knowledge to action modelknowledge to action model

Minimizing the knowledge-to-action gap; identification of interventions However, citation figures do not reflect how this conceptual framework has actually been applied in practice. IL (Dignan, M.B & Carr, P.A. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. The purpose of translation is to provide the best outcomes and value, and lower risks to our patient population. Graham ID, Tetroe J: Some theoretical underpinnings of knowledge translation. Celebrate the work you have accomplished. Knowledge to Action Framework - Monash Centre for Health Research and Part of J Clin Epidemiol. Difficulties applying the exclusion criteria were discussed to ensure the inclusion/exclusion criteria were applied consistently. PubMed Action includes identifying and appraising the problem and the known research, identifying barriers and successes, planning and executing, and finally monitoring, evaluating, and adjusting. 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. Sixty two of the 146 papers (43%) were classified as referenced, meaning that the framework was cited with little, if any, further explanation (see Table 2). The Knowledge to Action Framework. Knowledge-to-action cycle | BMJ Evidence-Based Medicine Implementation researchers and health professionals can learn from this flexibility. Knowledge synthesis is essential when considering an initiatives potential for widespread implementation and collates existing knowledge using rigorous methodologies. J Contin Educ Health Prof. 2010, 30: 167-71. The knowledge to action (KTA) is a process model that helps you select implementation strategies. On this basis, all ten studies were judged as having described their projects clearly. Data extracted were mapped to each phase of Knowledge Creation and the Action Cycle (see Figure 1) by one researcher (BF) and then discussed with the whole team. Similarly, we acknowledge that some readers may be interested in precise reasons for exclusions. Knowledge Translation in Health Care: Moving from Evidence to Practice. Also, this conceptual framework may appeal because of a lack of jargon and a simple diagram depicts the knowledge translation process. 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. Article Knowledge-to-Action Model (Adapted from I.D. Graham, J. Logan, M.B J Adv Nurs. It may also be a reflection of the challenges for defining and reporting outcomes for knowledge translation projects. The Knowledge-to-Action Framework | by Leah Crockett | KnowledgeNudge | Medium Sign up 500 Apologies, but something went wrong on our end. looked at 10 behaviour change interventions where explicit use of theory was absent, and mapped these strategies to domains of the Theoretical Domains Framework. We sought to identify all reported citations of a particular reference irrespective of the context within which that reference had been used. However, supplementary hypertext links could be followed up from Google Scholar to either an abstract or, optimally, to the full text. It focuses on two main areas of activity: knowledge creation and knowledge tailoring . Eight of the ten studies were conducted in Canada, one in the Democratic Republic of Congo [17] and one in Denmark [18]. As such, the process of moving evidence to action is iterative, dynamic, and complex. The integrated studies described different ways of integrating the KTA Framework, particularly the Action Cycle. This review sought to answer two questions: Is the KTA Framework used in practice? Action Cycle within the KTA Model The second step involves adapting the validated knowledge to the local context. This may be an artefact of reporting, indicating that prospective, primary research is needed to explore the real value of the KTA Framework and similar tools. Potential benefits from applying a conceptual framework include making the process of knowledge translation more systematic, with greater likelihood of changed practice and spread of evidence [4],[6]-[9]. Philadelphia: Lea & Febiger. 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. The KTA Framework was enacted in different health care and academic settings with projects targeted at patients, the public, and nursing and allied health professionals. Musk threatens to sue Microsoft over Twitter data being used in A.I. - CNBC Rycroft-Malone J: The PARIHS framework: a framework for guiding the implementation of evidence based practice. Understanding the barriers to knowledge uptake and implementation strategies, as well as facilitators of change, are critical to effective knowledge translation activities. Data extraction and presenting results according to the phases were also challenging, given that the framework is dynamic, and can be non-sequential with overlap between phases [1]. Edited by: Straus S, Tetroe J, Graham I. 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. Each implementation study was very different (see Table 3). 