fbpx

knowledge to action model

    knowledge to action model

    The KTA process has two components: Knowledge Creation and Action. A strategy informed by theory is also much more likely to be effective in changing behaviours and attitudes. This may be an artefact of reporting, indicating that prospective, primary research is needed to explore the real value of the KTA Framework and similar tools. For example, difficulties in applying exclusion/inclusion criteria were discussed by the team and all subsequent decisions were then resolved by consensus. Michie S, Prestwich A: Are interventions theory-based? It is focused on ensuring research findings are implemented in practice and aims to reduce the knowledge to action gap i.e. Leah Crockett is a doctoral student in the Department of Community Health Sciences at the University of Manitoba. (2010). Petzold, A., Korner-Bitensky, N., & Menon, A. Worldviews Evid Based Nurs. 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]. -[http://www.cihr-irsc.gc.ca/e/39033.html]. The first phase explores the creation of knowledge tools or products, such as an intervention or a clinical guideline . Int J Nurs Educ Scholarsh. The search results are illustrated in Figure 2, the PRISMA flow chart. We chose citation searching as our preferred method to identify reports of practical applications of a model or framework [14],[15]. Can J Speech-Language Pathol Audiol. 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. Most studies (8/10) were conducted in Canada where the KTA Framework originated. 2004, 19: 297-304. We did not follow up references (including book chapters) or contact authors of included or excluded studies. PubMed Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few. 2nd ed. Knowledge to Action Framework. Yet, this method may prove challenging, often because of limited and imprecise reporting. 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).. Referred to as first generation knowledge and vastly out of scale (considering that the body of new, original knowledge in healthcare is enormous part of the reason we need KT), knowledge inquiry refers to primary studies and represents the majority of research that is conducted. Google Scholar. The action cycle includes a range of activities needed for knowledge implementation. Field, B., Booth, A., Ilott, I. et al. 2012, 9: 1-10.1111/j.1741-6787.2011.00240.x. More About Knowledge Translation at CIHRCIHR. From the perspective of the psychology of knowledge (e.g., Strube & Wender, 1993), knowledge is a competence for action, a . Action phases may be carried out sequentially or simultaneously; knowledge phases may impact on the action phases. Implement Sci. Furthermore, knowledge can inform each phase of the action cycle and the knowledge funnel can rotate to feed into different phases. 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 From 2008 to 2013, she led the Translating Knowledge into Action theme of NIHR CLAHRC SY. The Action Cycle outlines a process, representing the activities needed for knowledge to be applied in practice; knowledge is adapted to the local context, and barriers and facilitators to its use are explicitly assessed. Powell BJ, McMillen C, Proctor E, Carpenter CR, Griffley RT, Bunger AC, Glass JE, York JL: A compilation of strategies for implementing clinical innovations in health and mental health. 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. IL In summary, KTA is applying knowledge to real life situations. The prevalence of the Action Cycle may simply reflect the cyclical nature of the change process evident in other common, quality improvement tools such as the Plan, Do, Study, Act cycle [30]. PubMed These were the question and study design, recruitment and selection and methods of data collection and analysis. 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. Only 10 of 146 papers reported direct use, with examples demonstrating that the framework was integral to their study. The Knowledge-to-Action Framework | by Leah Crockett | KnowledgeNudge | Medium Sign up 500 Apologies, but something went wrong on our end. The following analysis focuses on results relating to these ten integrated studies. 2014, 9: 2-10.1186/1748-5908-9-2. Lgar [32] recommends using established taxonomies developed for barriers and facilitators within knowledge translation projects. 10.1046/j.1365-2648.2002.02150.x. Associated knowledge tools included summaries of evidence targeted at specific audiences, continuing health care education modules, information posted on websites and decision aids. This scheme may be useful for similar studies examining theory use. We acknowledge that there are multiple choices available when conducting citation searches. Graham, J. Logan, M.B. Each component involves several phases which overlap and can be iterative; Graham and colleagues [1] describe the phases as dynamiccan influence each other (p. 20). Rycroft-Malone J: The PARIHS framework: a framework for guiding the implementation of evidence based practice. For an example of how these might be developed, check out our earlier post. 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. 