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). J Eval Clin Pract. Rather, papers typically stated aims and objectives, which often related to closing evidence/knowledge-practice gaps. It is important that KT is maximized in health care to improve patient outcomes. 2009, Wiley-Blackwell BMJ Books, Chichester, UK, 83-93. The least reported phase, or the phase carried out least often, was sustain knowledge use. None described applying every phase of the KTA Framework. Using the knowledge to action process model to incite clinical change. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. Musk was a co-founder of OpenAI before leaving its board in 2018, and has complained recently of the company's move from a nonprofit model to a highly valuable business influenced by Microsoft. The findings informed their conceptual framework, which was intended to address the need for conceptual clarity in the KTA field and to offer a framework to help elucidate what we believe to be the key elements of the KTA process [1] (p. 14). 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. 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]. Tailoring knowledge was described in three studies [18],[20],[26]. Rather, we focused on the application of, and theory fidelity to, the KTA Framework. Perhaps more significantly, the KTA Framework is associated with the Canadian Institutes of Health Research [27]. Can J Cardiol. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. A further eighteen (12%) were categorised as directed because the KTA Framework influenced the project design or helped to plan, structure or conceptualise what was done, but with no examples given. Edited by: Straus S, Tetroe J, Graham ID. Most of the theories were interdisciplinary or from nursing and were published between 1983 and 2006 [11]. 2012, 7: 48-10.1186/1748-5908-7-48. However, the method is replicable and could be repeated to update the review in future. 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. Implement Sci. Such work may require additional funding for longer term monitoring or strategies to sustain knowledge use over time. The following analysis focuses on results relating to these ten integrated studies. We thank Jennifer Read who provided BF with academic supervision for her MSc dissertation. 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]. 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. PO Box 1649, Peoria, From the perspective of the psychology of knowledge (e.g., Strube & Wender, 1993), knowledge is a competence for action, a . Note that action steps may not be sequential, and one can start at any phase of the cycle. Knowledge becomes more refined as it moves through these three steps. Search for more papers by this author. 2013, 69: 2336-47. 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. This framework was developed in Canada by Graham et al. 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]. Musk threatens to sue Microsoft over Twitter data being used in A.I. - CNBC Russell and colleagues [25] describe use of a knowledge broker, an example of a linkage and exchange-type strategy. This study is a citation analysis and systematic review. "The KT Library is designed to provide information to NIDRR grantees and interested members of the public about a wide spectrum of knowledge translation and evidence-based resources.". Petzold, A., Korner-Bitensky, N., & Menon, A. Only 10 of 146 papers reported direct use, with examples demonstrating that the framework was integral to their study. The papers were coded according to the taxonomy in Table 1. Helfrich CD, Damschroder LJ, Hagedorn HJ, Daggett GS, Sahay A, Ritchie M, Damush T, Guihan M, Ullrich PM, Stetler CB: A critical synthesis of literature on the promoting action on research implementation in health services (PARIHS) framework. Upper Saddle River, NJ: Prentice Hall. 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. Once a KT strategy has been delivered, the use of knowledge should be monitored which may be instrumental (behaviour), conceptual (attitude/perception), or as a persuasive tool for pushing change(knowledge as ammunition). All authors read and approved the final manuscript. This showed that the degree of usage varied from merely citing the KTA Framework to full integration into the study. 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. The Action Cycle was reported in all the integrated examples, illustrating theory fidelity in this specific subset of studies. Cite this article, Conceptual frameworks are recommended as a way of applying theory to enhance implementation efforts. Interventions can be of multiple sorts: educational (passive or active strategies), professional (reminders, audit and feedback), organizational (redesign services), and patient directed (health literacy, patient decision aids) [3]. For example, if a strategy has the goal of improving social networking, and the barrier is weak ties between end-users, the social support theory [8] may be used to design an intervention that involves the use of change agents to transfer information [2]. The taxonomy enabled us to refine the inclusion criteria to identify studies that reported explicit application of the KTA Framework. It includes the production, synthesis and interpretation of knowledge. J Clin Epidemiol. Program implementation involves the activities of putting the program into place, from gaining acceptance for the program to making revisions when the program is not working as planned - (Ervin, N. Advanced community health nursing practice: Population focused care. Refresh the page, check Medium 's site status, or find. 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. (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. The KTA Framework was adapted to different health service settings and resources, indicating a good fit for the diversity of real-world health care. 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/. Action phases may be carried out sequentially or simultaneously; knowledge phases may impact on the action phases. The Knowledge-to-Action Framework | by Leah Crockett - Medium PDF SYSTEMATIC REVIEW Open Access Using the Knowledge to Action Framework Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation, Validation of the theoretical domains framework for use in behaviour change and implementation research, Theoretical domains framework to assess barriers to change for planning health care quality interventions: a systematic literature review. 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