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. 2012, 43: 337-50. Using the Knowledge to Action Framework in practice: a citation analysis and systematic review. CLAHRC YH would also like to acknowledge the participation and resources of our partner organisations. 2002, 16: 38-43. Making sense of implementation theories, models and frameworks AB is a member of the editorial board of Implementation Science. It focuses on two main areas of activity: knowledge creation and knowledge tailoring . PDF Knowledge to Action Model - WordPress.com The importance of organisational or external factors and the ability to influence them is well recognised [1],[3],[33]-[35]. Field, B., Booth, A., Ilott, I. et al. The issues around the keywords knowledge and actionwhich constitute the title of a book by Frey, Mandl, and von Rosenstiel ()are captured by the following four main aspects, which generate corresponding questions.. 1. J Adv Nurs. Eight of the ten studies were conducted in Canada, one in the Democratic Republic of Congo [17] and one in Denmark [18]. 10.1002/chp.179. The authors declare that they have no competing interests. How Much Knowledge Is Necessary for Action? | SpringerLink Health Psychol. 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. 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). PubMed 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 ]. 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). Action phases may be carried out sequentially or simultaneously; knowledge phases may impact on the action phases. 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. Stacey D, Higuchi K, Menard P: Integrating patient decision support in an undergraduate nursing curriculum: an implementation project. Safari. 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. No existing systematic review was found on this subject. In addition, this suggests conceptual frameworks do not have to be mutually exclusive. Furthermore, knowledge can inform each phase of the action cycle and the knowledge funnel can rotate to feed into different phases. Davies and colleagues [40] note that less than 6% of 235 studies, albeit published before 1998, explicitly used theories of behaviour or behaviour change. A total of 1,057 titles and abstracts were screened. 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. Offering up to 36-month product lifecycle support and 6-month end-of-life notice to allow . Knowledge synthesis is essential when considering an initiatives potential for widespread implementation and collates existing knowledge using rigorous methodologies. 2014, 9: 2-10.1186/1748-5908-9-2. Springer Nature. Cookies policy. This citation analysis and systematic review investigated the practical application of a well-established conceptual frameworkthe KTA Framework [1]. (Dignan, M.B & Carr, P.A. All ten studies reported applying the Action Cycle, describing at least five of the seven possible phases (see Table 5). Others argue that the effectiveness and generalisability of implementation studies are hindered by weak theoretical underpinnings [40],[43],[44]. Knowledge to action framework for home health monitoring Any differences were discussed and resolved by consensus. A taxonomy categorising the continuum of usage was developed. Knowledge Translation - KTDRR Int J Nurs Educ Scholarsh. Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney SE: Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project. PubMedGoogle Scholar. the site home page. Associated knowledge tools included summaries of evidence targeted at specific audiences, continuing health care education modules, information posted on websites and decision aids. The search strategy was limited to citation searching of three databases. Why use theory to guide the process of moving evidence into action? Article Development of a theory coding scheme. The uptake of EBP is a complex process that can be facilitated by the use of the Knowledge to Action Process model. 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. Powell BJ, McMillen C, Proctor E, Carpenter CR, Griffley RT, Bunger AC, Glass JE, York JL: A compilation of strategies for implementing clinical innovations in health and mental health. Philadelphia: Lea & Febiger. 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. 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]. All ten described using the Action Cycle and seven referred to Knowledge Creation. Musk threatens to sue Microsoft over Twitter data being used in A.I. - CNBC The papers were coded according to the taxonomy in Table 1. We found that the framework is being used in practice, to varying degrees of completeness, and with theory fidelity when reported as integral to the implementation effort. 2010, 5: 92-10.1186/1748-5908-5-92. 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. 2002). 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. However, none of these knowledge translation strategies, designed to target different barriers, featured in the included studies, with one exception. 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. 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. 2009, 338: a3152-10.1136/bmj.a3152. Russell DJ, Rivard LM, Walter SD, Rosenbaum PL, Roxborough L, Cameron D, Darrah J, Bartlett DJ, Hanna SE, Avery LM: Using knowledge brokers to facilitate the uptake of pediatric measurement tools into clinical practice: a before-after intervention study. 2010, Wiley Blackwell, Chichester, UK. This study sought to identify and describe available full-spectrum KT TMFs to subsequently guide users. Phys Ther. Do they work? 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. The least reported phase, or the phase carried out least often, was sustain knowledge use. Our experience certainly confirms that this search method circumvents the problems of variation in terminology typically encountered in topic-based searches of bibliographic databases. 2013, 23 (4): 290-298. 10.1002/chp.20077. From Graham I, Logan J, Harrison M, Strauss S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map? 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]. 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]. For example, the creation of websites, interactive e-learning modules, training packages and a protocol were reported as part of the Action Cycle [19],[23],[24], yet they could be knowledge tools/products. 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. This article is published under license to BioMed Central Ltd. 2010, 5: 14-10.1186/1748-5908-5-14. The production of knowledge tools and products uses synthesized knowledge to present evidence in concise and user-friendly formats tailored to meet end-user informational needs. 