Potential benefits from applying a conceptual framework include making the process of knowledge translation more systematic, with greater likelihood of changed practice and spread of evidence [4],[6]-[9]. 10.1046/j.1365-2648.2002.02150.x. 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 California Privacy Statement, (Dignan, M.B & Carr, P.A. A total of 1,057 titles and abstracts were screened. In the absence of formal comparisons of citation search techniques, we decided to operationalise citation searching using Google Scholar. Each study demonstrates the particularity of implementation activities. The result set was reduced to 1,057 records following removal of duplicate and non-English language records. Musk threatens to sue Microsoft over Twitter data being used in A.I. - CNBC Taylor MJ, McNicholas C, Nicolay C, Darzi A, Bell D, Reed JE: Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. 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. Citation searching for the original reference by Graham and colleagues [1] optimised the sensitivity and specificity of the search strategy. BMC Med Res Methodol. 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. 2011, 11: 29-10.1186/1471-2288-11-29. 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). Over time, barriers to knowledge use may change from those initially identified, so sustaining knowledge use includes an ongoing feedback loop that cycles back through the action phases. 10.1136/bmjqs-2013-001862. Involvement of stakeholders, and tailoring knowledge to the needs of people who are going to use it, is crucial. It sets out the key Five studies applied one or more phases [18],[20],[22],[24],[26]. 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. Neither did we seek out grey literature or search specific thesis/dissertation databases. (2013), "The effectiveness of knowledge translation strategies used in public health: a systematic review" (2012), "Uncovering Tacit Knowledge: A Pilot Study to Broaden the Concept of Knowledge in Knowledge Translation" (2011), "Assessing the public health impact of health promotion initiatives" (2010), Agency for Healthcare Research and Quality (AHRQ) - Translating Research into Practice, Canadian Institute for Health Research (CIHR) - Knowledge Translation & Commercialization, Center on Knowledge Translation for Disability and Rehabilitation Reseach (KTDRR) - KT Library, Cochrane Public Health Group - Knowledge Translation, McMaster University - Collaborations for Health (CfH) - Knowledge Translation, National Collaborating Centre for Methods and Tools - Knowledge Translation Methods and Tools for Public Health, University of Alberta - Knowledge Utilization Studies Program, Develop a PLAN - determine key stakeholders, expertise & support, Measure/collect data - baseline, process, outcomes, expenses, Implement - DO - pilot roll-out, educate, support, navigate, Manage & Adjust - ACT - Adapt, Adopt or Abandon based on evidence, Sustain & Grow - Share the results, get feedback, embed in standards or policies, spread more broadly. PDF Knowledge Translation Frameworks: What Are They, How and When to - Hse It may be that when people are consulted, they identify those barriers that they feel able to influence, such as knowledge or awareness, rather than organisational barriers, which could be perceived as more problematic or more distant. This involved checking whether the four elements were described. 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. Judging between informed and directed was difficult, suggesting further refinement of the categories is required. Our experience certainly confirms that this search method circumvents the problems of variation in terminology typically encountered in topic-based searches of bibliographic databases. PubMed 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. Eight of the ten studies were conducted in Canada, one in the Democratic Republic of Congo [17] and one in Denmark [18]. 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). PubMed As the process of KT is iterative, not only can (i) inform (ii), but components of the action cycle also feed back to inform knowledge creation [2, 3]. The first phase explores the creation of knowledge tools or products, such as an intervention or a clinical guideline . Also, this conceptual framework may appeal because of a lack of jargon and a simple diagram depicts the knowledge translation process. Med Care Res Rev. 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. J Public Health Dent. This article is published under license to BioMed Central Ltd. Kennedy CC, Ioannidis G, Giangregorio LM, Adachi JD, Thabane L, Morin SN, Crilly RG, Marr S, Josse RG, Lohfeld L, Pickard LE, King S, van der Horst M-L, Campbell G, Stroud J, Dolovich L, Sawka AM, Jain R, Nash L, Papaioannou A: An interdisciplinary knowledge translation intervention in long-term care: study protocol for the vitamin D and osteoporosis study (ViDOS) pilot cluster randomized controlled trial. 2014, 9: 2-10.1186/1748-5908-9-2. Action model learning - Wikipedia Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare Knowledge to Action Framework - Monash Centre for Health Research and CLAHRC YH would also like to acknowledge the participation and resources of our partner organisations. 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. In addition, this suggests conceptual frameworks do not have to be mutually exclusive. Box. The Knowledge to Action (KTA) framework is an effective approach in the implementation science literature to methodically guide the translation of evidence-based research findings into practice, putting knowledge into practical use. PO Box 1649, Peoria, Each implementation study was very different (see Table 3). 2nd ed. IL It is one of the most frequently cited conceptual frameworks for knowledge translation. [http://www.rcn.org.uk/__data/assets/pdf_file/0014/512600/2013_RCN_research_W06.pdf]. However, citation figures do not reflect how this conceptual framework has actually been applied in practice. 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. 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]. Most studies (8/10) were conducted in Canada where the KTA Framework originated. This reflected our focus on whether the KTA Framework is used in practice and, if so, how it is applied. The knowledge to action cycle begins with the identification of a problem (usually a gap in care provision). Knowledge to Action Model. The databases were Scopus, Web of Science and Google Scholar. 2012, 7: 48-10.1186/1748-5908-7-48. Our findings support this proposal. BMJ Qual Saf. 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 61656, Rockford, 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. 10.1016/j.jclinepi.2004.09.002. 10.1016/j.cjca.2012.03.011. 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. 10 at the Canadian Institutes for Health Research. McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K: Getting evidence into practice: the meaning of context. This MCHRI framework for impact has been adapted form multiple sources and from internal learnings and is underpinned by the Canadian knowledge to action process. 10.1002/chp.47. Privacy Graham, J. Logan, M.B. This review seeks to answer two questions: Is the KTA Framework being used in practice? and If so, how is the KTA Framework being used in practice? We were interested in the real-life application of this conceptual framework to real-world implementation challenges. Four of the ten studies [17],[19],[21],[23] reported gaining ethical approval, suggesting that these had been independently characterised as research. Action Cycle within the KTA Model The second step involves adapting the validated knowledge to the local context. Straus S, Tetroe J, Graham ID: Knowledge Translation in Health Care. Russell and colleagues [25] describe use of a knowledge broker, an example of a linkage and exchange-type strategy. This showed that the degree of usage varied from merely citing the KTA Framework to full integration into the study. Understanding if and how these theoretical tools add value to implementation endeavours and outcomes merits further research. research findings not being translated. 10.2522/ptj.20070056. Retrieved from http://www.nccmt.ca/registry/view/eng/70.html. Knowledge to action framework for home health monitoring Provided by the Springer Nature SharedIt content-sharing initiative. Implement Sci. 10.1111/j.1365-2648.2012.06037.x. Nursing Experts: Translating the Evidence - University of Illinois Chicago Step KTA 3.B - Center on Knowledge Translation for Technology Transfer None reported using every phase of the KTA Framework. This frequency of use in Canada could be explained by the influence of national Canadian networks and dissemination activities. Knowledge-to-action cycle | BMJ Evidence-Based Medicine 2012, 8: 174-84. Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. The views and opinions expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The KTA Framework was enacted in a variety of ways, from informing to full integration, showing flexibility of use and that it can fit local circumstances and need.
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