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Yeung E, Scodras S, Salbach NM, Kothari A, Graham ID. Identifying competencies for integrated knowledge translation: a Delphi study. BMC Health Serv Res 2021; 21:1181. [PMID: 34715872 PMCID: PMC8556977 DOI: 10.1186/s12913-021-07107-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 09/27/2021] [Indexed: 11/10/2022] Open
Abstract
Background Considerable progress has been made to advance the field of knowledge translation to address the knowledge-to-action gap in health care; however, there remains a growing concern that misalignments persist between research being conducted and the issues faced by knowledge users, such as clinicians and health policy makers, who make decisions in the health care context. Integrated knowledge translation (IKT) is a collaborative research model that has shown promise in addressing these concerns. It takes advantage of the unique and shared competencies amongst researchers and knowledge users to ensure relevance of the research process and its outcomes. To date, core competencies have already been identified to facilitate training in knowledge translation more generally but they have yet to be prioritized for IKT more specifically. The primary aim of this study was to recruit a group of researchers and knowledge users to identify and prioritize core competencies for researchers and knowledge users to engage with IKT. Methods We recruited health care knowledge users (KUs) and researchers with experience and knowledge of IKT for a quantitative, cross-sectional study. We employed a modified Delphi approach consisting of three e-survey rounds to establish consensus on competencies important to IKT for KUs and researchers based on mean rating of importance and agreement between participants. Results Nineteen (73%) of the initial 26 participants were researchers (response rate = 41% in the first round; retention in subsequent rounds > 80%). Participants identified a total of 46 competencies important for IKT (18 competencies for KUs, 28 competencies for researchers) under 3 broad domains. Technical research skills were deemed extremely important for researchers, while both groups require teamwork and knowledge translation skills. Conclusions This study provides important insight into distinct and overlapping IKT competencies for KUs and researchers. Future work could focus on how these can be further negotiated and contextualized for a wide range of IKT contexts, projects and teams. Greater attention could also be paid to establishing competencies of the entire team to support the research co-production process. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-021-07107-7.
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Affiliation(s)
- Euson Yeung
- University of Toronto, 160-500 University Avenue, Toronto, Ontario, M5G 1V7, Canada.
| | - Stephanie Scodras
- University of Toronto, 160-500 University Avenue, Toronto, Ontario, M5G 1V7, Canada
| | - Nancy M Salbach
- University of Toronto, 160-500 University Avenue, Toronto, Ontario, M5G 1V7, Canada
| | - Anita Kothari
- Western University, Health Sciences Building, Rm 222, 1151 Richmond St, London, Ontario, N6A 5B9, Canada
| | - Ian D Graham
- School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Cresent, Ottawa, Ontario, K1G 5Z3, Canada.,Centre for Practice-Changing Research, The Ottawa Hospital Research Institute, 501 Smyth Road, Box 711, Ottawa, Ontario, K1H 8L6, Canada
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Lambert K, Mahoney K, Parfrey PS. Changing Health-Related Behaviors 4: Realizing Impact of Health Research Through Knowledge Translation. Methods Mol Biol 2021; 2249:597-612. [PMID: 33871866 DOI: 10.1007/978-1-0716-1138-8_32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Knowledge translation (KT) is critical to realizing real-world impacts from health research by reducing the amount of time it takes for evidence to inform practice. One way this is achieved is by engaging with knowledge users throughout the process to ensure that research responds to their needs. It is also important to share the study results in a way that is useful, accessible, and relevant to knowledge user groups. KT planning involves multiple categories described in templates that are available online and referenced in the text. Common knowledge translation challenges and suggested solutions, as well as real-world KT examples, are also provided.
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Affiliation(s)
- Kate Lambert
- Research Assistant, Memorial Medical School, NL, Canada
| | - Krista Mahoney
- Quality of Care NL, Faculty of Medicine, Memorial University, St John's, NL, Canada
| | - Patrick S Parfrey
- Quality of Care NL, Faculty of Medicine, Memorial University, St John's, NL, Canada
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Crosschild C, Huynh N, De Sousa I, Bawafaa E, Brown H. Where is critical analysis of power and positionality in knowledge translation? Health Res Policy Syst 2021; 19:92. [PMID: 34116685 PMCID: PMC8196505 DOI: 10.1186/s12961-021-00726-w] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 04/12/2021] [Indexed: 11/21/2022] Open
Abstract
In Canada, the Eurocentric epistemological foundations of knowledge translation (KT) approaches and practices have been significantly influenced by the Canadian Institutes of Health Research (CIHR) KT definition. More recently, integrated knowledge translation (IKT) has emerged in part as epistemic resistance to Eurocentric discourse to critically analyse power relations between researcher and participants. Yet, despite the proliferation of IKT literature, issues of power in research relationships and strategies to equalize relationships remain largely unaddressed. In this paper, we analyse the gaps in current IKT theorizing against the backdrop of the CIHR KT definition by drawing on critical scholars, specifically those writing about standpoint theory and critical reflexivity, to advance IKT practice that worked to surface and change research-based power dynamics within the context of health research systems and policy.
