knowledge to action model

Data for each phase were then synthesised across studies to help understand how the framework had been used in practice. Understanding the barriers to knowledge uptake and implementation strategies, as well as facilitators of change, are critical to effective knowledge translation activities. This produced a subset of studies that contained examples of using the KTA Framework in an integral way. Our review, and similar studies [39],[40],[43]-[45], consistently comments on the limited, haphazard use of theory, even though theories can be applied in many different ways [41]. The issues around the keywords knowledge and actionwhich constitute the title of a book by Frey, Mandl, and von Rosenstiel ()are captured by the following four main aspects, which generate corresponding questions.. 1. Knowledge synthesis is essential when considering an initiatives potential for widespread implementation and collates existing knowledge using rigorous methodologies. This study is a citation analysis and systematic review. Building a Knowledge to Action Program in Stroke Rehabilitation Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few. We did not follow up references (including book chapters) or contact authors of included or excluded studies. 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. Translating Evidence Into Practice Through Knowledge Impleme - LWW Interestingly, a recent evaluation of the Canadian Institutes of Health Research (CIHR) Knowledge Translation Funding Program [38] presented results relating to knowledge translation products, academic outputs and capacity building together, giving the appearance, in our interpretation, that these different dimensions may be regarded as equally important. 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]. 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. 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 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. Knowledge-related barriers [32] were the most common, indicating the appropriateness of using educational strategies to address such barriers. As knowledge moves through three stages (inquiry, synthesis, tools/products), it becomes more user-friendly. The search results are illustrated in Figure 2, the PRISMA flow chart. Work Group on Translation Tools | CDC Leah Crockett is a doctoral student in the Department of Community Health Sciences at the University of Manitoba. II is an occupational therapist. Refresh the page, check Medium 's site status, or find. 2012, 69: 123-157. 2010, Wiley Blackwell, Chichester, UK. Nine of the studies reported assessing barriers to change [17]-[19],[21]-[26]. 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). The one-hour conversation between Dr. Marianne Farkas of Boston University's Center for Psychiatric Rehabilitation and Dr. Ian Graham was presented in . administrative databases) and/or active measurement (e.g. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. 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. Most of the theories were interdisciplinary or from nursing and were published between 1983 and 2006 [11]. McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K: Getting evidence into practice: the meaning of context. As weve discussed in a previous post, there are many theories, models and frameworks used in the field of knowledge translation (KT). It is one of the most frequently cited conceptual frameworks for knowledge translation. 10.1111/j.1553-2712.2007.tb02369.x. 2004, 19: 297-304. Retrieved from http://www.nccmt.ca/registry/view/eng/70.html. The authors attribution of use was variable, with most merely referencing the framework or describing how it was used to inform or structure projects. A strategy informed by theory is also much more likely to be effective in changing behaviours and attitudes. Program planning for health education and promotion. The National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care for South Yorkshire (CLAHRC SY) used the KTA Framework to underpin a programme of knowledge translation work undertaken between 2008 and 2013 [12]. Seventeen studies (12%) were noted as adapted or combined where the KTA Framework had either been modified or blended with another conceptual framework. However, our review focused primarily on examining how a conceptual framework had been used in practice. statement and https://doi.org/10.1186/s13012-014-0172-2, DOI: https://doi.org/10.1186/s13012-014-0172-2. Offering up to 36-month product lifecycle support and 6-month end-of-life notice to allow . Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. Rather, we focused on the application of, and theory fidelity to, the KTA Framework. Knowledge to Action Framework - Monash Centre for Health Research and Jacqueline Tetroe MA, We developed a taxonomy to categorise this variation (see Table 1). However, it is worth noting that clinical guidelines could be categorised as knowledge tools/products and/or implementation strategies depending on if, and how, the guideline features in the framework. 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. Implementation Science 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. Understanding if and how these theoretical tools add value to implementation endeavours and outcomes merits further research. The search strategy was limited to citation searching of three databases. We further identified a need to use taxonomies when analysing or evaluating knowledge translation strategies [33],[34]. Knowledge to Action Framework. to the Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE: Knowledge translation of research findings. 