2014, 11: 26-34. Further details can be found at www.clahrc-yh.nihr.ac.uk. Knowing your audience and assessing the value, usefulness and appropriateness of the particular knowledge is critical to its uptake and sustained use. Lost in knowledge Translation: time for a map? When using the Knowledge to Action Process model to effect an evidence-based change (e.g., in a clinical practice), one of the factors that knowledge users (e.g., clinicians) may site as an impediment is an absence of the evidence appraisal and statistical analysis skills that are required in the knowledge inquiry phase. Citation searching seeks to optimise sensitivity and specificity when seeking to identify reports of practical applications of a model or framework. The KTA model lines up with KTDRR's goals. 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. We focus on all things knowledge translation (KT) and patient engagement (PE), from a health research and healthcare perspective. This was necessary given the limited resources available to support the review process. Privacy Only ten studies were integrated, signifying that the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. the site home page. 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. None reported using every phase of the KTA Framework. The final list of integrated studies was agreed by two authors (BF and II), and the synthesis was discussed in detail by the team. 10.7748/ns2002.05.16.37.38.c3201. However, as shown by our study, citation searching in isolation from citation analysisthe detailed examination of full-textis unable to discriminate between where a model is simply mentioned in passing or even for cosmetic reasons and where it represents an explicit intellectual and conceptual contribution. One can also move between the knowledge creation phase and the action cycle, in an iterative fashion. 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. It may be useful for them to consider the extent to which they wish to follow or be guided by a conceptual framework before embarking on a knowledge translation project, especially regarding outcome measures because .the focus of knowledge into action is ultimately to enhance health status [1 p. 18]. 2002, 16: 38-43. 2023 BioMed Central Ltd unless otherwise stated. The knowledge to action cycle begins with the identification of a problem (usually a gap in care provision). 2014, 9: 2-10.1186/1748-5908-9-2. 10.1016/j.cjca.2012.03.011. This involved checking whether the four elements were described. 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]. 1, Lgar F: Assessing barriers and facilitators to knowledge use. PDF SYSTEMATIC REVIEW Open Access Using the Knowledge to Action Framework Knowledge translation strategies can include elements such as linkage and exchange, audit and feedback, informatics and patient-mediated and organisational interventions [29]. 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. Knowledge creation has three phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) knowledge tools and products. In ten studies, the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. (2010). They and we resorted to a simple taxonomy to describe the level and type of usage based on explicit reporting. 2013, 69: 2336-47. Knowledge Translation: Introduction to Models, Strategies, and - KTDRR McLean R, Tucker J: Evaluation of CIHRs Knowledge Translation Funding ProgramCIHR.[http://www.cihr-irsc.gc.ca/e/47332.html#a2.1]. Crosby R, Noar SM: Theory development in health promotion: are we there yet?. Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. Tabak RG, Khoong EC, Chambers DA, Brownson RC: Bridging research and practice: models for dissemination and implementation research. When thinking about program planning and implementation, there are several important concepts that need to be considered. 2012, 43: 337-50. Knowledge to Action Model. Using the Knowledge to Action Framework in practice: a citation statement and 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 KTA could also be used as a literacy device to structure reporting of the framework. Others related to specific conditions, such as stroke [23],[24], children with cerebral palsy and motor difficulties [25] and osteoarthritis [26]. 61801, 2016 The Board of Trustees of the University of Illinois. BMJ Qual Saf. 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). 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. 2010, 5: 14-10.1186/1748-5908-5-14. The papers were coded according to the taxonomy in Table 1. 2009, Wiley-Blackwell BMJ Books, Chichester, UK, 83-93. 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]. Initial screening out by title and abstract on the basis of partial information from Google Scholar may also have excluded relevant studies. Davies and colleagues [40] note that less than 6% of 235 studies, albeit published before 1998, explicitly used theories of behaviour or behaviour change. 2012, 7: 50-10.1186/1748-5908-7-50. Data-Information-Knowledge-Action Model | SpringerLink Health Psychol. 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 . It includes the production, synthesis and interpretation of knowledge. II is an occupational therapist. It was cited 470 unique times across all databases. Citation searching can circumvent the problems of variation in terminology (a retrieval problem) or uninformative abstracts (a reporting problem) typically encountered in topic-based searches of bibliographic databases. Knowledge Translation Portfolio, Canadian Institutes of Health Research, Ottawa, ON, Canada. 