the site home page. It includes the production, synthesis and interpretation of knowledge. Building a Knowledge to Action Program in Stroke Rehabilitation 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). Rycroft-Malone J: Implementing evidence-based practice in the reality of clinical practice. the content of this page, Their findings suggested that the more domains that were targeted, the less effective the intervention was [9]. 10.1111/j.1740-8709.2010.00271.x. California Privacy Statement, 2002, 38: 94-104. 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. The MCHRI framework includes 6 Key Steps summarised below: Steps 1 & 2 - Formative Research: engage stakeholders to identify problem from all perspectives, to scope and prioritise . The views and opinions expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. J Public Health Dent. The Action Cycle was reported in all the integrated examples, illustrating theory fidelity in this specific subset of studies. PDF Introduction to Knowledge into Action - The Centre for Evidence-Based Included articles were re-examined and re-coded according to this more detailed classification. 2013, 23 (4): 290-298. 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. Nursing Experts: Translating the Evidence - University of Illinois Chicago Non-stop action: The best choice for iCaf, configure-to-order gaming systems and quality-driven businesses; Non-stop durability: . Tugwell PS, Santesso NA, OConnor AM, Wilson AJ: Knowledge translation for effective consumers. 10.7748/ns2002.05.16.37.38.c3201. 2011, 71 (Suppl 1): S20-S33. Knowledge creation has three phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) knowledge tools and products. 10.1111/j.1553-2712.2007.tb02369.x. Summary of the Knowledge To Action Model and its application to . Collaboration for Leadership in Applied Health Research and Care for South Yorkshire, Collaboration for Leadership in Applied Health Research and Care for Yorkshire and Humber. Am J Prev Med. 10.1002/chp.47. Article Ilott I, Gerrish K, Bray K, Laker S: Tackling the implementation challenge: bridging thegapbetweenresearchandpractice. Translation - Moving the best evidence into professional practice. It focuses on two main areas of activity: knowledge creation and knowledge tailoring . Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. Interest in using systematic literature reviews to investigate theories, models and conceptual frameworks has increased in recent years [7],[39]. BMC Med Res Methodol. Associated knowledge tools included summaries of evidence targeted at specific audiences, continuing health care education modules, information posted on websites and decision aids. Evidence-Based Decision Making 5: Knowledge Translation and the J Rehabil Med. This flexibility was intended, as Graham and colleagues [1] state the framework can also accommodate different phases being accomplished by different stakeholders and groups (working independently of each other) at different points in time (p. 18). 2014, 11: 26-34. Full-text articles were obtained for any article coded for inclusion and for any articles that appeared relevant but where it was unclear whether the KTA Framework had been actually used in practice. 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. 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. Bartholomew and Mullen [42] suggest that the prevailing wisdom in the field of health-related behaviour change is that well-designed and effective interventions are guided by theory (p. S20). 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. Only ten studies reported and gave supportive examples of incorporating the KTA Framework in an integrated way. The authors declare that they have no competing interests. Using the Knowledge to Action Framework to Describe a Nation - LWW 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. BMJ Qual Saf. Implement Sci. Implementation Sci 9, 172 (2014). Duplicates between records from the databases were identified and the most complete record was retained for the subsequent sift process. We initially included 146 studies that reported using the KTA Framework. Do they work? 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. 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/. Davies P, Walker AE, Grimshaw JM: A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations. For an example of how these might be developed, check out our earlier post. Citations were excluded where there was insufficient information to make a judgment about inclusion/exclusion criteria. Box. A continuum of usage, ranging from referenced to integrated, was developed to aid this process. Most studies (8/10) were conducted in Canada where the KTA Framework originated. J Eval Clin Pract. research findings not being translated. The search results are illustrated in Figure 2, the PRISMA flow chart. The KTA Framework is composed of two distinct, but related components: (i) Knowledge Creation, and (ii) the Action Cycle. Crosby R, Noar SM: Theory development in health promotion: are we there yet?. Judging between informed and directed was difficult, suggesting further refinement of the categories is required. The Knowledge to Action Cycle (KTA) breaks down the implementation process into 7 actionable phases starting with determining the knowledge-practice/policy gap through to sustaining the change. 2012, 9: 1-10.1111/j.1741-6787.2011.00240.x. PDF Knowledge Translation Frameworks: What Are They, How and When to - Hse 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. The importance of organisational or external factors and the ability to influence them is well recognised [1],[3],[33]-[35]. Edited by: Straus S, Tetroe J, Graham I. It is possible some potentially relevant studies were excluded during the initial sift stage. 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]. 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. Claude and colleagues [17] stated that these phases were beyond the scope of their project. Stacey D, Higuchi K, Menard P: Integrating patient decision support in an undergraduate nursing curriculum: an implementation project. 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]. Conceptual frameworks are recommended as a way of preparing for the multiple, dynamic and interactive factors that influence the uptake of evidence in practice [3]-[5]. Implementation researchers and health professionals can learn from this flexibility. However, our review focused primarily on examining how a conceptual framework had been used in practice. Tugwell and colleagues [26] highlight this particular challenge, commenting that most outcomes in arthritis research are about pain and function. A total of 146 papers were identified as attributing use of the KTA Framework. Health professionals across the globe share the challenges of translating the best available evidence into actual health interventions in a timely way to provide the most effective care and service. Assessing the public health impact of health promotion initiatives. Field, B., Booth, A., Ilott, I. et al. The Knowledge-to-Action Framework | by Leah Crockett - Medium 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]. Davies and colleagues [40] note that less than 6% of 235 studies, albeit published before 1998, explicitly used theories of behaviour or behaviour change. Nine were published in peer-reviewed journals with the exception being a Master of Science degree dissertation [19]. References to non-English language articles were removed. 2010, 29: 1-8. Theories and Models of Knowledge to Action. 2009, Wiley-Blackwell BMJ Books, Chichester, UK, 83-93. IL Seventeen studies (12%) were noted as adapted or combined where the KTA Framework had either been modified or blended with another conceptual framework.