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. looked at 10 behaviour change interventions where explicit use of theory was absent, and mapped these strategies to domains of the Theoretical Domains Framework. Google Scholar also enabled access to book chapters whereas Scopus and Web of Science only indexed peer-reviewed journal articles. Lost in knowledge Translation: time for a map? 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]. Using the framework itself as a device through which to examine how it had been used seemed an appropriate and pragmatic approach for our purposes. 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. It may be useful for them to consider the extent to which they wish to follow or be guided by a conceptual framework before embarking on a knowledge translation project, especially regarding outcome measures because .the focus of knowledge into action is ultimately to enhance health status [1 p. 18]. Eight of the ten studies were conducted in Canada, one in the Democratic Republic of Congo [17] and one in Denmark [18]. The KTA model lines up with KTDRR's goals. "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.. The Knowledge to Action KTF The Knowledge to Action (KTA)4 is an overarching framework that includes both knowledge creation and implementation. Knowledge producers . 2013, 69: 194-204. The inclusion criteria were based on an affirmative answer to two questions Does the paper describe a KT project? and Is the KTA Framework a fundamental guide to this project? The initial sift phase was carried out by one researcher (BF), with another researcher coding a proportion of these (II). The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. 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 KT Library is designed to provide information to NIDRR grantees and interested members of the public about a wide spectrum of knowledge translation and evidence-based resources.". 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]. 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 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. 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. Non-English language studies were excluded, reducing access to examples of applying the KTA Framework published in other languages. Knowledge to action framework for home health monitoring 2012, 7: 48-10.1186/1748-5908-7-48. For an overview of other determinant frameworks that are useful in this phase, see the determinant frameworks section of Nilsens paper [7]. questionnaires). 10.1111/j.1740-8709.2010.00271.x. Med Care Res Rev. The views and opinions expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. 10.1002/chp.20077. J Eval Clin Pract. Can J Cardiol. However, the target audiences were primarily patients, the public and the nursing and allied health professions. Edited by: Straus S, Tetroe J, Graham I. We did not include the many papers about clinical practice guidelines for two interrelated reasons. 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. In contrast, they wanted to evaluate the impact of their intervention on peoples ability to understand their choices and make informed decisions about treatment. Tailoring knowledge was described in three studies [18],[20],[26]. Four of the ten studies [17],[19],[21],[23] reported gaining ethical approval, suggesting that these had been independently characterised as research. volume9, Articlenumber:172 (2014) PubMedGoogle Scholar. 2012, 8: 174-84. 10 at the Canadian Institutes for Health Research. Tabak RG, Khoong EC, Chambers DA, Brownson RC: Bridging research and practice: models for dissemination and implementation research. Springer Nature. 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. Although there may be some small variation in the actual sets of references retrieved by different citation searches, we have no reason to believe that we have systematically under- or over-represented particular types of studies in our sample. We chose citation searching as our preferred method to identify reports of practical applications of a model or framework [14],[15]. 10.7748/ns2002.05.16.37.38.c3201. 2007, 14: 936-941. Ian D. Graham PhD, Ian D. Graham PhD. However, there are multiple KT TMFs and little guidance on which to select. Implement Sci. For example, difficulties in applying exclusion/inclusion criteria were discussed by the team and all subsequent decisions were then resolved by consensus. However, citation figures do not reflect how this conceptual framework has actually been applied in practice. Yet, this method may prove challenging, often because of limited and imprecise reporting. This study sought to identify and describe available full-spectrum KT TMFs to subsequently guide users. 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. 2009, Wiley-Blackwell BMJ Books, Chichester, UK, 83-93. 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]. The uptake of EBP is a complex process that can be facilitated by the use of the Knowledge to Action Process model. The KTA could also be used as a literacy device to structure reporting of the framework. Any differences were discussed and resolved by consensus. 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. Armstrong R, Waters E, Dobbins M, Anderson L, Moore L, Petticrew M, Clark R, Pettman TL, Burns C, Moodie M, Conning R, Swinburn B. Kitson A, Powell K, Hoon E, Newbury J, Wilson A, Beilby J. LaRocca R, Yost J, Dobbins M, Ciliska D, Butt M. Kothari AR, Bickford JJ, Edwards N, Dobbins MJ, Meyer M. National Collaborating Centre for Methods and Tools (2010). 