bmj.g1687. 2005, 58: 107-12. This may reflect a publication bias, between reporting process and outcomes. BMJ. Carroll C, Booth A, Cooper K: A worked example of best fit framework synthesis: a systematic review of views concerning the taking of some potential chemopreventive agents. Single studies at this stage are not ready to be translated into practice on a broad scale, but are necessary to inform future research and feed into the larger evidence base. 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. Implementation researchers and health professionals can learn from this flexibility. the site home page. 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. 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]. This is noteworthy given Canadian research may be published in French language journals. Key factors present in sustaining knowledge use can include perceived benefits and risks, relevance, leadership, policy integration, resources and politics. It is important that KT is maximized in health care to improve patient outcomes. 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]. Stacey D, Higuchi K, Menard P: Integrating patient decision support in an undergraduate nursing curriculum: an implementation project. 2009, Wiley-Blackwell BMJ Books, Chichester, UK, 83-93. 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. The Knowledge-to-Action Framework | by Leah Crockett | KnowledgeNudge | Medium Sign up 500 Apologies, but something went wrong on our end. Knowledge translation has been defined as a process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to improvehealthprovide more effective health services and products and strengthen the health care system [2]. Implementation Science A few free articles for further reading Chicago, The data were extracted from the integrated studies where the KTA Framework was applied in practice. Importantly, these integrated studies included examples to illustrate how the KTA Framework had been used as a guide. This showed that the degree of usage varied from merely citing the KTA Framework to full integration into the study. Knowledge-to-Action Model (Adapted from I.D. Graham, J. Logan, M.B IL 10.1037/a0016939. Translating Evidence Into Practice Through Knowledge Impleme - LWW Download scientific diagram | Knowledge-to-Action Model (Adapted from I.D. Nine were published in peer-reviewed journals with the exception being a Master of Science degree dissertation [19]. Implent Sci. We did not include the many papers about clinical practice guidelines for two interrelated reasons. Firstly, there is a risk of bias and subsequent error given the lead author conducted most of the initial screening, all data extraction and synthesis. The KTA Framework [1] is being used in practice with varying degrees of completeness and theory fidelity when the conceptual framework is integrated into the implementation project. "Knowledge translation is defined as a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically-sound application of knowledge to improve the health of Canadians, provide more effective health services and products and strengthen the health care system.. the secondary menu, the site search form or go In addition, this suggests conceptual frameworks do not have to be mutually exclusive. None described applying every phase of the KTA Framework. Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. 2010, 29: 1-8. However, the target audiences were primarily patients, the public and the nursing and allied health professions. For an example of how these might be developed, check out our earlier post. Exploring the impact of the KTA Framework, and other conceptual frameworks, on patients and the public in terms of health improvement and outcomes would also be worthwhile, as would exploring their involvement in the application of the framework, not just as recipients of services but as key stakeholders in each phase. The authors declare that they have no competing interests. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. 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. Matern Child Nutr. 2013, 69: 2336-47. More About Knowledge Translation at CIHRCIHR. 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. Integrating Ethics and the Knowledge-To-Action Cycle - CIHR Citation searching seeks to optimise sensitivity and specificity when seeking to identify reports of practical applications of a model or framework. The findings informed their conceptual framework, which was intended to address the need for conceptual clarity in the KTA field and to offer a framework to help elucidate what we believe to be the key elements of the KTA process [1] (p. 14). 2010, 33: 259-263. When the framework was integral to knowledge translation, it guided action in idiosyncratic ways and there was theory fidelity. 2007, 87: 1728-38. statement and 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). Once a KT strategy has been delivered, the use of knowledge should be monitored which may be instrumental (behaviour), conceptual (attitude/perception), or as a persuasive tool for pushing change(knowledge as ammunition). 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 importance of organisational or external factors and the ability to influence them is well recognised [1],[3],[33]-[35]. Data collection BMC Med Res Methodol. The integrated studies described different ways of integrating the KTA Framework, particularly the Action Cycle. As knowledge moves through three stages (inquiry, synthesis, tools/products), it becomes more user-friendly. When thinking about program planning and implementation, there are several important concepts that need to be considered. Straus, J. Tetroe, W. Caswell, and N. Robinson, 2006 . Eight of the ten studies were conducted in Canada, one in the Democratic Republic of Congo [17] and one in Denmark [18]. Work Group on Translation Tools | CDC Non-stop action: The best choice for iCaf, configure-to-order gaming systems and quality-driven businesses; Non-stop durability: . Kennedy CC, Ioannidis G, Giangregorio LM, Adachi JD, Thabane L, Morin SN, Crilly RG, Marr S, Josse RG, Lohfeld L, Pickard LE, King S, van der Horst M-L, Campbell G, Stroud J, Dolovich L, Sawka AM, Jain R, Nash L, Papaioannou A: An interdisciplinary knowledge translation intervention in long-term care: study protocol for the vitamin D and osteoporosis study (ViDOS) pilot cluster