knowledge to action model
Important considerations for choosing a KT strategy (or strategies) include a clearly defined goal or objective for each strategy, an understanding of how the strategy overcomes one or more barriers to behaviour or attitude change, and the use of theory to inform selection and implementation. Knowledge-related barriers [32] were the most common, indicating the appropriateness of using educational strategies to address such barriers. The authors declare that they have no competing interests. This scheme may be useful for similar studies examining theory use. Implement Sci. The target audience included the public and patients, the families of older adults, health professionals, occupational therapists, speech and language therapists, physiotherapists and educationalists/academics within universities. This model provides a sequence of phases for researchers and clinicians to . 2012, 8: 174-84. A coding scheme, with 19 categories for theory use for behaviour change interventions, ranging from mentioned but not demonstrated, right through to theory refinement, has been developed [41]. 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 . Five studies applied one or more phases [18],[20],[22],[24],[26]. Glossary for Knowledge to Action Framework; Research Phase. The KTA Framework is composed of two distinct, but related components: (i) Knowledge Creation, and (ii) the Action Cycle. This showed that the degree of usage varied from merely citing the KTA Framework to full integration into the study. Do you have a process in place to pick implementation strategies? BMC Med Res Methodol. 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. Copyright 2015 Wiley Periodicals, Inc., A Wiley Company There were occasions when we sensed that aspects of Knowledge Creation and Action Cycle had been done or combined, but as this was not explicit, we excluded these data. From the perspective of the psychology of knowledge (e.g., Strube & Wender, 1993), knowledge is a competence for action, a . California Privacy Statement, This citation analysis and systematic review investigated the practical application of a well-established conceptual frameworkthe KTA Framework [1]. Throughout each of these stages, researchers can take an integrated approach, tailoring their activities (be they developing research questions, messages or dissemination strategies) to that of the end-users. 10.2340/16501977-0451. 1, Lgar F: Assessing barriers and facilitators to knowledge use. Matern Child Nutr. 10.1002/chp.179. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. Ian D. Graham PhD, Ian D. Graham PhD. Ilott I, Gerrish K, Booth A, Field B: Testing the consolidated framework for implementation research on health care innovations from South Yorkshire. It may also be a reflection of the challenges for defining and reporting outcomes for knowledge translation projects. Applying the Knowledge-to-Action Framework to Engage Stakeholders and Solve Shared Challenges with Person-Centered Advance Care Planning in Long-Term Care Homes Authors George A Heckman 1 2 , Veronique Boscart 1 3 , Patrick Quail 4 , Heather Keller 1 5 , Clare Ramsey 6 , Vanessa Vucea 2 , Seema King 7 , Ikdip Bains 2 , Nora Choi 6 , Allan Garland 6 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. the secondary menu, the site search form or go The Action Cycle focuses on the processes needed to implement knowledge in healthcare settings including identifying problems; assessing determinants of KT; selecting, tailoring, implementing, and evaluating KT interventions; and determining strategies for ensuring sustained knowledge use. Nurs Stand. However, the target audiences were primarily patients, the public and the nursing and allied health professions. We sought to identify all reported citations of a particular reference irrespective of the context within which that reference had been used. Most of the theories were interdisciplinary or from nursing and were published between 1983 and 2006 [11]. Questionnaires, interviews, workshops, focus groups and needs assessment were used to identify barriers to change. The databases were Scopus, Web of Science and Google Scholar. The "Knowledge to Action" Cycle: A Conversation with Dr. Ian Graham We did not assess the research rigour of the individual knowledge translation projects. Finfgeld-Connett D, Johnson ED: Literature search strategies for conducting knowledge-building and theory-generating qualitative systematic reviews. All citations identified were screened by title and available information according to agreed criteria. We did not include the many papers about clinical practice guidelines for two interrelated reasons. research findings not being translated. This framework was developed in Canada by Graham et al. Using the Knowledge to Action Framework in practice: a citation This produced a subset of studies that contained examples of using the KTA Framework in an integral way. Further details can be found at www.clahrc-yh.nihr.ac.uk. Non-English language studies were excluded, reducing access to examples of applying the KTA Framework published in other languages. 10.1016/j.amepre.2012.05.024. PubMed Knowing your audience and assessing the value, usefulness and appropriateness of the particular knowledge is critical to its uptake and sustained use. Search for more papers by this author. Lgar [32] recommends using established taxonomies developed for barriers and facilitators within knowledge translation projects. 10.1111/j.1365-2648.2012.06037.x. 2009, 6: Paper 10-10.2202/1548-923X.1741. We recommend using the latest version of IE11, Edge, Chrome, Firefox or BMJ. The study was funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for South Yorkshire and Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Yorkshire and Humber. 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. 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 Article Several strategies were used to counter this risk. These goals are to increase (a) the use of evidence-based research and (b) the understanding and use of KT principles. 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. Applying the Knowledge-to-Action Framework to Engage - PubMed Med Care Res Rev. It would be interesting to review the conceptual papers we excluded to explore how they were influenced by the framework and informed the development of conceptual frameworks more generally. However, supplementary hypertext links could be followed up from Google Scholar to either an abstract or, optimally, to the full text. Journal of Continuing Education in the Health Professions, 30, 167-171. doi:10 The quality of reporting was assessed using criteria adapted from Carroll and colleagues [16]. One hundred and forty-six studies described usage to varying degrees, ranging from referenced to integrated. Do they work? 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. Citation searching was further indicated in this review given that our scoping search, using the databases MEDLINE and CINAHL, had previously identified few abstracts reporting explicitly the use of the KTA Framework in practice.