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 Action Cycle was reported in all the integrated examples, illustrating theory fidelity in this specific subset of studies. For example, Eccles et al. Difficulties applying the exclusion criteria were discussed to ensure the inclusion/exclusion criteria were applied consistently. Implent Sci. McLean R, Tucker J: Evaluation of CIHRs Knowledge Translation Funding ProgramCIHR.[http://www.cihr-irsc.gc.ca/e/47332.html#a2.1]. Each implementation study was very different (see Table 3). 2009, 41: 1024-1032. Article Implement Sci. BMJ Qual Saf. Next, 911 records were excluded at the sift stage. CLAHRC YH would also like to acknowledge the participation and resources of our partner organisations. Why use theory to guide the process of moving evidence into action? 10.1111/j.1740-8709.2010.00271.x. Rycroft-Malone J: Implementing evidence-based practice in the reality of clinical practice. It was cited 470 unique times across all databases. 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. The uptake of EBP is a complex process that can be facilitated by the use of the Knowledge to Action Process model. 10.1111/j.1553-2712.2007.tb02369.x. 2008, 3: 1-10.1186/1748-5908-3-1. This was necessary given the limited resources available to support the review process. volume9, Articlenumber:172 (2014) Seven described using both the Knowledge Creation and the Action Cycle components [18],[20]-[24],[27]. Due to overlapping categories (e.g. This can be achieved through observation (e.g. Ullrich PM, Sahay A, Stetler CB: Use of implementation theory: a focus on PARIHS. Only ten studies reported and gave supportive examples of incorporating the KTA Framework in an integrated way. Only four studies detailed Knowledge Creation, yet existing knowledge was utilised in the other studies to identify knowledge-practice gaps, or as part of the Action Cycle. Education was the most frequently employed strategy albeit in a variety of forms. 10.1002/chp.179. 2013, 23 (4): 290-298. 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. Knowledge-related barriers [32] were the most common, indicating the appropriateness of using educational strategies to address such barriers. 2007, 14: 936-941. A notable feature of the KTA Framework is the development of knowledge tools or products as part of Knowledge Creation. How have you used the KTA Framework in your own work? Implement Sci. We did not include the many papers about clinical practice guidelines for two interrelated reasons. None reported using every phase of the KTA Framework. Papers could be scrutinised according to how their aims and objectives had been operationalised. The papers were coded according to the taxonomy in Table 1. 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. 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]. 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. 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. Knowledge Creation includes knowledge inquiry, knowledge synthesis, and knowledge tools/products. Several strategies were used to counter this risk. 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. All ten studies reported using the Action Cycle. Further information about how the different studies applied the phases within the Action Cycle are shown in Table 6. 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. It sets out the key J Clin Epidemiol. Crosby R, Noar SM: Theory development in health promotion: are we there yet?. Knowing your audience and assessing the value, usefulness and appropriateness of the particular knowledge is critical to its uptake and sustained use. 2009, Wiley-Blackwell BMJ Books, Oxford, 94-113. Theories and Models of Knowledge to Action. Using the knowledge to action process model to incite clinical change. 2007, 87: 1728-38. 2013, 69: 2336-47. 61107, 102 Medical Sciences Building, 506 S. Mathews, Urbana, A total of 146 papers were identified as attributing use of the KTA Framework. 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. Bartholomew LK, Mullen PD: Five roles for using theory and evidence in the design and testing of behaviour change interventions. 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. 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. 10.1037/a0016939. Studies were published between 2007 and 2013. It focuses on two main areas of activity: knowledge creation and knowledge tailoring . Becky Field. Finally, knowledge tools and products, considered third generation knowledge, are the most refined form of knowledge, based on earlier stages of the funnel. As such, the process of moving evidence to action is iterative, dynamic, and complex. 2010, 5: 14-10.1186/1748-5908-5-14. However, supplementary hypertext links could be followed up from Google Scholar to either an abstract or, optimally, to the full text. In addition, this suggests conceptual frameworks do not have to be mutually exclusive. The KTA Framework is being used in practice with varying degrees of completeness. 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. Worldviews Evid Based Nurs. 10.1136/bmjqs-2013-001862. 10.1111/jan.12091. This framework was developed in Canada by Graham et al. Involvement of stakeholders, and tailoring knowledge to the needs of people who are going to use it, is crucial. Interest in using systematic literature reviews to investigate theories, models and conceptual frameworks has increased in recent years [7],[39]. Wensing M, Bosch M, Grol R: Selecting, tailoring, and implementing knowledge translation interventions. This study sought to identify and describe available full-spectrum KT TMFs to subsequently guide users. 