10.1136/bmjqs-2013-001862. Petzold A, Korner-Bitensky N, Menon A: Using the knowledge to action process model to incite clinical change. We initially included 146 studies that reported using the KTA Framework. Similarly, we acknowledge that some readers may be interested in precise reasons for exclusions. Using the Knowledge to Action Framework in practice: a citation Applying the Knowledge-to-Action Framework to Engage - PubMed 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. The KTA process has two components: Knowledge Creation and Action. BMC Med Res Methodol. Non-stop action: The best choice for iCaf, configure-to-order gaming systems and quality-driven businesses; Non-stop durability: . A prospective design would strengthen research studies. Methods Article Overview of the Knowledge to Action Cycle. 2013, 69: 2336-47. Edited by: Straus S, Tetroe J, Graham ID. Education was the most frequently employed strategy albeit in a variety of forms. 10.1002/chp.47. The integrated studies described different ways of integrating the KTA Framework, particularly the Action Cycle. Only ten studies reported and gave supportive examples of incorporating the KTA Framework in an integrated way. All undertook the first phase of identifying the problem. The K2A framework describes and depicts the high-level processes necessary to move from discovery into action by using translation of evidence-based programs, practices, or policiesbroadly defined to include evidence-based communications, campaigns, guidelines, and other interventions and tools. administrative databases) and/or active measurement (e.g. The KTA model lines up with KTDRR's goals. 2012, 8: 174-84. Knowledge Creation includes knowledge inquiry, knowledge synthesis, and knowledge tools/products. Using the Knowledge to Action Framework in practice: a citation Making sense of implementation theories, models and frameworks. 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. J Contin Educ Health Prof. 2008, 28: 117-122. The index citation for the original paper was identified on three databasesWeb of Science, Scopus and Google Scholarwith the facility for citation searching. 10 at the Canadian Institutes for Health Research. Rather, we focused on the application of, and theory fidelity to, the KTA Framework. 10.1111/j.1365-2648.2012.06037.x. Most studies (8/10) were conducted in Canada where the KTA Framework originated. Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare Today well highlight one of the most highly cited conceptual frameworks in Canada the Knowledge-to-Action (KTA) Framework. Evidence-Based Decision Making 5: Knowledge Translation and the 2009, 33: 82-88. However, there are multiple KT TMFs and little guidance on which to select. Data-Information-Knowledge-Action Model | SpringerLink The one-hour conversation between Dr. Marianne Farkas of Boston University's Center for Psychiatric Rehabilitation and Dr. Ian Graham was presented in . The lead author (BF) contributed to this study while undertaking the National Institute for Health Research/Health Education England Clinical Academic Training Programme Master in Clinical Research scheme. 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. Difficulties applying the exclusion criteria were discussed to ensure the inclusion/exclusion criteria were applied consistently. This reflected our focus on whether the KTA Framework is used in practice and, if so, how it is applied. 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). Bjrk IT, Lomborg K, Nielsen CM, Brynildsen G, Frederiksen A-MS, Larsen K, Reierson I, Sommer I, Stenholt B: From theoretical model to practical use: an example of knowledge translation. 2008, 3: 1-10.1186/1748-5908-3-1. Referred to as first generation knowledge and vastly out of scale (considering that the body of new, original knowledge in healthcare is enormous part of the reason we need KT), knowledge inquiry refers to primary studies and represents the majority of research that is conducted. When the framework was integral to knowledge translation, it guided action in idiosyncratic ways and there was theory fidelity. Using the knowledge to action process model to incite clinic - LWW 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. Tugwell and colleagues [26] highlight this particular challenge, commenting that most outcomes in arthritis research are about pain and function. Citations were excluded where there was insufficient information to make a judgment about inclusion/exclusion criteria. One hundred and forty-six studies described usage to varying degrees, ranging from referenced to integrated. Step KTA 3.B - Center on Knowledge Translation for Technology Transfer Data collection This can be achieved through observation (e.g. Firstly, there is a risk of bias and subsequent error given the lead author conducted most of the initial screening, all data extraction and synthesis. Using the Knowledge to Action Process Model to Incite - ResearchGate 2012, 7: 48-10.1186/1748-5908-7-48. 2012, 69: 123-157. From the perspective of the psychology of knowledge (e.g., Strube & Wender, 1993), knowledge is a competence for action, a . Retrieved from http://www.nccmt.ca/registry/view/eng/70.html. Implement Sci. Michie S, Prestwich A: Are interventions theory-based? Keyser SE: The Implementation of a Delirium Knowledge Translation Project for Families of the Elderly. The MCHRI framework includes 6 Key Steps summarised below: Steps 1 & 2 - Formative Research: engage stakeholders to identify problem from all perspectives, to scope and prioritise . 60607, Chicago, Rather, papers typically stated aims and objectives, which often related to closing evidence/knowledge-practice gaps. Social support interventions. This review sought to answer two questions: 'Is the 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. Implementation Sci 9, 172 (2014). 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. Nine were published in peer-reviewed journals with the exception being a Master of Science degree dissertation [19]. This study is a citation analysis and systematic review. We thank Jennifer Read who provided BF with academic supervision for her MSc dissertation. 2nd ed. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. Finding Health Statistics: Going Beyond the Literature, Learning, Leadership, and Professionalism, NExT Online Course for Public Health Nursing, Program planning for health education and promotion, Special Collections & University Archives, Nursing Experts: Translating the Evidence - Public Health Nursing, The Canadian Institute of Health Research, https://pubmed.ncbi.nlm.nih.gov/16557505/, https://medium.com/knowledgenudge/kt-101-the-knowledge-to-action-framework-7fbe399723e8, "Knowledge translation strategies to improve the use of evidence in public health decision making in local government: intervention design and implementation plan" (2013), "Knowledge translation within a population health study: how do you do it?" Adapted from Graham 2006 (https://pubmed.ncbi.nlm.nih.gov/16557505/) by Crockett 2017 (https://medium.com/knowledgenudge/kt-101-the-knowledge-to-action-framework-7fbe399723e8).
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