2010, 29: 1-8. This reinforces the importance of theory fidelity and that authors refer to established taxonomies or reporting standards [36],[37],[40],[41] so we can understand how conceptual frameworks, theories and models are really used to guide practice or inform research. Integrating Ethics and the Knowledge-To-Action Cycle - CIHR Do they work? PubMed Data collection 2010, 5: 92-10.1186/1748-5908-5-92. J Adv Nurs. Google Scholar. 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. 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. Tugwell and colleagues [26] highlight this particular challenge, commenting that most outcomes in arthritis research are about pain and function. The databases were Scopus, Web of Science and Google Scholar. 2013, 69: 194-204. 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). 2011, 11: 29-10.1186/1471-2288-11-29. Implement Sci. 10.1046/j.1365-2648.2002.02150.x. 2012, 69: 123-157. 1992). Article 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. 2012, 9: 1-10.1111/j.1741-6787.2011.00240.x. 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]. IL For an example of how these might be developed, check out our earlier post. When the framework was integral to knowledge translation, it guided action in idiosyncratic ways and there was theory fidelity. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. However, the method is replicable and could be repeated to update the review in future. Monitoring the use of knowledge is critical in understanding how and to what extent the KT strategy has had an impact on outcomes (the next phase in the action cycle). Assessing the public health impact of health promotion initiatives. 10.2522/ptj.20070056. 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/. 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 KTA Framework [1] was developed in Canada by Graham and colleagues in the 2000s in response to the confusing multiplicity of terms used to describe the process of moving knowledge into action [1]. 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. The prevalence of the Action Cycle may simply reflect the cyclical nature of the change process evident in other common, quality improvement tools such as the Plan, Do, Study, Act cycle [30]. This review sought to answer two questions: 'Is the Effectiveness: The extent to which the intended effect or benefits that were achieved under optimal . Theories and Models of Knowledge to Action. Evaluating outcomes is an area of KT that requires more attention and involves evaluating whether application of the knowledge is actually impacting the desired outcome be it patient or practitioner behaviour, health outcomes, or system-level changes. Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney SE: Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project. 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]. Implement Sci. Menon A, Korner-Bitensky N, Kastner M, McKibbon KA, Straus S: Strategies for rehabilitation professionals to move evidencebased knowledge into practice: a systematic review. 10.1111/j.1553-2712.2007.tb02369.x. knowledge to action gap through research-clinical partnerships in speech-language pathology. The Knowledge-to-Action (KTA) framework provides a logical structure and process to plan IS projects. Cookies policy. Google Scholar. Limitations of English language and year of publication 2006-June 2013 were set. Implement Sci. KG is a professor of nursing research at the University of Sheffield and Sheffield Teaching Hospitals NHS Foundation Trust where she leads the Translating Knowledge into Action theme of NIHR CLAHRC for Yorkshire and Humber. Regardless of the approach, its critical to ensure that interventions are tailored to address the specific issue, audience and context to enhance uptake. McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K: Getting evidence into practice: the meaning of context. 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. Knowledge syntheses take the form of studies that fall into the categories of systematic reviews, scoping reviews, and meta-analyses, just to name a few. Med Care Res Rev. 10.1111/jan.12091. Yet, this method may prove challenging, often because of limited and imprecise reporting. Implement Sci. Rather, papers typically stated aims and objectives, which often related to closing evidence/knowledge-practice gaps. Our experience certainly confirms that this search method circumvents the problems of variation in terminology typically encountered in topic-based searches of bibliographic databases. 2009, 338: a3152-10.1136/bmj.a3152. Once an understanding of the potential barriers and facilitators to adoption has been achieved, the next phase involves planning and carrying out interventions to bring about the intended change. Non-stop action: The best choice for iCaf, configure-to-order gaming systems and quality-driven businesses; Non-stop durability: . The KTA Framework consists of two components: (1) Knowledge Creation Knowledge creation is represented by the funnel in the centre of the image above. 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. The first component of the model is the knowledge creation funnel, which represents the production and synthesis of knowledge. The source paper was cited four times more frequently than the next highest cited article from the same journal published in the same year. Provided by the Springer Nature SharedIt content-sharing initiative.