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Babarczy B, Scarlett J, Sharma T, Gaál P, Szécsényi-Nagy B, Kuchenmüller T. National strategies for knowledge translation in health policy-making: A scoping review of grey literature. Health Res Policy Syst 2024; 22:50. [PMID: 38641648 PMCID: PMC11031914 DOI: 10.1186/s12961-023-01089-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 12/02/2023] [Indexed: 04/21/2024] Open
Abstract
BACKGROUND AND OBJECTIVES Without strategic actions in its support, the translation of scientific research evidence into health policy is often absent or delayed. This review systematically maps and assesses national-level strategic documents in the field of knowledge translation (KT) for health policy, and develops a practical template that can support Evidence-informed Policy Network (EVIPNet) Europe countries in producing national strategies for evidence-informed policy-making. METHODS Websites of organizations with strategic responsibilities in KT were electronically searched, on the basis of pre-defined criteria, in July-August 2017, and an updated search was carried out in April-June 2021. We included national strategies or elements of national strategies that dealt with KT activities, as well as similar strategies of individual institutions with a national policy focus. Two reviewers screened the strategies for inclusion. Data were analysed using qualitative content analysis. RESULTS A total of 65 unique documents were identified, of which 17 were eligible and analysed for their structure and content. Of the 17, 1 document was a national health KT action plan and 6 documents were institution-level KT strategies. The remaining 10 strategies, which were also included were 2 national health strategies, 5 national health research strategies and 3 national KT strategies (not specific to the field of health alone). In all, 13 structural elements and 7 major themes of health policy KT strategies were identified from the included documents. CONCLUSION KT in health policy, as emerged from the national strategies that our mapping identified, is based on the production and accessibility of policy-relevant research, its packaging for policy-making and the activities related to knowledge exchange. KT strategies may play different roles in the complex and context-specific process of policy-making. Our findings show that the main ideas of health-specific evidence-informed policy literature appear in these strategies, but their effectiveness depends on the way stakeholders use them. Specific knowledge-brokering institutions and organizational capacity, advocacy about the use of evidence, and close collaboration and co-decision-making with key stakeholders are essential in furthering the policy uptake of research results.
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Affiliation(s)
- Balázs Babarczy
- Unit of Knowledge Management, Evidence and Research for Policy-Making, Division of Information, Evidence, Research and Innovation, World Health Organization Regional Office for Europe, UN City, Marmorvej 51, 2100, Copenhagen Ø, Denmark
- Syreon Research Institute, Budapest, Hungary
| | - Julia Scarlett
- Unit of Knowledge Management, Evidence and Research for Policy-Making, Division of Information, Evidence, Research and Innovation, World Health Organization Regional Office for Europe, UN City, Marmorvej 51, 2100, Copenhagen Ø, Denmark
| | - Tarang Sharma
- Unit of Knowledge Management, Evidence and Research for Policy-Making, Division of Information, Evidence, Research and Innovation, World Health Organization Regional Office for Europe, UN City, Marmorvej 51, 2100, Copenhagen Ø, Denmark
- Evidence to Policy, Gyvelvej, Hoersholm, Denmark
| | - Péter Gaál
- Health Services Management Training Centre, Semmelweis University Health Services Management Training Centre, Kútvölgyi Út 2, Budapest, 1125, Hungary.
| | - Balázs Szécsényi-Nagy
- Health Services Management Training Centre, Semmelweis University Health Services Management Training Centre, Kútvölgyi Út 2, Budapest, 1125, Hungary
| | - Tanja Kuchenmüller
- Unit of Knowledge Management, Evidence and Research for Policy-Making, Division of Information, Evidence, Research and Innovation, World Health Organization Regional Office for Europe, UN City, Marmorvej 51, 2100, Copenhagen Ø, Denmark
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Murry VM, Bradley C, Cruden G, Brown CH, Howe GW, Sepùlveda MJ, Beardslee W, Hannah N, Warne D. Re-envisioning, Retooling, and Rebuilding Prevention Science Methods to Address Structural and Systemic Racism and Promote Health Equity. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2024; 25:6-19. [PMID: 36223046 PMCID: PMC9554395 DOI: 10.1007/s11121-022-01439-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2022] [Indexed: 11/09/2022]
Abstract
The historic momentum from national conversations on the roots and current impacts of racism in the USA presents an incredible window of opportunity for prevention scientists to revisit how common theories, measurement tools, methodologies, and interventions can be radically re-envisioned, retooled, and rebuilt to dismantle racism and promote equitable health for minoritized communities. Recognizing this opportunity, the NIH-funded Prevention Science and Methodology Group (PSMG) launched a series of presentations focused on the role of Prevention Science to address racism and discrimination guided by a commitment to social justice and health equity. The current manuscript aims to advance the field of Prevention Science by summarizing key issues raised during the series' presentations and proposing concrete research priorities and steps that hold promise for promoting health equity by addressing systemic racism. Being anti-racist is an active practice for all of us, whether we identify as methodologists, interventionists, practitioners, funders, community members, or an intersection of these identities. We implore prevention scientists and methodologists to take on these conversations with us to promote science and practice that offers every life the right to live in a just and equitable world.
