However, the target audiences were primarily patients, the public and the nursing and allied health professions. volume9, Articlenumber:172 (2014) Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few. to the 2012, 43: 337-50. Knowledge Translation: Introduction to Models, Strategies, and - KTDRR Use at a lighter level through adapting or combining with other conceptual frameworks could be considered a strength, in that the KTA Framework offers the flexibility to be combined with other frameworks, being responsive to facilitating practitioner preferences and context-specific needs. 10.1002/chp.47. PDF SYSTEMATIC REVIEW Open Access Using the Knowledge to Action Framework Worldviews Evid Based Nurs. Theories and Models of Knowledge to Action - Knowledge Translation in It is focused on ensuring research findings are implemented in practice and aims to reduce the knowledge to action gap i.e. Duplicates between records from the databases were identified and the most complete record was retained for the subsequent sift process. Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. The action cycle includes a range of activities needed for knowledge implementation. 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. Google Scholar references often included an incomplete text fragment rather than a more traditional abstract. 2014, 9: 2-10.1186/1748-5908-9-2. the content of this page, CDC Knowledge to Action Framework [PDF - 33 KB] An Organizing Framework for Translation in Public Health: The Knowledge to Action Framework Applying the Knowledge to Action (K2A) Framework: Questions to Guide Planning Tool [PDF - 3.57 MB] Glossary of Terms [DOC -17 KB] Page last reviewed: April 28, 2021 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. We thank Jennifer Read who provided BF with academic supervision for her MSc dissertation. Implement Sci. 10.1046/j.1365-2648.2002.02150.x. All ten studies reported using the Action Cycle. 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. Included articles were re-examined and re-coded according to this more detailed classification. 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. This may explain the varying degrees to which the framework was used. Methods: We used the Knowledge to Action framework, which was developed to map how science is translated into effective health programs, to examine how the evidencebased intervention from the 2002 Diabetes Prevention Program trial was translated into the Centers for Disease Control and Prevention's largescale National Diabetes Prevention Google Scholar also enabled access to book chapters whereas Scopus and Web of Science only indexed peer-reviewed journal articles. 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. The KTA process has two components: Knowledge Creation and Action. 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. Implement Sci. The data were extracted from the integrated studies where the KTA Framework was applied in practice. Straus S, Tetroe J, Graham ID: Knowledge Translation in Health Care. Edited by: Straus S, Tetroe J, Graham I. 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. 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. 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]. None reported using every phase of the KTA Framework. Phys Ther. The Action Cycle was reported in all the integrated examples, illustrating theory fidelity in this specific subset of studies. A further eighteen (12%) were categorised as directed because the KTA Framework influenced the project design or helped to plan, structure or conceptualise what was done, but with no examples given. Rather, papers typically stated aims and objectives, which often related to closing evidence/knowledge-practice gaps. 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. In the absence of formal comparisons of citation search techniques, we decided to operationalise citation searching using Google Scholar. Making sense of implementation theories, models and frameworks. Prevailing wisdom encourages the use of theories, models and conceptual frameworks, yet their application is less evident in practice. School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK, School of Nursing and Midwifery, University of Sheffield, Sheffield, UK, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK, You can also search for this author in The KTA Framework consists of two components: (1) Knowledge Creation Knowledge creation is represented by the funnel in the centre of the image above. The authors declare that they have no competing interests. 10.1016/j.amepre.2012.05.024. From Graham I, Logan J, Harrison M, Strauss S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map? This involved checking whether the four elements were described. Knowledge Translation in Health Care: Moving from Evidence to Practice. Journal of Continuing Education in the Health Professions, 30, 167-171. doi:10 Cite this article, Conceptual frameworks are recommended as a way of applying theory to enhance implementation efforts. 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. 2008, 3: 1-10.1186/1748-5908-3-1. 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. This scheme may be useful for similar studies examining theory use. 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]. Too many KT strategies use the traditional ISLAGIATT (It Seemed Like A Good Idea At The Time)* approach, and result in uninformed interventions that are often too broad and too ambitious. 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. Nursing Experts: Translating the Evidence - University of Illinois Chicago 2014, 11: 26-34. 10.7748/ns2002.05.16.37.38.c3201. Wensing M, Bosch M, Grol R: Selecting, tailoring, and implementing knowledge translation interventions. 10.1111/jan.12091. Limitations of English language and year of publication 2006-June 2013 were set. 