"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.". We acknowledge that faced with the same task, another review team might choose to include papers reporting a single knowledge translation strategy. A total of 146 papers were identified as attributing use of the KTA Framework. Straus, J. Tetroe, W. Caswell, and N. Robinson, 2006 . Data collection Stacey D, Higuchi K, Menard P: Integrating patient decision support in an undergraduate nursing curriculum: an implementation project. IL Development of a theory coding scheme. Theories and Models of Knowledge to Action. 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). The KTA Framework is one of many frameworks, models, and theories that provides KT researchers with a practical yet systematic method of implementation. 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. McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K: Getting evidence into practice: the meaning of context. Knowledge Translation in Health Care: Moving from Evidence to Practice. Each implementation study was very different (see Table 3). Implement Sci. J Nurs Care Qual. 2011, 71 (Suppl 1): S20-S33. 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]. Yet the albeit limited, evidence available indicates that bringing information close to the point of decision-making (such as using reminders or decision support tools) is likely to be more effective than using more traditional educational strategies (such as study, teaching or training) to try to address barriers and change practice [31],[33]. The benefits of theory-informed KT practice are not limited to providing a deliberate map for interventions, but also allow for increased validity and rigor and more seamless integration of KT-related evidence into the ever-growing body of implementation literature. It is important that KT is maximized in health care to improve patient outcomes. Translating Evidence Into Practice Through Knowledge Impleme - LWW 10.7748/ns2002.05.16.37.38.c3201. 10.1111/j.1740-8709.2010.00271.x. 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. 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. This may be an artefact of reporting, indicating that prospective, primary research is needed to explore the real value of the KTA Framework and similar tools. The Journal of Continuing Education in the Health Professions 2006, 26, p. 19. 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. Glossary for Knowledge to Action Framework; Research Phase. Our findings support this proposal. Ian D. Graham PhD, Ian D. Graham PhD. Data for each phase were then synthesised across studies to help understand how the framework had been used in practice. We thank Jennifer Read who provided BF with academic supervision for her MSc dissertation. 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. 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. Below are the links to the authors original submitted files for images. Only 10 of 146 papers reported direct use, with examples demonstrating that the framework was integral to their study. 1, Lgar F: Assessing barriers and facilitators to knowledge use. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. As part of this programme, the first author (BF) undertook a knowledge translation project that sought to identify examples of the use of the KTA Framework in practice. They reviewed 31 planned action theories about the process of change. Implementing research findings into practice - LWW Becky Field. We did not assess the research rigour of the individual knowledge translation projects. Further details can be found at www.clahrc-yh.nihr.ac.uk. Bartholomew LK, Mullen PD: Five roles for using theory and evidence in the design and testing of behaviour change interventions. BMJ. For Web of Science and Scopus citations, full abstracts were identified. Although there may be some small variation in the actual sets of references retrieved by different citation searches, we have no reason to believe that we have systematically under- or over-represented particular types of studies in our sample. The action cycle is iterative and includes the deliberate application of knowledge to cause change in behaviours and/or attitudes. This produced a subset of studies that contained examples of using the KTA Framework in an integral way. Eight of the ten studies were conducted in Canada, one in the Democratic Republic of Congo [17] and one in Denmark [18]. These include things like clinical practice guidelines, decision aids and videos. The KTA Framework is composed of two distinct, but related components: (i) Knowledge Creation, and (ii) the Action Cycle. 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. One hundred and forty-six studies described usage to varying degrees, ranging from referenced to integrated. Provided by the Springer Nature SharedIt content-sharing initiative. statement and From 2008 to 2013, she led the Translating Knowledge into Action theme of NIHR CLAHRC SY. Data extraction and presenting results according to the phases were also challenging, given that the framework is dynamic, and can be non-sequential with overlap between phases [1]. J Clin Epidemiol. This study also reinforces the importance of reporting standards [8],[36], such as the new TIDieR checklist [37] to facilitate more explicit reporting of implementation studies and their subsequent inclusion in systematic reviews. 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. Selecting an intervention has been described as both an art and a science, and ideally should be based on evidence of its effectiveness [2]. Citation searching for the original reference by Graham and colleagues [1] optimised the sensitivity and specificity of the search strategy. The knowledge to action cycle is one framework for knowledge translation that integrates policy makers throughout the research cycle. Education was the most frequently employed strategy albeit in a variety of forms. This reinforces the importance of theory fidelity and that authors refer to established taxonomies or reporting standards [36],[37],[40],[41] so we can understand how conceptual frameworks, theories and models are really used to guide practice or inform research. Knowledge Creation includes knowledge inquiry, knowledge synthesis, and knowledge tools/products. Adapting to local context is a critical step in the process. PDF Knowledge Translation Frameworks: What Are They, How and When to - Hse 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. Tailoring knowledge was described in three studies [18],[20],[26]. The KTA process has two components: Knowledge Creation and Action. Several conceptual frameworks are pertinent for implementation scientists, including Promoting Action on Research Implementation in Health Services (PARIHS) [5],[10] the Consolidated Framework for Implementation Research (CFIR) [3] as well as the KTA Framework [1]. 2012, 8: 174-84. 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). Each article was scrutinised and mapped against the corresponding phases within the Knowledge Creation and Action Cycle components of the framework. Canadian Journal of Speech-Language Pathology . Manage cookies/Do not sell my data we use in the preference centre. 61801, 2016 The Board of Trustees of the University of Illinois. Google Scholar. The Action Cycle was reported in all the integrated examples, illustrating theory fidelity in this specific subset of studies. Leah Crockett is a doctoral student in the Department of Community Health Sciences at the University of Manitoba. When the framework was integral to knowledge translation, it guided action in idiosyncratic ways and there was theory fidelity. It was cited 470 unique times across the three databases, indicating the bibliometric impact of the source paper. Application of knowledge translation (KT) theories, models, and frameworks (TMFs) is one method for successfully incorporating evidence into clinical care. The search results are illustrated in Figure 2, the PRISMA flow chart. Graham I, Logan J, Harrison M, Straus S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map?.
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