Rycroft-Malone J, Harvey G, Kitson A, McCormack B, Seers K, Titchen A: Getting evidence into practice: ingredients for change. 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/. This citation analysis and systematic review investigated the practical application of a well-established conceptual frameworkthe KTA Framework [1]. This showed that the degree of usage varied from merely citing the KTA Framework to full integration into the study. 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. II is an occupational therapist. This inner component of the model is broken down into 3 phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) the creation of knowledge tools and products. Google Scholar references often included an incomplete text fragment rather than a more traditional abstract. 2013, 69: 2336-47. A continuum of usage, ranging from referenced to integrated, was developed to aid this process. The Action Cycle outlines a process, representing the activities needed for knowledge to be applied in practice; knowledge is adapted to the local context, and barriers and facilitators to its use are explicitly assessed. This involves valuing the utility of the knowledge to the problem, setting and circumstances, as well as tailoring the knowledge to the specific situation. Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few. Only 10 of 146 papers reported direct use, with examples demonstrating that the framework was integral to their study. PubMed Central Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. The search strategy was limited to citation searching of three databases. 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. This article is published under license to BioMed Central Ltd. PO Box 1649, Peoria, Citation searches were limited to the period from 2006 (the date of publication of the source paper) to July 2013. There was substantial variation in the setting and target audience for each documented change, the methods used to apply the KTA Framework and the terminology employed to report the phases within Knowledge Creation and the Action Cycle. Regardless of the approach, its critical to ensure that interventions are tailored to address the specific issue, audience and context to enhance uptake. research findings not being translated. However, adaptation of guidelines also runs the risk of deviating from the original evidence base to address this, a systematic approach to guideline adoption has been developed by a Canadian collaboration called ADAPTE [4]. From 2008 to 2013, she led the Translating Knowledge into Action theme of NIHR CLAHRC SY. This framework was developed in Canada by Graham et al. 2009, 33: 82-88. The impact of a strategy should be assessed using explicit, rigorous qualitative and quantitative methods, beginning with formulation of a defined question of interest. The KTA Framework is composed of two distinct, but related components: (i) Knowledge Creation, and (ii) the Action Cycle. As knowledge moves through three stages (inquiry, synthesis, tools/products), it becomes more user-friendly. Finally, knowledge tools and products, considered third generation knowledge, are the most refined form of knowledge, based on earlier stages of the funnel. The importance of organisational or external factors and the ability to influence them is well recognised [1],[3],[33]-[35]. Provided by the Springer Nature SharedIt content-sharing initiative. Graham, J. Logan, M.B. 61656, Rockford, 2007, 14: 936-941. Wensing M, Bosch M, Grol R: Selecting, tailoring, and implementing knowledge translation interventions. Application of knowledge translation (KT) theories, models, and frameworks (TMFs) is one method for successfully incorporating evidence into clinical care. 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. 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). Unfortunately, an implemented change is not usually self-sustaining and requires ongoing monitoring and effort. All undertook the first phase of identifying the problem. 2012, 7: 87-10.1186/1748-5908-7-87. 2009, 338: a3152-10.1136/bmj.a3152. 2002). Similarly, we acknowledge that some readers may be interested in precise reasons for exclusions. It is one of the most frequently cited conceptual frameworks for knowledge translation. We did not include the many papers about clinical practice guidelines for two interrelated reasons. Nine of the studies reported assessing barriers to change [17]-[19],[21]-[26]. The KTA model lines up with KTDRR's goals. 2011, 71 (Suppl 1): S20-S33. Most studies created a range of products, either as part of Knowledge Creation [18],[20],[21],[26] or the Action Cycle [21],[23],[24]. Knowledge Translation in Health Care: Moving from Evidence to Practice. 10.1111/wvn.12016. Difficulties applying the exclusion criteria were discussed to ensure the inclusion/exclusion criteria were applied consistently. 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. Edited by: Straus S, Tetroe J, Graham ID. ASUS Corporate Stable Model (CSM) is a commercial program designed to provide stable and reliable motherboards. Ullrich PM, Sahay A, Stetler CB: Use of implementation theory: a focus on PARIHS. Their findings suggested that the more domains that were targeted, the less effective the intervention was [9]. By using this website, you agree to our This presents an interpretation challenge both for those seeking to learn from such projects and systematic reviewers. When thinking about program planning and implementation, there are several important concepts that need to be considered. 