Future research could examine the studies which we categorised as using the KTA Framework to a lesser degree, perhaps for conceptual or persuasive reasons rather than instrumentally. Graham ID, Tetroe J: Some theoretical underpinnings of knowledge translation. PDF Knowledge Translation Frameworks: What Are They, How and When to - Hse Three studies illustrated each phase of the Action Cycle or explained their reasons for not doing so [18],[23],[25]. Russell and colleagues [25] describe use of a knowledge broker, an example of a linkage and exchange-type strategy. Estabrooks CA, Teare GF, Norton PG: Should we feed back research results in the midst of a study?. Limitations of English language and year of publication 2006-June 2013 were set. Also, this conceptual framework may appeal because of a lack of jargon and a simple diagram depicts the knowledge translation process. 2012, 43: 337-50. Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few. 2009, 33: 82-88. 2010, Dissertation for Masters of Science, School of Nursing, Queens University, Ontario, Canada. Knowledge creation has three phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) knowledge tools and products. 2012, 28: 258-61. By using this website, you agree to our 10.2522/ptj.20070056. Nursing Experts: Translating the Evidence - University of Illinois Chicago The KTA process has two components: Knowledge Creation and Action. Methods BMC Med Res Methodol. BMJ Qual Saf. administrative databases) and/or active measurement (e.g. However, none of these knowledge translation strategies, designed to target different barriers, featured in the included studies, with one exception. Such work may require additional funding for longer term monitoring or strategies to sustain knowledge use over time. Graham I, Logan J, Harrison M, Straus S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map?. 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. Knowledge becomes more refined as it moves through these three steps. BF is a researcher at the School of Health and Related Research (ScHARR), University of Sheffield, and also an occupational therapist. For an overview of other determinant frameworks that are useful in this phase, see the determinant frameworks section of Nilsens paper [7]. 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. 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]. Lost in knowledge Translation: time for a map? 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. Ilott I, Gerrish K, Bray K, Laker S: Tackling the implementation challenge: bridging thegapbetweenresearchandpractice. Nine were published in peer-reviewed journals with the exception being a Master of Science degree dissertation [19]. Neither did we seek out grey literature or search specific thesis/dissertation databases. Building a conceptual model Forms of knowledge Research evidence Clinician knowledge, skills, experience Our findings support this proposal. The monitoring, outcomes or sustaining phases of the Action Cycle were less often described, although three noted their plans for doing so [18],[24],[26]. Knowledge Translation in Health Care: Moving from Evidence to Practice. It is possible some potentially relevant studies were excluded during the initial sift stage. A total of 1,057 titles and abstracts were screened. CLAHRC YH would also like to acknowledge the participation and resources of our partner organisations. A scoping review of full-spectrum knowledge translation theories Building a Knowledge to Action Program in Stroke Rehabilitation This frequency of use in Canada could be explained by the influence of national Canadian networks and dissemination activities. 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. 2023 BioMed Central Ltd unless otherwise stated. 1, Lgar F: Assessing barriers and facilitators to knowledge use. 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. Hamilton, ON: McMaster University. We initially included 146 studies that reported using the KTA 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). Assessment of barriers can be done quantitatively and qualitatively using a variety of conceptual models and instruments. 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. 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, interviews, workshops, focus groups and needs assessment were used to identify barriers to change. IL 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. Graham, J. Logan, M.B. The Knowledge-to-Action Framework | by Leah Crockett - Medium Tugwell PS, Santesso NA, OConnor AM, Wilson AJ: Knowledge translation for effective consumers. 2012, 8: 174-84. This presents an interpretation challenge both for those seeking to learn from such projects and systematic reviewers. Rycroft-Malone J, Bucknall T: Models and Frameworks for Implementing Evidence-Based Practice. As weve discussed in a previous post, there are many theories, models and frameworks used in the field of knowledge translation (KT). Each article was scrutinised and mapped against the corresponding phases within the Knowledge Creation and Action Cycle components of the framework. Google Scholar also enabled access to book chapters whereas Scopus and Web of Science only indexed peer-reviewed journal articles. 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. 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. 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. Celebrate the work you have accomplished. 60612, One Illini Drive Applying the knowledge to action (K2A) framework : questions to guide Crosby R, Noar SM: Theory development in health promotion: are we there yet?. Conventional views support the use of theories, models and conceptual frameworks to underpin the process of change, yet in practice, their application seems more limited [40],[43]-[45]. And if so, how?. From the perspective of the psychology of knowledge (e.g., Strube & Wender, 1993), knowledge is a competence for action, a . We developed a taxonomy to categorise this variation (see Table 1). 