Knowledge-related barriers [32] were the most common, indicating the appropriateness of using educational strategies to address such barriers. Knowledge Translation in Health Care: Moving from Evidence to Practice. 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. The KTA process has two components: Knowledge Creation and Action. This may explain the varying degrees to which the framework was used. 10.1007/s10865-010-9260-1. Only ten studies were integrated, signifying that the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. 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. We initially included 146 studies that reported using the KTA Framework. In ten studies, the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. 10.1097/00001786-200410000-00002. 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. 10.1111/j.1365-2648.2012.06037.x. The views and opinions expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. Action is the deeds or decisions made based on knowledge and information. Change may occur at more than one level, and for more than one intended end-user, and may require multiple methods of monitoring knowledge use. AB is Reader in Evidence Based Information Practice at the School of Health and Related Research (ScHARR), University of Sheffield, where he leads on systematic review and evidence synthesis activities. volume9, Articlenumber:172 (2014) Knowledge Translation Portfolio, Canadian Institutes of Health Research, Ottawa, ON, Canada. 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. Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few. Tabak RG, Khoong EC, Chambers DA, Brownson RC: Bridging research and practice: models for dissemination and implementation research. 2004, 19: 297-304. -[http://www.cihr-irsc.gc.ca/e/39033.html]. 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. Copyright 2015 Wiley Periodicals, Inc., A Wiley Company Download scientific diagram | Knowledge-to-Action Model (Adapted from I.D. the secondary menu, the site search form or go 10.1016/j.amepre.2012.05.024. 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. "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.. . Cite this article, Conceptual frameworks are recommended as a way of applying theory to enhance implementation efforts. In summary, KTA is applying knowledge to real life situations. These include things like clinical practice guidelines, decision aids and videos. However, supplementary hypertext links could be followed up from Google Scholar to either an abstract or, optimally, to the full text. Implent Sci. Becky Field. IL When thinking about program planning and implementation, there are several important concepts that need to be considered. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. 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. Understanding if and how these theoretical tools add value to implementation endeavours and outcomes merits further research. Overview of the Knowledge to Action Cycle. 2010, 5: 82-10.1186/1748-5908-5-82. knowledge to action gap through research-clinical partnerships in speech-language pathology. Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. They and we resorted to a simple taxonomy to describe the level and type of usage based on explicit reporting. McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K: Getting evidence into practice: the meaning of context. Rycroft-Malone J: Implementing evidence-based practice in the reality of clinical practice. J Contin Educ Health Prof. 2006, 26: 13-24. 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]. Box. 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). 10.1016/j.jclinepi.2004.09.002. The data were extracted from the integrated studies where the KTA Framework was applied in practice. Also, this conceptual framework may appeal because of a lack of jargon and a simple diagram depicts the knowledge translation process. The uptake of EBP is a complex process that can be facilitated by the use of the Knowledge to Action Process model. The final list of integrated studies was agreed by two authors (BF and II), and the synthesis was discussed in detail by the team. 2011, 71 (Suppl 1): S20-S33. This review sought to answer two questions: 'Is the Offering up to 36-month product lifecycle support and 6-month end-of-life notice to allow . 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. [http://www.rcn.org.uk/__data/assets/pdf_file/0014/512600/2013_RCN_research_W06.pdf]. The impact of a strategy should be assessed using explicit, rigorous qualitative and quantitative methods, beginning with formulation of a defined question of interest. Education was the most frequently employed strategy albeit in a variety of forms. Worldviews Evid Based Nurs. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. Stacey D, Higuchi K, Menard P: Integrating patient decision support in an undergraduate nursing curriculum: an implementation project. Graham I, Logan J, Harrison M, Straus S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map?. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. 10.1002/chp.20077. 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. This study is a citation analysis and systematic review. Graham et al. 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. 10.1111/j.1752-7325.2011.00223.x. 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. BF is a researcher at the School of Health and Related Research (ScHARR), University of Sheffield, and also an occupational therapist. Claude and colleagues [17] stated that these phases were beyond the scope of their project. Finally, knowledge tools and products, considered third generation knowledge, are the most refined form of knowledge, based on earlier stages of the funnel. Only ten studies reported and gave supportive examples of incorporating the KTA Framework in an integrated way. 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. It was cited 470 unique times across all databases. 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. 2009, 33: 82-88. PubMed 10.1002/chp.47. 10.7748/ns2002.05.16.37.38.c3201. However, our review focused primarily on examining how a conceptual framework had been used in practice. Reprinted with permission from John Wiley and Sons. 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. We recommend using the latest version of IE11, Edge, Chrome, Firefox or Can J Cardiol. Implementation Science Knowing your audience and assessing the value, usefulness and appropriateness of the particular knowledge is critical to its uptake and sustained use. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. The papers were coded according to the taxonomy in Table 1. Limitations of English language and year of publication 2006-June 2013 were set. 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. 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. 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. 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. Assessment of barriers can be done quantitatively and qualitatively using a variety of conceptual models and instruments. 1, Lgar F: Assessing barriers and facilitators to knowledge use. 2010, Wiley Blackwell, Chichester, UK. Citation searching seeks to optimise sensitivity and specificity when seeking to identify reports of practical applications of a model or framework. As knowledge moves through the funnel, it is refined and summarized to be more useful for end-users. The search results are illustrated in Figure 2, the PRISMA flow chart. Others argue that the effectiveness and generalisability of implementation studies are hindered by weak theoretical underpinnings [40],[43],[44]. Most studies (8/10) were conducted in Canada where the KTA Framework originated. 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 . A coding scheme, with 19 categories for theory use for behaviour change interventions, ranging from mentioned but not demonstrated, right through to theory refinement, has been developed [41]. Correspondence to Wensing M, Bosch M, Grol R: Selecting, tailoring, and implementing knowledge translation interventions. Menon A, Korner-Bitensky N, Kastner M, McKibbon KA, Straus S: Strategies for rehabilitation professionals to move evidencebased knowledge into practice: a systematic review. Med Care Res Rev. Perhaps more significantly, the KTA Framework is associated with the Canadian Institutes of Health Research [27]. This review sought to answer two questions: Is the KTA Framework used in practice?

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