2002, 38: 94-104. However, our review focused primarily on examining how a conceptual framework had been used in practice. Claude and colleagues [17] stated that these phases were beyond the scope of their project. J Adv Nurs. 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. Nine were published in peer-reviewed journals with the exception being a Master of Science degree dissertation [19]. Firstly, we were interested in the practical application of the KTA Framework and thus in identifying papers where the KTA Framework appeared to be a fundamental guide to the work reported. the secondary menu, the site search form or go 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. Implent Sci. 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]. 2009, 4: Eccles M, Grimshaw J, Walker A, Johnston M, Pitts N: Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. Over time, barriers to knowledge use may change from those initially identified, so sustaining knowledge use includes an ongoing feedback loop that cycles back through the action phases. There are a number of factors that can hinder or enhance the uptake of knowledge, including issues relating to the knowledge itself, factors relating to those who will be using the knowledge, and the context where the knowledge is to be used. Knowledge Translation in Health Care: Moving from Evidence to Practice. 10.1007/s10865-010-9260-1. Knowledge translation has been defined as a process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to improvehealthprovide more effective health services and products and strengthen the health care system [2]. Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. So-called action (or planned action) models are process models that facilitate implementation by offering practical guidance in the planning and execution of implementation endeavours and/or implementation strategies. It was cited 470 unique times across the three databases, indicating the bibliometric impact of the source paper. 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. It is important that KT is maximized in health care to improve patient outcomes. It is possible some potentially relevant studies were excluded during the initial sift stage. Involvement of stakeholders, and tailoring knowledge to the needs of people who are going to use it, is crucial. J Rehabil Med. Finfgeld-Connett D, Johnson ED: Literature search strategies for conducting knowledge-building and theory-generating qualitative systematic reviews. Skip to Further details can be found at www.clahrc-yh.nihr.ac.uk. J Public Health Dent. PubMed This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. contextualize the Evidence Based Review of Stroke Rehabilitation and Rehabilitation Knowledge to Action Project within the KTA model and (2) show how this process led . Each study demonstrates the particularity of implementation activities. Understanding if and how these theoretical tools add value to implementation endeavours and outcomes merits further research. Authors identified many barriers relating to environmental factors [32] such as lack of time and/or resources. So in terms of doing theory-informed KT, as the saying goes if you dont have time to do it right, when will you have time to do it over?, *ISLAGIATT: Attributed to Dr. Martin P. Eccles. Lost in knowledge Translation: time for a map? 2012, 69: 123-157. J Adv Nurs. The index citation for the source paper for the KTA Framework Lost in knowledge translation: time for a map? by Graham and colleagues [1] was identified on each of three databases that offered functionality for citation searching. Development of a theory coding scheme. BF, II and AB conceived the review; AB designed the study; AB undertook the searches; BF and II screened and extracted the data; BF wrote the review; and BF, II, AB and KG made comments and edited the review drafts. CIHR also provides a practical guide to designing a KT intervention for health researchers, with relevant examples of its application. Action Cycle within the KTA Model The second step involves adapting the validated knowledge to the local context. Russell and colleagues [25] describe use of a knowledge broker, an example of a linkage and exchange-type strategy. This may explain the varying degrees to which the framework was used. the content of this page, the main menu, administrative databases) and/or active measurement (e.g. Med Care Res Rev. Only ten studies were integrated, signifying that the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. 10.1111/j.1553-2712.2007.tb02369.x. The citation search yielded 1,787 records. 10.1016/j.jclinepi.2004.09.002. Today well highlight one of the most highly cited conceptual frameworks in Canada the Knowledge-to-Action (KTA) Framework. For example, difficulties in applying exclusion/inclusion criteria were discussed by the team and all subsequent decisions were then resolved by consensus. 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. Davies and colleagues [40] note that less than 6% of 235 studies, albeit published before 1998, explicitly used theories of behaviour or behaviour change.

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