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. From 2008 to 2013, she led the Translating Knowledge into Action theme of NIHR CLAHRC SY. All ten described using the Action Cycle and seven referred to Knowledge Creation. 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. Translating Evidence Into Practice Through Knowledge Impleme - LWW This is noteworthy given Canadian research may be published in French language journals. Integrating Ethics and the Knowledge-To-Action Cycle - CIHR 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. A citation search of three databases tracking the source paper Lost in knowledge translation: time for a map? identified 1,787 records between 2006 and July 2013. Action phases may be carried out sequentially or simultaneously; knowledge phases may impact on the action phases. J Eval Clin Pract. Furthermore, knowledge can inform each phase of the action cycle and the knowledge funnel can rotate to feed into different phases. Ian D. Graham PhD, Ian D. Graham PhD. Do they work? Studies were published between 2007 and 2013. Any differences were discussed and resolved by consensus. A prospective design would strengthen research studies. Michie S, Prestwich A: Are interventions theory-based? Two were concerned with public health or health promotion [17],[20]; three focused on clinical academic or nurse education [18],[21],[22]. Below are the links to the authors original submitted files for images. BF, II and AB conceived the review; AB designed the study; AB undertook the searches; BF and II screened and extracted the data; BF wrote the review; and BF, II, AB and KG made comments and edited the review drafts. Only ten studies were integrated, signifying that the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. 2010, Wiley Blackwell, Chichester, UK. Article 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. 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).. Journal of Continuing Education in the Health Professions, 30, 167-171. doi:10 Keyser SE: The Implementation of a Delirium Knowledge Translation Project for Families of the Elderly. Overlaying the Consolidated Framework for Implementation Research (CFIR) on the KTA framework offers a comprehensive methodology to identify barriers and facilitators and evaluation of the project. Within KTA, knowledge creation - or the production of knowledge - is composed of three phases: knowledge inquiry (first-generation knowledge), knowledge synthesis (second-generation knowledge), and creation of knowledge tools and/or products (third-generation knowledge). J Adv Nurs. 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. 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. Implement Sci. Med Care Res Rev. Part of 2012, 7: 87-10.1186/1748-5908-7-87. 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 KTA Framework is a framework for guiding the process of KT, adopted by the Canadian Institutes of Health Research (CIHR) and other organizations worldwide. Search for more papers by this author. 10.1177/1077558711430690. 10.1002/chp.179. We further identified a need to use taxonomies when analysing or evaluating knowledge translation strategies [33],[34]. In the absence of formal comparisons of citation search techniques, we decided to operationalise citation searching using Google Scholar. 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. For example, if a strategy has the goal of improving social networking, and the barrier is weak ties between end-users, the social support theory [8] may be used to design an intervention that involves the use of change agents to transfer information [2]. looked at 10 behaviour change interventions where explicit use of theory was absent, and mapped these strategies to domains of the Theoretical Domains Framework. Between 2009 and 2013, she was a Knowledge Translation Project Lead with the NIHR CLAHRC SY. Google Scholar references often included an incomplete text fragment rather than a more traditional abstract. 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. Can J Speech-Language Pathol Audiol. All citations identified were screened by title and available information according to agreed criteria. 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. We found that the framework is being used in practice, to varying degrees of completeness, and with theory fidelity when reported as integral to the implementation effort. The KTA Framework consists of two components: (1) Knowledge Creation Knowledge creation is represented by the funnel in the centre of the image above. Two studies reported using all phases of Knowledge Creation [20],[26] (see Table 4). The papers were coded according to the taxonomy in Table 1. the main menu, 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. The KTA process has two components: (1) knowledge creation and (2) action. 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. Leah Crockett is a doctoral student in the Department of Community Health Sciences at the University of Manitoba. 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. 10.1002/chp.20077. 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. Only ten studies reported and gave supportive examples of incorporating the KTA Framework in an integrated way. This may explain the varying degrees to which the framework was used. Prevailing wisdom encourages the use of theories, models and conceptual frameworks, yet their application is less evident in practice. 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.
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