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Affiliation(s)
- Chloe Crosschild
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.
| | - Ngoc Huynh
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
- School of Nursing, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada
| | - Ismalia De Sousa
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Eunice Bawafaa
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Helen Brown
- Faculty of Applied Science, School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
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Soobiah C, Straus SE, Manley G, Marr S, Paus Jenssen E, Teare S, Hamid J, Tricco AC, Moore A. Engaging knowledge users in a systematic review on the comparative effectiveness of geriatrician-led models of care is possible: A cross-sectional survey using the Patient Engagement Evaluation Tool. J Clin Epidemiol 2019; 113:58-63. [PMID: 31129259 DOI: 10.1016/j.jclinepi.2019.05.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 04/24/2019] [Accepted: 05/14/2019] [Indexed: 12/17/2022]
Abstract
BACKGROUND A systematic review (SR) was conducted to evaluate the comparative effectiveness of geriatrician-led models of care, and an integrated knowledge translation (iKT) approach facilitated SR relevance. Activities to engage knowledge users (KUs) in the SR were evaluated for perceived level of engagement. STUDY DESIGN AND SETTING KUs included patients, caregivers, geriatricians, and policymakers from three Canadian provinces. Activities included 1) modified Delphi to select outcomes; 2) cross-sectional survey to select outcome measures, and 3) in-person meeting to discuss SR findings. KU engagement was assessed using the Patient Engagement Evaluation Tool (PEET) after the second and third activities. KUs rated the extent of successful engagement using a 7-point Likert scale ranging from "no extent" to "very large extent." RESULTS In total, 15 KUs completed the PEET: eight geriatricians, four policymakers, two patients, and one caregiver. Median engagement scores across all activities (median range: 6.00-6.50) indicated that KUs felt engaged. Differences were observed for activity type; perceived engagement at in-person meeting resulted in higher meta-criteria scores for trust (P = 0.005), legitimacy (P = 0.003), fairness (P = 0.013), and competency (P = 0.035) compared with online activities. CONCLUSIONS KUs can be engaged meaningfully in SR processes. Their perceived engagement was higher for in-person than for online activities.
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Affiliation(s)
- Charlene Soobiah
- Institute for Health Policy, Management & Evaluation, University of Toronto, 155 College St 4th floor, Toronto, Ontario M5T 3M6, Canada; Knowledge Translation Program, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria St, Toronto, Ontario M5B 1T8, Canada
| | - Sharon E Straus
- Institute for Health Policy, Management & Evaluation, University of Toronto, 155 College St 4th floor, Toronto, Ontario M5T 3M6, Canada; Knowledge Translation Program, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria St, Toronto, Ontario M5B 1T8, Canada; Division of Geriatric Medicine, Department of Medicine, University of Toronto, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada.
| | - Gayle Manley
- Knowledge Translation Program, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria St, Toronto, Ontario M5B 1T8, Canada
| | - Sharon Marr
- Division of Geriatric Medicine, McMaster University, 1280 Main St. West, Hamilton, Ontario L8S 4K1, Canada
| | - Elliot Paus Jenssen
- Knowledge Translation Program, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria St, Toronto, Ontario M5B 1T8, Canada
| | - Sylvia Teare
- Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada
| | - Jemila Hamid
- Clinical Research Unit, Research Institute of Children's Hospital of Eastern Ontario, Research Institute, 401 Smyth Rd, Ottawa, Ontario K1H 8L1, Canada
| | - Andrea C Tricco
- Institute for Health Policy, Management & Evaluation, University of Toronto, 155 College St 4th floor, Toronto, Ontario M5T 3M6, Canada; Knowledge Translation Program, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria St, Toronto, Ontario M5B 1T8, Canada; Epidemiology Division, Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, Ontario M5T 3M7, Canada
| | - Ainsley Moore
- Department of Family Medicine, McMaster University, 100 Main St W, Hamilton, Ontario L8P 1H6, Canada
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Tricco AC, Zarin W, Rios P, Nincic V, Khan PA, Ghassemi M, Diaz S, Pham B, Straus SE, Langlois EV. Engaging policy-makers, health system managers, and policy analysts in the knowledge synthesis process: a scoping review. Implement Sci 2018; 13:31. [PMID: 29433543 PMCID: PMC5809959 DOI: 10.1186/s13012-018-0717-x] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Accepted: 01/25/2018] [Indexed: 01/03/2023] Open
Abstract