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. As demonstrated here, the Knowledge to Action Process model provides an excellent guide for clinicians, managers, and researchers who wish to incite change in patient care. Privacy It focuses on two main areas of activity: knowledge creation and knowledge tailoring . Disconnect between Knowledge and Action Gap between what we know and what we do Under-use of effective treatments -5-50 years to change practice . 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. The KTA Framework is being used in practice with varying degrees of completeness. 10.1111/j.1365-2648.2012.06037.x. Regardless of the approach, its critical to ensure that interventions are tailored to address the specific issue, audience and context to enhance uptake. Keyser SE: The Implementation of a Delirium Knowledge Translation Project for Families of the Elderly. PubMed Central Knowledge becomes more refined as it moves through these three steps. Overview of the Knowledge to Action Cycle. This is a limitation of using Google Scholar for citation searches. Each article was scrutinised and mapped against the corresponding phases within the Knowledge Creation and Action Cycle components of the framework. Development of a theory coding scheme. Difficulties applying the exclusion criteria were discussed to ensure the inclusion/exclusion criteria were applied consistently. Two researchers (BF and II) conducted an initial assessment of the full-text articles. J Behav Med. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. 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. Once an understanding of the potential barriers and facilitators to adoption has been achieved, the next phase involves planning and carrying out interventions to bring about the intended change. Knowledge Translation in Health Care: Moving from Evidence to Practice. (Dignan, M.B & Carr, P.A. As knowledge moves through the funnel, it is refined and summarized to be more useful for end-users. This presents an interpretation challenge both for those seeking to learn from such projects and systematic reviewers. 10.1037/a0016939. 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. Data extracted were mapped to each phase of Knowledge Creation and the Action Cycle (see Figure 1) by one researcher (BF) and then discussed with the whole team. 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 ]. Next, 911 records were excluded at the sift stage. Data-Information-Knowledge-Action Model | SpringerLink Celebrate the work you have accomplished. None described applying every phase of the KTA Framework. Interest in using systematic literature reviews to investigate theories, models and conceptual frameworks has increased in recent years [7],[39]. the secondary menu, the site search form or go Bartholomew LK, Mullen PD: Five roles for using theory and evidence in the design and testing of behaviour change interventions. PubMed There was substantial variation in the setting and target audience for each documented change, the methods used to apply the KTA Framework and the terminology employed to report the phases within Knowledge Creation and the Action Cycle. Health Psychol. McEvoy R, Ballini L, Maltoni S, O Donnell CA, Mair FS, Macfarlane A: A qualitative systematic review of studies using the normalization process theory to research implementation processes. Knowledge Translation in Health Care: Moving from Evidence to Practice. The action cycle is iterative and includes the deliberate application of knowledge to cause change in behaviours and/or attitudes. This involved checking whether the four elements were described. And if so, how?. 2023 BioMed Central Ltd unless otherwise stated. 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. Knowledge-to-Action Model (Adapted from I.D. Graham, J. Logan, M.B How have you used the KTA Framework in your own work? Authors identified many barriers relating to environmental factors [32] such as lack of time and/or resources. 10.1111/j.1752-7325.2011.00223.x. knowledge to action gap through research-clinical partnerships in speech-language pathology. Knowledge creation has three phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) knowledge tools and products. Nine were published in peer-reviewed journals with the exception being a Master of Science degree dissertation [19]. They and we resorted to a simple taxonomy to describe the level and type of usage based on explicit reporting. 10.1007/s10865-010-9260-1. The KTA process has two components: Knowledge Creation and Action. A total of 1,057 titles and abstracts were screened. Child Health, Health Equity, Integrated Knowledge Translation, Canadian Institutes of Health Research (CIHR, https://www.ncbi.nlm.nih.gov/pubmed/16557505, practical guide to designing a KT intervention. Glossary for Knowledge to Action Framework; Research Phase. Interventions can be of multiple sorts: educational (passive or active strategies), professional (reminders, audit and feedback), organizational (redesign services), and patient directed (health literacy, patient decision aids) [3]. Journal of Continuing Education in the Health Professions, 30, 167-171. doi:10 The Knowledge-to-Action (KTA) framework provides a logical structure and process to plan IS projects. Thirty nine (27%) were categorised as informed because the KTA Framework had influenced the project in a non-specified way without citing examples of how it had been applied. Knowledge-to-action cycle | BMJ Evidence-Based Medicine None reported using every phase of the KTA Framework. This reflects the spread of the framework across a range of settings, to different health care services and systems and larger scale and smaller projects.

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