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 . 2012, 7: 48-10.1186/1748-5908-7-48. The Knowledge to Action Framework [1] (the KTA Framework) is a conceptual framework intended to help those concerned with knowledge translation deliver sustainable, evidence-based interventions. Petzold A, Korner-Bitensky N, Menon A: Using the knowledge to action process model to incite clinical change. Given the incomplete abstracts obtained via Google Scholar, a rule-out strategy was employed. In ten studies, the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. Others related to specific conditions, such as stroke [23],[24], children with cerebral palsy and motor difficulties [25] and osteoarthritis [26]. 2005, 58: 107-12. 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. It is important to note that Graham and colleagues have continued to publish on applications of the framework and the multiple factors to be considered [29]. Non-stop action: The best choice for iCaf, configure-to-order gaming systems and quality-driven businesses; Non-stop durability: . 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. Conceptual frameworks provide a frame of reference for organising thinking, a guide for action and interpretation. 2011, 71 (Suppl 1): S20-S33. Hua D, Carter S, Bellerive J, Allu SO, Reid D, Tremblay G, Lindsay P, Tobe SW: Bridging the gap: innovative knowledge translation and the Canadian hypertension education program. 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. Ian D. Graham PhD, Ian D. Graham PhD. 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. Rycroft-Malone J, Harvey G, Kitson A, McCormack B, Seers K, Titchen A: Getting evidence into practice: ingredients for change. However, there are multiple KT TMFs and little guidance on which to select. Nurs Stand. The full text of the 146 papers was examined to establish the extent to which the use of the KTA Framework was attributed by the authors. Knowledge syntheses take the form of studies that fall into the categories of systematic reviews, scoping reviews, and meta-analyses, just to name a few. This was necessary given the limited resources available to support the review process. Work Group on Translation Tools | CDC The search results are illustrated in Figure 2, the PRISMA flow chart. The citation search yielded 1,787 records. Difficulties applying the exclusion criteria were discussed to ensure the inclusion/exclusion criteria were applied consistently. Claude KM, Juvenal KL, Hawkes M: Applying a knowledge-to-action framework for primary prevention of spina bifida in tropical Africa. 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]. 2012, 28: 258-61. Rycroft-Malone J, Bucknall T: Models and Frameworks for Implementing Evidence-Based Practice. A few free articles for further reading Chicago, In these studies, the KTA Framework appeared to provide a practical yet flexible guide to getting research findings into practice, allowing it to be applied in idiosyncratic ways. administrative databases) and/or active measurement (e.g. PubMed So-called action (or planned action) models are process models that facilitate implementation by offering practical guidance in the planning and execution of implementation endeavours and/or implementation strategies. BMC Med Res Methodol. Petzold, A., Korner-Bitensky, N., & Menon, A. PDF Introduction to Knowledge into Action - The Centre for Evidence-Based The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. We acknowledge that there are multiple choices available when conducting citation searches. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. 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). Quality assessment of the integrated studies proved problematic given that many papers did not report research questions, traditional research designs or recruitment and selection of participants as required by the criteria [16]. The Canadian Institute of Health Research has one of the most well-known definitions of knowledge translation. 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. Monitoring the use of knowledge is critical in understanding how and to what extent the KT strategy has had an impact on outcomes (the next phase in the action cycle). California Privacy Statement, From 2008 to 2013, she led the Translating Knowledge into Action theme of NIHR CLAHRC SY. Building a conceptual model Forms of knowledge Research evidence Clinician knowledge, skills, experience 10.1111/j.1553-2712.2007.tb02369.x. 10.1002/chp.20077. 10.1111/j.1740-8709.2010.00271.x. BMC Med Res Methodol. 2010, 5: 82-10.1186/1748-5908-5-82. 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. Molfenter S, Ammoury A, Yeates E, Steele C: Decreasing the knowledge to action gap through research-clinical partnerships in speech-language pathology. Glossary for Knowledge to Action Framework; Research Phase. Only 10 of 146 papers reported direct use, with examples demonstrating that the framework was integral to their study. 2010, 33: 259-263. The impact of a strategy should be assessed using explicit, rigorous qualitative and quantitative methods, beginning with formulation of a defined question of interest. 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. The one-hour conversation between Dr. Marianne Farkas of Boston University's Center for Psychiatric Rehabilitation and Dr. Ian Graham was presented in . No existing systematic review was found on this subject. Michie S, Prestwich A: Are interventions theory-based? CLAHRC YH would also like to acknowledge the participation and resources of our partner organisations. Worldviews Evid Based Nurs. PRISMA flow diagram of citation analysis and systematic literature review. 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.
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