Background It is unclear how to engage a wide range of knowledge users in research. We aimed to map the evidence on engaging knowledge users with an emphasis on policy-makers, health system managers, and policy analysts in the knowledge synthesis process through a scoping review. Methods We used the Joanna Briggs Institute guidance for scoping reviews. Nine electronic databases (e.g., MEDLINE), two grey literature sources (e.g., OpenSIGLE), and reference lists of relevant systematic reviews were searched from 1996 to August 2016. We included any type of study describing strategies, barriers and facilitators, or assessing the impact of engaging policy-makers, health system managers, and policy analysts in the knowledge synthesis process. Screening and data abstraction were conducted by two reviewers independently with a third reviewer resolving discrepancies. Frequency and thematic analyses were conducted. Results After screening 8395 titles and abstracts followed by 394 full-texts, 84 unique documents and 7 companion reports fulfilled our eligibility criteria. All 84 documents were published in the last 10 years, and half were prepared in North America. The most common type of knowledge synthesis with knowledge user engagement was a systematic review (36%). The knowledge synthesis most commonly addressed an issue at the level of national healthcare system (48%) and focused on health services delivery (17%) in high-income countries (86%). Policy-makers were the most common (64%) knowledge users, followed by healthcare professionals (49%) and government agencies as well as patients and caregivers (34%). Knowledge users were engaged in conceptualization and design (49%), literature search and data collection (52%), data synthesis and interpretation (71%), and knowledge dissemination and application (44%). Knowledge users were most commonly engaged as key informants through meetings and workshops as well as surveys, focus groups, and interviews either in-person or by telephone and emails. Knowledge user content expertise/awareness was a common facilitator (18%), while lack of time or opportunity to participate was a common barrier (12%). Conclusions Knowledge users were most commonly engaged during the data synthesis and interpretation phases of the knowledge synthesis conduct. Researchers should document and evaluate knowledge user engagement in knowledge synthesis. Registration details Open Science Framework (https://osf.io/4dy53/). Electronic supplementary material The online version of this article (10.1186/s13012-018-0717-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Andrea C Tricco
- Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5B 1T8, Canada. .,Epidemiology Division, Dalla Lana School of Public Health, University of Toronto, 6th Floor, 155 College St, Toronto, Ontario, M5T 3M7, Canada.
| | - Wasifa Zarin
- Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5B 1T8, Canada
| | - Patricia Rios
- Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5B 1T8, Canada
| | - Vera Nincic
- Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5B 1T8, Canada
| | - Paul A Khan
- Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5B 1T8, Canada
| | - Marco Ghassemi
- Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5B 1T8, Canada
| | - Sanober Diaz
- Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5B 1T8, Canada
| | - Ba' Pham
- Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario, M5B 1T8, Canada
| | - Sharon E Straus
- Department of Geriatric Medicine, Faculty of Medicine, University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 1A1, Canada
| | - Etienne V Langlois
- Alliance for Health Policy and Systems Research, World Health Organization, Avenue Appia 20, 1211, Geneva, Switzerland
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Kelly SE, Moher D, Clifford TJ. Expediting evidence synthesis for healthcare decision-making: exploring attitudes and perceptions towards rapid reviews using Q methodology. PeerJ 2016; 4:e2522. [PMID: 27761324 PMCID: PMC5068451 DOI: 10.7717/peerj.2522] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2016] [Accepted: 09/02/2016] [Indexed: 01/25/2023] Open
Abstract
Background Rapid reviews expedite the knowledge synthesis process with the goal of providing timely information to healthcare decision-makers who want to use evidence-informed policy and practice approaches. A range of opinions and viewpoints on rapid reviews is thought to exist; however, no research to date has formally captured these views. This paper aims to explore evidence producer and knowledge user attitudes and perceptions towards rapid reviews. Methods A Q methodology study was conducted to identify central viewpoints about rapid reviews based on a broad topic discourse. Participants rank-ordered 50 text statements and explained their Q-sort in free-text comments. Individual Q-sorts were analysed using Q-Assessor (statistical method: factor analysis with varimax rotation). Factors, or salient viewpoints on rapid reviews, were identified, interpreted and described. Results Analysis of the 11 individual Q sorts identified three prominent viewpoints: Factor A cautions against the use of study design labels to make judgements. Factor B maintains that rapid reviews should be the exception and not the rule. Factor C focuses on the practical needs of the end-user over the review process. Conclusion Results show that there are opposing viewpoints on rapid reviews, yet some unity exists. The three factors described offer insight into how and why various stakeholders act as they do and what issues may need to be resolved before increase uptake of the evidence from rapid reviews can be realized in healthcare decision-making environments.
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Affiliation(s)
- Shannon E Kelly
- School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada; Cardiovascular Research Methods Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
| | - David Moher
- School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada; Centre for Practice Changing Research, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | - Tammy J Clifford
- School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada; CADTH, Ottawa, Ontario, Canada
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