randomized controlled trial. Action model learning - Wikipedia Only ten studies reported and gave supportive examples of incorporating the KTA Framework in an integrated way. This review is designed to address this knowledge gap. Citation searching can circumvent the problems of variation in terminology (a retrieval problem) or uninformative abstracts (a reporting problem) typically encountered in topic-based searches of bibliographic databases. Applying the Knowledge-to-Action Framework to Engage Stakeholders and Solve Shared Challenges with Person-Centered Advance Care Planning in Long-Term Care Homes Authors George A Heckman 1 2 , Veronique Boscart 1 3 , Patrick Quail 4 , Heather Keller 1 5 , Clare Ramsey 6 , Vanessa Vucea 2 , Seema King 7 , Ikdip Bains 2 , Nora Choi 6 , Allan Garland 6 Preventing Chronic Disease: March 2011: 10_0012 This MCHRI framework for impact has been adapted form multiple sources and from internal learnings and is underpinned by the Canadian knowledge to action process. Citation searching for the original reference by Graham and colleagues [1] optimised the sensitivity and specificity of the search strategy. Two studies reported using all phases of Knowledge Creation [20],[26] (see Table 4). J Public Health Dent. Cookies policy. McEvoy R, Ballini L, Maltoni S, O Donnell CA, Mair FS, Macfarlane A: A qualitative systematic review of studies using the normalization process theory to research implementation processes. Assessing the public health impact of health promotion initiatives. 2010, Wiley Blackwell, Chichester, UK. The KTA process has two components: Knowledge Creation and Action. Finfgeld-Connett D, Johnson ED: Literature search strategies for conducting knowledge-building and theory-generating qualitative systematic reviews. Ilott I, Gerrish K, Bray K, Laker S: Tackling the implementation challenge: bridging thegapbetweenresearchandpractice. to the We did not follow up references (including book chapters) or contact authors of included or excluded studies. 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). . Firstly, we were interested in the practical application of the KTA Framework and thus in identifying papers where the KTA Framework appeared to be a fundamental guide to the work reported. volume9, Articlenumber:172 (2014) 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. Five studies applied one or more phases [18],[20],[22],[24],[26]. Closer examination revealed that usage varied considerably, ranging from simple attribution via a reference through to being integral to most aspects of the implementation work. knowledge to action gap through research-clinical partnerships in speech-language pathology. 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. Knowledge-to-action cycle | BMJ Evidence-Based Medicine Knowledge Translation in Health Care: Moving from Evidence to Practice. J Behav Med. Development of a theory coding scheme. Seven described using both the Knowledge Creation and the Action Cycle components [18],[20]-[24],[27]. Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE: Knowledge translation of research findings. J Contin Educ Health Prof. 2008, 28: 117-122. It includes the production, synthesis and interpretation of knowledge. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review, https://doi.org/10.1186/s13012-014-0172-2, http://www.rcn.org.uk/__data/assets/pdf_file/0014/512600/2013_RCN_research_W06.pdf, https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/EPOC%20Taxonomy%20of%20Interventions%202002.pdf, http://www.cihr-irsc.gc.ca/e/47332.html#a2.1, http://creativecommons.org/licenses/by/4.0, http://creativecommons.org/publicdomain/zero/1.0/. The relation between knowledge and action. 10.1111/wvn.12016. Google Scholar. All these described the Action Cycle and seven referred to Knowledge Creation, articulating the KTA Framework in a way that was true to the source paper [1]. The uptake of EBP is a complex process that can be facilitated by the use of the Knowledge to Action Process model. CLAHRC YH would also like to acknowledge the participation and resources of our partner organisations. IL EX-B760M-V5-CSMMotherboardsASUS Global McLean R, Tucker J: Evaluation of CIHRs Knowledge Translation Funding ProgramCIHR.[http://www.cihr-irsc.gc.ca/e/47332.html#a2.1]. 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. Furthermore, knowledge can inform each phase of the action cycle and the knowledge funnel can rotate to feed into different phases. 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). Difficulties applying the exclusion criteria were discussed to ensure the inclusion/exclusion criteria were applied consistently. 10 at the Canadian Institutes for Health Research. The KTA Framework is composed of two distinct, but related components: (i) Knowledge Creation, and (ii) the Action Cycle. Program implementation involves the activities of putting the program into place, from gaining acceptance for the program to making revisions when the program is not working as planned - (Ervin, N. Advanced community health nursing practice: Population focused care. In the absence of formal comparisons of citation search techniques, we decided to operationalise citation searching using Google Scholar. Important considerations for choosing a KT strategy (or strategies) include a clearly defined goal or objective for each strategy, an understanding of how the strategy overcomes one or more barriers to behaviour or attitude change, and the use of theory to inform selection and implementation. Musk was a co-founder of OpenAI before leaving its board in 2018, and has complained recently of the company's move from a nonprofit model to a highly valuable business influenced by Microsoft. All citations identified were screened by title and available information according to agreed criteria. Applying the knowledge to action (K2A) framework : questions to guide 10.1111/j.1752-7325.2011.00223.x. Initial screening out by title and abstract on the basis of partial information from Google Scholar may also have excluded relevant studies. Making sense of implementation theories, models and frameworks. Knowledge translation strategies can include elements such as linkage and exchange, audit and feedback, informatics and patient-mediated and organisational interventions [29]. 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.
Inclusive Mothers Day Messages, Articles K