Graham I, Logan J, Harrison M, Straus S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map?. The relation between knowledge and action. Knowledge Translation in Health Care: Moving from Evidence to Practice. IL This review seeks to answer two questions: Is the KTA Framework being used in practice? and If so, how is the KTA Framework being used in practice? We were interested in the real-life application of this conceptual framework to real-world implementation challenges. This framework was developed in Canada by Graham et al. -[http://www.cihr-irsc.gc.ca/e/39033.html]. Refresh the page, check Medium 's site status, or find. Kitson AL, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A: Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Each study demonstrates the particularity of implementation activities. Springer Nature. From 2008 to 2013, she led the Translating Knowledge into Action theme of NIHR CLAHRC SY. 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. volume9, Articlenumber:172 (2014) The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. Knowledge producers . This scheme may be useful for similar studies examining theory use. 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. Papers could be scrutinised according to how their aims and objectives had been operationalised. Building a conceptual model Forms of knowledge Research evidence Clinician knowledge, skills, experience We chose citation searching as our preferred method to identify reports of practical applications of a model or framework [14],[15]. Rather, we focused on the application of, and theory fidelity to, the KTA Framework. A strategy informed by theory is also much more likely to be effective in changing behaviours and attitudes. However, the target audiences were primarily patients, the public and the nursing and allied health professions. We initially included 146 studies that reported using the KTA Framework. 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. BMC Med Res Methodol. Using the Knowledge to Action Framework to Describe a Nation - LWW 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. J Behav Med. 2013, Wiley-Blackwell BMJ Books, Oxford, 2, Book 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). research findings not being translated. 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). 1, EPOC Taxonomy of Professional and OrganisationalInterventions.[https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/EPOC%20Taxonomy%20of%20Interventions%202002.pdf]. 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]. Thomas A, Menon A, Boruff J, Rodriguez AM, Ahmed S: Applications of social constructivist learning theories in knowledge translation for healthcare professionals: a scoping review. Making sense of implementation theories, models and frameworks. As part of this programme, the first author (BF) undertook a knowledge translation project that sought to identify examples of the use of the KTA Framework in practice. J Clin Epidemiol. Med Care Res Rev. 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 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. However, we were interested in the real-world application of the KTA Framework as a guide to implementation activities in health care and whether it was used in a way that was true to the framework. 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. This can be achieved through observation (e.g. 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. The databases were Scopus, Web of Science and Google Scholar. Although the terms conceptual frameworks, theories and models are often used interchangeably, conceptual frameworks are broad and descriptive, whereas theories and models are more specific and amenable to hypothesis testing [6]. The quality of reporting was assessed using criteria adapted from Carroll and colleagues [16]. Damschroder LJ, Aron DC, Keith , Rosalind E, Kirsh SR, Alexander JA, Lowery JC: Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. It also involves comparing what is known about a problem and what current practice is and whether there is a gap that needs to be addressed. The taxonomy enabled us to refine the inclusion criteria to identify studies that reported explicit application of the KTA Framework. Glossary for Knowledge to Action Framework; Research Phase. Two were concerned with public health or health promotion [17],[20]; three focused on clinical academic or nurse education [18],[21],[22]. Do you have a process in place to pick implementation strategies? Generally, it was difficult to ascertain whether the methods used captured, and indeed subsequently addressed, the full range of barriers. 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. 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. Perhaps more significantly, the KTA Framework is associated with the Canadian Institutes of Health Research [27]. 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 ]. What is Knowledge Translation? | School of Physical & Occupational All citations identified were screened by title and available information according to agreed criteria. Knowledge to Action Model. Each implementation study was very different (see Table 3). 2009, 41: 1024-1032. The least reported phase, or the phase carried out least often, was sustain knowledge use. 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. Google Scholar. Implement Sci. 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. 10.1111/j.1740-8709.2010.00271.x. 2014, 9: 2-10.1186/1748-5908-9-2. The knowledge to action cycle begins with the identification of a problem (usually a gap in care provision). These were the question and study design, recruitment and selection and methods of data collection and analysis. Translation - Moving the best evidence into professional practice. 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. Google Scholar. This may be an artefact of reporting: few studies justify or explain their theoretical stance; even fewer do so using the appropriate constructs or with theory fidelity. BMC Med Res Methodol. This study sought to identify and describe available full-spectrum KT TMFs to subsequently guide users. As knowledge moves through the funnel, it is refined and summarized to be more useful for end-users. This illustrates the adaptability of the conceptual framework to different health care settings and topics. PubMed Central 2009, Wiley-Blackwell BMJ Books, Chichester, UK, 83-93. PubMed PO Box 1649, Peoria, Furthermore, knowledge can inform each phase of the action cycle and the knowledge funnel can rotate to feed into different phases. BMJ. 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. A taxonomy categorising the continuum of usage was developed. Duplicates between records from the databases were identified and the most complete record was retained for the subsequent sift process. Bartholomew LK, Mullen PD: Five roles for using theory and evidence in the design and testing of behaviour change interventions. 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. J Rehabil Med. Graham, J. Logan, M.B. 2013, 69: 194-204. We did not follow up references (including book chapters) or contact authors of included or excluded studies. Work Group on Translation Tools | CDC Implement Sci. Assessment of barriers can be done quantitatively and qualitatively using a variety of conceptual models and instruments. The KTA Framework is composed of two distinct, but related components: (i) Knowledge Creation, and (ii) the Action Cycle. Petzold, A., Korner-Bitensky, N., & Menon, A. 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. This may explain the varying degrees to which the framework was used. 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. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. As such, the process of moving evidence to action is iterative, dynamic, and complex.
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