Knowledge translation

Question 1

Knowledge translation

Answer 1

Wide scale dissemination and implementation of evidence into practice

Question 2

Integrated KT/Co-production

Answer 2

Collaboration between researchers and users in every step to increase relevance and improve uptake

Question 3

Practice development

Answer 3

Continuous process of improvement towards increased effectiveness in patient care

Question 4

Knowledge to action framework (KTA)

Answer 4

Framework used to guide knowledge translation
* Consists of two parts, knowledge creation and the action cycle
* First identify problem, review and synthesise knowledge, identify gaps
* Adapt to local context (stakeholders, observation, data monitoring)
* Assess for barriers/facilitators
* Tailor and implement intervention (marketing, auditing, adaption, reach) –> pilot testing
* Monitor and evaluate outcomes (audits, records, interviews)

Question 5

Consolidated framework for implementation research (CFIR)

Answer 5

Practical theory based guide for assessing potential barriers and facilitators to guide implementation

Considers 4 aspects
* Inner setting (climate)
* Outer setting (networking, resources, policy)
* individual characteristics (knowledge, self-efficacy)
* Intervention characteristics (complexity, advantage)

Question 6

Logic model

Answer 6

Display of relationship between program and outcomes, used to plan and implement programs & achieve intended goals

• Identify determinants using CFIR or equivalent
• Determine implementation strategies and mechanisms (inputs and activities)
• Identify target outcomes and impact

Question 7

Top-down implementation strategies

Answer 7

• Education materials (small effect)
• PD (small)
• Audit and feedback (small but important improvements)
• Financial incentives (limitations)
• Hospital nurse-staffing models (low evidence)
• On screen reminders (requires more evidence)
• Clinical pathways

Question 8

Potential issues with interventions

Answer 8

• Slow uptake
• Premature or continued uptake of ineffective/harmful interventions
• Failure to keep up with changes in health care & emerging evidence

Question 9

Bottom up approach

Answer 9

New strategy to change behaviour (top down isnt very effective)

To consider
* Who’s behaviour needs to change
* What are the barriers and facilitators to the behaviour
* How can you overcome barriers and leverage enablers
* How to evaluate intervention

Question 10

Theoretical domain framework

Answer 10

Exploring barriers and enablers from bottom level
* assess behaviour factors that influence implementation
* Assess cognitive, affective and environmental factors that influence behaviour = apply behavioural theories for behavioural change

Assess: knowledge, skills, self-efficacy & understanding of consequences, motivations and goals, social influences, emotions

Use these indentifiers to tailor to the problem

Question 11

End of grant KT

Answer 11

Dissemination of research findings once a project is complete (more than just publishing and presenting)

Plan
* Establish goals, targets
* How and when you wil engage
* How you will implement
* How you will evaluate
* Resources required