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Affiliation(s)
- Velma McBride Murry
- Departments of Health Policy & Human and Organizational Development, Vanderbilt University, Nashville, TN, USA.
| | - Cory Bradley
- Washington University School of Medicine in St. Louis, St. Louis, MO, USA
| | | | - C Hendricks Brown
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | | | | | - William Beardslee
- Harvard Medical School, Boston Children's Hospital, Judge Baker Children's Center, Boston, MA, USA
| | - Nanette Hannah
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Donald Warne
- Center for Indigenous Health, Johns Hopkins University, Baltimore, MD, USA
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Haregu T, Jorm AF, Paradies Y, Leckning B, Young JT, Armstrong G. Discrimination experienced by Aboriginal and Torres Strait Islander males in Australia: Associations with suicidal thoughts and depressive symptoms. Aust N Z J Psychiatry 2022; 56:657-666. [PMID: 34256631 DOI: 10.1177/00048674211031168] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Globally, Indigenous populations have higher rates of suicidal behavior and psychological distress compared to non-Indigenous populations. Indigenous populations also report high rates of exposure to discrimination, which could potentially contribute to poor mental health outcomes. The objectives of this paper were to estimate the prevalence of discrimination among Aboriginal and Torres Strait Islander males in Australia and to examine the role of discrimination in the association between Aboriginal and Torres Strait Islander status and suicidal thoughts and depressive symptoms. METHODS We used cross-sectional data on 13,697 males aged 18-55 years from the Australian Longitudinal Study on Male Health. We undertook a Poisson regression with robust standard error analyses to examine Aboriginal and Torres Strait Islander status and self-perceived exposure to discrimination in the past 2 years as correlates of recent suicidal ideation. We used zero-inflated negative binomial regression to assess Aboriginal and Torres Strait Islander status and self-perceived exposure to discrimination as correlates of recent depressive symptoms. RESULTS Aboriginal and Torres Strait Islander males have a twofold higher prevalence of self-perceived discrimination (39.2% vs 19.3%, p < 0.001), suicidal ideation (21.8% vs 9.4%, p < 0.001) and moderate or worse depressive symptoms (24.0% vs 12.2%, p < 0.001) as compared to their non-Indigenous counterparts. After adjusting for sociodemographics and substance use, Aboriginal and Torres Strait Islander status was significantly associated with suicidal thoughts (odds ratio = 1.49, p = 0.019) and depressive symptoms (prevalence rate ratio = 1.19, p = 0.018). About 15.3% and 28.7% of the association between Aboriginal and Torres Strait Islander status and suicidal thoughts and depressive symptoms, respectively, was explained by discrimination. CONCLUSION Our analyses add to evidence that discrimination is a contributor to mental health disparities between Aboriginal and Torres Strait Islander and non-Indigenous populations in Australia. Reducing discrimination ought to be considered as part of strategies to improve the social and emotional well-being of Aboriginal and Torres Strait Islander people.
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Affiliation(s)
- Tilahun Haregu
- Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Anthony F Jorm
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Yin Paradies
- Alfred Deakin Institute for Citizenship and Globalisation, Deakin University, Melbourne, VIC, Australia
| | - Bernard Leckning
- Menzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia
| | - Jesse T Young
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC, Australia.,Centre for Adolescent Health, Murdoch Children's Research Institute, Parkville, VIC, Australia.,School of Population and Global Health, The University of Western Australia, Perth, WA, Australia.,National Drug Research Institute, Curtin University, Perth, WA, Australia
| | - Gregory Armstrong
- Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
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Hagopian A, West KM, Ornelas IJ, Hart AN, Hagedorn J, Spigner C. Adopting an Anti-Racism Public Health Curriculum Competency: The University of Washington Experience. Public Health Rep 2018; 133:507-513. [PMID: 29847749 PMCID: PMC6055294 DOI: 10.1177/0033354918774791] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Affiliation(s)
- Amy Hagopian
- Department of Health Services, University of Washington, Seattle, WA, USA
| | | | - India J. Ornelas
- Department of Health Services, University of Washington, Seattle, WA, USA
| | - Ariel N. Hart
- Department of Health Services, University of Washington, Seattle, WA, USA
| | - Jenn Hagedorn
- Department of Health Services, University of Washington, Seattle, WA, USA
| | - Clarence Spigner
- Department of Health Services, University of Washington, Seattle, WA, USA
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