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. It may also be a reflection of the challenges for defining and reporting outcomes for knowledge translation projects. Correspondence to 10.1002/chp.47. A few free articles for further reading Chicago, 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. Rather, we focused on the application of, and theory fidelity to, the KTA Framework. The Knowledge-to-Action (KTA) framework provides a logical structure and process to plan IS projects. Davies and colleagues [40] note that less than 6% of 235 studies, albeit published before 1998, explicitly used theories of behaviour or behaviour change. One of the things that makes the KTA unique is that it begins with research evidence, the need to synthesize and translate that evidence - these are represented by the funnel in the middle of the cycle. Action Cycle within the KTA Model The second step involves adapting the validated knowledge to the local context. All these described the Action Cycle and seven referred to Knowledge Creation, articulating the KTA Framework in a way that was true to the source paper [1]. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. Implement Sci. BMJ. ASUS Corporate Stable Model (CSM) is a commercial program designed to provide stable and reliable motherboards. 2023 BioMed Central Ltd unless otherwise stated. Knowledge creation has three phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) knowledge tools and products. Knowledge Translation in Health Care: Moving from Evidence to Practice. On this basis, all ten studies were judged as having described their projects clearly. 2012, 43: 337-50. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review, https://doi.org/10.1186/s13012-014-0172-2, http://www.rcn.org.uk/__data/assets/pdf_file/0014/512600/2013_RCN_research_W06.pdf, https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/EPOC%20Taxonomy%20of%20Interventions%202002.pdf, http://www.cihr-irsc.gc.ca/e/47332.html#a2.1, http://creativecommons.org/licenses/by/4.0, http://creativecommons.org/publicdomain/zero/1.0/. One hundred and forty-six studies described usage to varying degrees, ranging from referenced to integrated. CIHR also provides a practical guide to designing a KT intervention for health researchers, with relevant examples of its application. . 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. (2006) proposed the knowledge-to-action (KTA) process conceptual framework that could be useful for facilitating the use of research knowledge by several stakeholders, such as practitioners, policymakers, patients, and the public. [http://www.rcn.org.uk/__data/assets/pdf_file/0014/512600/2013_RCN_research_W06.pdf]. BMJ. Citation searching seeks to optimise sensitivity and specificity when seeking to identify reports of practical applications of a model or framework. 10.1177/1077558711430690. 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. PubMed 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. Straus, J. Tetroe, W. Caswell, and N. Robinson, 2006 . to the Can J Cardiol. All ten studies reported applying the Action Cycle, describing at least five of the seven possible phases (see Table 5). The KTA Framework is composed of two distinct, but related components: (i) Knowledge Creation, and (ii) the Action Cycle. Questionnaires, interviews, workshops, focus groups and needs assessment were used to identify barriers to change. We have chosen to report the aggregate number of excluded papers on the PRISMA flow diagram (Figure 2). Phys Ther. 2002). 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. They and we resorted to a simple taxonomy to describe the level and type of usage based on explicit reporting. Matern Child Nutr. Google Scholar also enabled access to book chapters whereas Scopus and Web of Science only indexed peer-reviewed journal articles. A continuum of usage, ranging from referenced to integrated, was developed to aid this process. Rycroft-Malone J, Bucknall T: Models and Frameworks for Implementing Evidence-Based Practice. 1, EPOC Taxonomy of Professional and OrganisationalInterventions.[https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/EPOC%20Taxonomy%20of%20Interventions%202002.pdf]. 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. Implement Sci. 