Search for more papers by this author. 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. All ten studies reported using the Action Cycle. Seven described using both the Knowledge Creation and the Action Cycle components [18],[20]-[24],[27]. 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. We focus on all things knowledge translation (KT) and patient engagement (PE), from a health research and healthcare perspective. questionnaires). PubMed 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. Adapted from Graham 2006 (https://pubmed.ncbi.nlm.nih.gov/16557505/) by Crockett 2017 (https://medium.com/knowledgenudge/kt-101-the-knowledge-to-action-framework-7fbe399723e8). BF is a researcher at the School of Health and Related Research (ScHARR), University of Sheffield, and also an occupational therapist. 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). Lost in knowledge Translation: time for a map? 2012, 69: 123-157. It was cited 470 unique times across all databases. As Kate has described previously, knowledge synthesis (second generation knowledge) involves synthesizing results from individual research studies and interpreting them within the context of global evidence. All ten described using the Action Cycle and seven referred to Knowledge Creation. 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. Only studies applying the framework to implementation projects were included. 10.1016/j.amepre.2012.05.024. 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. Five studies applied one or more phases [18],[20],[22],[24],[26]. BMJ. The KTA model lines up with KTDRR's goals. The Knowledge to Action KTF The Knowledge to Action (KTA)4 is an overarching framework that includes both knowledge creation and implementation. 2012, 7: 87-10.1186/1748-5908-7-87. Thomas A, Menon A, Boruff J, Rodriguez AM, Ahmed S: Applications of social constructivist learning theories in knowledge translation for healthcare professionals: a scoping review. IL This illustrates the adaptability of the conceptual framework to different health care settings and topics. The KTA process has two components: Knowledge Creation and Action. Assessment of barriers can be done quantitatively and qualitatively using a variety of conceptual models and instruments. Some indication of the impact of this article can be gained from constructing a normalised citation count for comparison purposes. Article Further details can be found at www.clahrc-yh.nihr.ac.uk. knowledge to action gap through research-clinical partnerships in speech-language pathology. Eight of the ten studies were conducted in Canada, one in the Democratic Republic of Congo [17] and one in Denmark [18]. 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]. II provided BF with clinical supervision for her MSc dissertation. Implement Sci. Most of the theories were interdisciplinary or from nursing and were published between 1983 and 2006 [11]. For example, the creation of websites, interactive e-learning modules, training packages and a protocol were reported as part of the Action Cycle [19],[23],[24], yet they could be knowledge tools/products. This involves valuing the utility of the knowledge to the problem, setting and circumstances, as well as tailoring the knowledge to the specific situation. 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. 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]. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. 2002). The knowledge to action cycle begins with the identification of a problem (usually a gap in care provision). 2009, Wiley-Blackwell BMJ Books, Oxford, 94-113. Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE: Knowledge translation of research findings. Implement Sci. 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 ]. Citation searching seeks to optimise sensitivity and specificity when seeking to identify reports of practical applications of a model or framework. ASUS Corporate Stable Model (CSM) is a commercial program designed to provide stable and reliable motherboards. J Rehabil Med. The study was funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for South Yorkshire and Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Yorkshire and Humber. The Canadian Institute of Health Research has one of the most well-known definitions of knowledge translation. 10.2522/ptj.20070056. The knowledge to action (KTA) process proposed by Graham et al (2006) is a framework to facilitate the development and application of research evidence into clinical practice. When thinking about program planning and implementation, there are several important concepts that need to be considered. This may explain the varying degrees to which the framework was used. Two studies reported using all phases of Knowledge Creation [20],[26] (see Table 4). IL A few free articles for further reading Chicago, This presents an interpretation challenge both for those seeking to learn from such projects and systematic reviewers. 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]. The Knowledge-to-Action (KTA) framework provides a logical structure and process to plan IS projects. Data collection Graham et al. Theories and Models of Knowledge to Action. 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]. 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/. A continuum of usage, ranging from referenced to integrated, was developed to aid this process. 10.1111/wvn.12016. 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. 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. Involvement of stakeholders, and tailoring knowledge to the needs of people who are going to use it, is crucial. How have you used the KTA Framework in your own work? The databases were Scopus, Web of Science and Google Scholar. Copyright 2015 Wiley Periodicals, Inc., A Wiley Company This review sought to answer two questions: 'Is the 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. Action includes identifying and appraising the problem and the known research, identifying barriers and successes, planning and executing, and finally monitoring, evaluating, and adjusting. 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. Box. "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.. PubMedGoogle Scholar. Action Cycle within the KTA Model The second step involves adapting the validated knowledge to the local context. 2014, 348: g1687-10.1136/bmj.g1687. Only ten studies were integrated, signifying that the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. 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. Neither did we seek out grey literature or search specific thesis/dissertation databases. Implementation Sci 9, 172 (2014). 2007, 14: 936-941. Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation, Validation of the theoretical domains framework for use in behaviour change and implementation research, Theoretical domains framework to assess barriers to change for planning health care quality interventions: a systematic literature review. 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. 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. In ten studies, the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. 2009, Wiley-Blackwell BMJ Books, Chichester, UK, 83-93. A notable feature of the KTA Framework is the development of knowledge tools or products as part of Knowledge Creation. We chose citation searching as our preferred method to identify reports of practical applications of a model or framework [14],[15]. AB is a member of the editorial board of Implementation Science. Crosby R, Noar SM: Theory development in health promotion: are we there yet?. 1, EPOC Taxonomy of Professional and OrganisationalInterventions.[https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/EPOC%20Taxonomy%20of%20Interventions%202002.pdf]. Phys Ther. Yet, this method may prove challenging, often because of limited and imprecise reporting. It focuses on two main areas of activity: knowledge creation and knowledge tailoring . 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). Two were concerned with public health or health promotion [17],[20]; three focused on clinical academic or nurse education [18],[21],[22]. Finally, knowledge tools and products, considered third generation knowledge, are the most refined form of knowledge, based on earlier stages of the funnel. Citation searching for the original reference by Graham and colleagues [1] optimised the sensitivity and specificity of the search strategy. For example, Eccles et al. The source paper was cited four times more frequently than the next highest cited article from the same journal published in the same year. In practice, the implications of this decision were minimal as many Google Scholar records either duplicated full bibliographic records already identified from Web of Science or Scopus or contained at least sufficient detail in the title or in the limited text displayed (text fragment), to indicate whether the paper merited further consideration. 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). For example, in the context of clinical practice guidelines (CPGs), adapting existing national guidelines (which may lack applicability and how organizations need to change to adopt guidelines) to fit local circumstances serves not only to increase the relevance and applicability of guidelines, but also gives end-users a sense of ownership to help promote implementation. 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 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]. Implement Sci. The K2A framework describes and depicts the high-level processes necessary to move from discovery into action by using translation of evidence-based programs, practices, or policiesbroadly defined to include evidence-based communications, campaigns, guidelines, and other interventions and tools. II is an occupational therapist. 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. 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. Petzold, A., Korner-Bitensky, N., & Menon, A. Jacqueline Tetroe MA, Field, B., Booth, A., Ilott, I. et al. 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. Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few. As knowledge moves through three stages (inquiry, synthesis, tools/products), it becomes more user-friendly. Implement Sci. All citations identified were screened by title and available information according to agreed criteria.
Bruce Highway Accident Today,
Taban Almond Eye Surgery Cost,
Articles K