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Glegg SMN, Ryce A, Miller KJ, Nimmon L, Kothari A, Holsti L. Organizational supports for knowledge translation in paediatric health centres and research institutes: insights from a Canadian environmental scan. Implement Sci Commun 2021; 2:49. [PMID: 33985591 PMCID: PMC8117660 DOI: 10.1186/s43058-021-00152-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 04/28/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Organizational supports are thought to help address wide-ranging barriers to evidence-informed health care (EIHC) and knowledge translation (KT). However, little is known about the nature of the resources and services that exist within paediatric health care and research settings across Canada to facilitate evidence use in health care delivery. This survey examined existing supports for EIHC/KT within these organizations to inform the design of similar EIHC/KT support programmes. METHODS A national environmental scan was conducted using a bilingual online survey distributed to leaders at Canadian paediatric academic health science centres and their affiliated research institutes. Participants were invited through email, social media and webinar invitations and snowball sampling. Supports of interest included personnel, resources, services, organizational structures or processes, and partnerships or collaborations; barriers and successes were also probed. Data were compiled by site, reported using descriptive statistics, or grouped thematically. Supports were described using the AIMD (Aims, Ingredients, Mechanism, Delivery) framework. RESULTS Thirty-one respondents from 17 sites across seven provinces represented a 49% site response rate. Eleven (65%) sites reported an on-site library with variable staffing and services. Ten (59%) sites reported a dedicated KT support unit or staff person. Supports ranged from education, resource development and consultation to protocol development, funded initiatives and collaborations. Organizations leveraged internal and external supports, with the majority also employing supports for clinical research integration. Supports perceived as most effective included personnel, targeted initiatives, leadership, interdepartmental expertise, external drivers and logistical support. Barriers included operational constraints, individual-level factors and lack of infrastructure. CONCLUSIONS This first survey of organizational supports for EIHC/KT identified the range of supports in place in paediatric research and health care organizations across Canada. The diversity of supports reported across sites may reflect differences in resource capacity and objectives. Similarities in EIHC/KT and research integration supports suggest common infrastructure may be feasible. Moreover, stakeholder engagement in research was common, but not pervasive. Tailored support programmes can target multi-faceted barriers. Findings can inform the development, refinement and evaluation of EIHC/KT support programmes and guide the study of the effectiveness and sustainability of these strategies.
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Affiliation(s)
- Stephanie Miranda Nadine Glegg
- Rehabilitation Sciences, The University of British Columbia, T325 2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada. .,Sunny Hill Health Centre at BC Children's Hospital, 4500 Oak Street, Vancouver, BC, V6H 3N1, Canada. .,BC Children's Hospital Research Institute, 938 W. 28th Ave, Vancouver, BC, V5Z 4H4, Canada.
| | - Andrea Ryce
- Sunny Hill Health Centre at BC Children's Hospital, 4500 Oak Street, Vancouver, BC, V6H 3N1, Canada
| | - Kimberly J Miller
- Sunny Hill Health Centre at BC Children's Hospital, 4500 Oak Street, Vancouver, BC, V6H 3N1, Canada.,BC Children's Hospital Research Institute, 938 W. 28th Ave, Vancouver, BC, V5Z 4H4, Canada
| | - Laura Nimmon
- Department of Occupational Science and Occupational Therapy, The University of British Columbia, T325 2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Anita Kothari
- School of Health Studies, Western University, 1151 Richmond Street, London, Ontario, N6A 3K7, Canada
| | - Liisa Holsti
- BC Children's Hospital Research Institute, 938 W. 28th Ave, Vancouver, BC, V5Z 4H4, Canada.,Department of Occupational Science and Occupational Therapy, The University of British Columbia, T325 2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
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Cheron DM, Chiu AAW, Stanick CF, Stern HG, Donaldson AR, Daleiden EL, Chorpita BF. Implementing Evidence Based Practices for Children's Mental Health: A Case Study in Implementing Modular Treatments in Community Mental Health. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2020; 46:391-410. [PMID: 30710173 DOI: 10.1007/s10488-019-00922-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
There is strong enthusiasm for utilizing implementation science in the implementation of evidence-based programs in children's community mental health, but there remains work to be done to improve the process. Despite the proliferation of implementation frameworks, there is limited literature providing case examples of overcoming implementation barriers. This article examines whether the use of three implementations strategies, a structured training and coaching program, the use of professional development portfolios for coaching, and a progress monitoring data system, help to overcome barriers to implementation by facilitating four implementation drivers at a community mental health agency. Results suggest that implementation is a process of recognizing and adapting to both predictable and unpredictable barriers. Furthermore, the use of these implementation strategies is important in improving implementation outcomes.
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Affiliation(s)
- Daniel M Cheron
- Judge Baker Children's Center, 53 Parker Hill Avenue, Boston, MA, 02120, USA.
| | | | | | - H Gemma Stern
- Judge Baker Children's Center, 53 Parker Hill Avenue, Boston, MA, 02120, USA
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McGraw K, Gelso B, Barry D, Bechowski MS, Tate K, Houston J. The DoD practice-based implementation (PBI) Network: estimating return on investment. THEORETICAL ISSUES IN ERGONOMICS SCIENCE 2018. [DOI: 10.1080/1463922x.2018.1479896] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Kate McGraw
- Psychological Health Center of Excellence, Defense Health Agency (J-9), Silver Spring, MD, USA
| | - Brett Gelso
- Psychological Health Center of Excellence, Defense Health Agency (J-9), Silver Spring, MD, USA
| | - David Barry
- Psychological Health Center of Excellence, Defense Health Agency (J-9), Silver Spring, MD, USA
| | - Meghan Short Bechowski
- Psychological Health Center of Excellence, Defense Health Agency (J-9), Silver Spring, MD, USA
| | - Karyn Tate
- Psychological Health Center of Excellence, Defense Health Agency (J-9), Silver Spring, MD, USA
| | - Jorielle Houston
- Psychological Health Center of Excellence, Defense Health Agency (J-9), Silver Spring, MD, USA
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