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). As weve discussed in a previous post, there are many theories, models and frameworks used in the field of knowledge translation (KT). Duplicates between records from the databases were identified and the most complete record was retained for the subsequent sift process. Below are the links to the authors original submitted files for images. review papers, conceptual or descriptive papers and those describing a single knowledge translation strategy or not topically relevant), we excluded against a single criterion, even when multiple criteria applied, as practical considerations rendered it unnecessary to exhaustively document all possible reasons for exclusion for each paper. Papers were excluded if they were not empirical real-life applications of the KTA Framework; if they were literature reviews; if they were only conceptual or descriptive papers (including discussion, commentaries or protocols); if they described a single knowledge translation strategy, such as a clinical practice guideline; or if they were not topically relevant. Such work may require additional funding for longer term monitoring or strategies to sustain knowledge use over time. The impact of a strategy should be assessed using explicit, rigorous qualitative and quantitative methods, beginning with formulation of a defined question of interest. For an overview of other determinant frameworks that are useful in this phase, see the determinant frameworks section of Nilsens paper [7]. 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 . Graham I, Logan J, Harrison M, Straus S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map?. 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. For Web of Science and Scopus citations, full abstracts were identified. Rycroft-Malone J, Harvey G, Kitson A, McCormack B, Seers K, Titchen A: Getting evidence into practice: ingredients for change. 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. J Contin Educ Health Prof. 2006, 26: 13-24. Implementation Sci 9, 172 (2014). This showed that the degree of usage varied from merely citing the KTA Framework to full integration into the study. 2010, 5: 82-10.1186/1748-5908-5-82. 10.1016/j.amepre.2012.05.024. (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. This involved checking whether the four elements were described. IL We recommend using the latest version of IE11, Edge, Chrome, Firefox or 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. All ten described using the Action Cycle and seven referred to Knowledge Creation. However, the method is replicable and could be repeated to update the review in future. Conceptual frameworks provide a frame of reference for organising thinking, a guide for action and interpretation. The citation search yielded 1,787 records. Claude and colleagues [17] stated that these phases were beyond the scope of their project. It was cited 470 unique times across the three databases, indicating the bibliometric impact of the source paper. Others argue that the effectiveness and generalisability of implementation studies are hindered by weak theoretical underpinnings [40],[43],[44]. 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. Two were concerned with public health or health promotion [17],[20]; three focused on clinical academic or nurse education [18],[21],[22]. 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]. 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. The authors attribution of use was variable, with most merely referencing the framework or describing how it was used to inform or structure projects. 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]. Glossary for Knowledge to Action Framework; Research Phase. The KTA Framework comprises two distinct but related components: (i) Knowledge Creation (represented by the funnel) surrounded by (ii) the Action Cycle (Figure 1). Claude KM, Juvenal KL, Hawkes M: Applying a knowledge-to-action framework for primary prevention of spina bifida in tropical Africa. A few authors have attempted this, such as McEvoy and colleagues [43] who examined benefits reported by authors using the Normalization Process Theory. Refresh the page, check Medium 's site status, or find. Knowledge producers . Rather, papers typically stated aims and objectives, which often related to closing evidence/knowledge-practice gaps. When the framework was integral to knowledge translation, it guided action in idiosyncratic ways and there was theory fidelity. 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. 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 views and opinions expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. 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. Offering up to 36-month product lifecycle support and 6-month end-of-life notice to allow . The Knowledge to Action Framework. The citation search for the original source paper [1] yielded 1,787 records. 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. These include things like clinical practice guidelines, decision aids and videos. Knowledge translation strategies can include elements such as linkage and exchange, audit and feedback, informatics and patient-mediated and organisational interventions [29]. Initial screening out by title and abstract on the basis of partial information from Google Scholar may also have excluded relevant studies. Implementation Science This inner component of the model is broken down into 3 phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) the creation of knowledge tools and products. This review sought to answer two questions: 'Is the 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]. Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. 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.

    Who Was The Queen's Private Secretary After Tommy Lascelles, Advantages And Disadvantages Of Liberal Democracy In Australia, Baptist Press Sunday School Curriculum, Articles K

    Abrir chat
    😀 ¿Podemos Ayudarte?
    Hola! 👋