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. Interest in using systematic literature reviews to investigate theories, models and conceptual frameworks has increased in recent years [7],[39]. BMJ. 2014, 11: 26-34. Over time, barriers to knowledge use may change from those initially identified, so sustaining knowledge use includes an ongoing feedback loop that cycles back through the action phases. Only 10 of 146 papers reported direct use, with examples demonstrating that the framework was integral to their study. PubMedGoogle Scholar. Most studies (8/10) were conducted in Canada where the KTA Framework originated. https://doi.org/10.1186/s13012-014-0172-2, DOI: https://doi.org/10.1186/s13012-014-0172-2. The action cycle includes a range of activities needed for knowledge implementation. It is possible some potentially relevant studies were excluded during the initial sift stage. volume9, Articlenumber:172 (2014) Only four studies detailed Knowledge Creation, yet existing knowledge was utilised in the other studies to identify knowledge-practice gaps, or as part of the Action Cycle. Perhaps more significantly, the KTA Framework is associated with the Canadian Institutes of Health Research [27]. Several conceptual frameworks are pertinent for implementation scientists, including Promoting Action on Research Implementation in Health Services (PARIHS) [5],[10] the Consolidated Framework for Implementation Research (CFIR) [3] as well as the KTA Framework [1]. 10.1111/wvn.12016. A few free articles for further reading Chicago, Program planning for health education and promotion. In summary, KTA is applying knowledge to real life situations. It includes the production, synthesis and interpretation of knowledge. Implement Sci. Lgar [32] recommends using established taxonomies developed for barriers and facilitators within knowledge translation projects. J Adv Nurs. Action model learning - Wikipedia There was substantial variation in the setting and target audience for each documented change, the methods used to apply the KTA Framework and the terminology employed to report the phases within Knowledge Creation and the Action Cycle. Knowledge translation strategies can include elements such as linkage and exchange, audit and feedback, informatics and patient-mediated and organisational interventions [29]. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE: Knowledge translation of research findings. Ilott I, Gerrish K, Bray K, Laker S: Tackling the implementation challenge: bridging thegapbetweenresearchandpractice. Building a Knowledge to Action Program in Stroke Rehabilitation Crosby R, Noar SM: Theory development in health promotion: are we there yet?. This flexibility was intended, as Graham and colleagues [1] state the framework can also accommodate different phases being accomplished by different stakeholders and groups (working independently of each other) at different points in time (p. 18). 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]. Can J Speech-Language Pathol Audiol. J Contin Educ Health Prof. 2006, 26: 13-24. All undertook the first phase of identifying the problem. Google Scholar. All citations identified were screened by title and available information according to agreed criteria. We further identified a need to use taxonomies when analysing or evaluating knowledge translation strategies [33],[34]. All ten studies reported using the Action Cycle. Share your thoughts in the comments section below, or by tweeting at us at @KnowledgeNudge. Consequently, we recommend that the phase select, tailor, implement intervention be amended to include define and select outcomes and knowledge use measures, as a prompt to those using the KTA Framework to specify such outcomes when selecting which knowledge translation strategies to use. Menon A, Korner-Bitensky N, Kastner M, McKibbon KA, Straus S: Strategies for rehabilitation professionals to move evidencebased knowledge into practice: a systematic review. This showed that the degree of usage varied from merely citing the KTA Framework to full integration into the study. Health professionals across the globe share the challenges of translating the best available evidence into actual health interventions in a timely way to provide the most effective care and service. Work Group on Translation Tools | CDC 2004, 19: 297-304. Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project. 2012, 7: 87-10.1186/1748-5908-7-87. The databases were Scopus, Web of Science and Google Scholar. One can also move between the knowledge creation phase and the action cycle, in an iterative fashion. Two researchers (BF and II) conducted an initial assessment of the full-text articles. The Knowledge-to-Action Framework | by Leah Crockett - Medium 10.1111/j.1740-8709.2010.00271.x. . PubMed Central Google Scholar also enabled access to book chapters whereas Scopus and Web of Science only indexed peer-reviewed journal articles. Important considerations for choosing a KT strategy (or strategies) include a clearly defined goal or objective for each strategy, an understanding of how the strategy overcomes one or more barriers to behaviour or attitude change, and the use of theory to inform selection and implementation. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. The KTA could also be used as a literacy device to structure reporting of the framework. Knowledge creation has three phases: (1) knowledge inquiry, (2) knowledge synthesis, and (3) knowledge tools and products. 10.1002/chp.20077. Philadelphia: Lea & Febiger. Musk was a co-founder of OpenAI before leaving its board in 2018, and has complained recently of the company's move from a nonprofit model to a highly valuable business influenced by Microsoft. Citation searching was further indicated in this review given that our scoping search, using the databases MEDLINE and CINAHL, had previously identified few abstracts reporting explicitly the use of the KTA Framework in practice. 2009, 41: 1024-1032. Nursing Experts: Translating the Evidence - University of Illinois Chicago Article Nine were published in peer-reviewed journals with the exception being a Master of Science degree dissertation [19]. PDF SYSTEMATIC REVIEW Open Access Using the Knowledge to Action Framework However, because KT interventions are usually tailored to local contexts, and mapped to specific barriers/facilitators, effectiveness in one context does not guarantee success in another. 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. 2013, 23 (4): 290-298. Int J Nurs Educ Scholarsh. 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. However, the method is replicable and could be repeated to update the review in future. As Kate has described previously, knowledge synthesis (second generation knowledge) involves synthesizing results from individual research studies and interpreting them within the context of global evidence. Citation searches were limited to the period from 2006 (the date of publication of the source paper) to July 2013. 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. Action model learning (sometimes abbreviated action learning) is an area of machine learning concerned with creation and modification of software agent 's knowledge about effects and preconditions of the actions that can be executed within its environment. 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. Overlaying the Consolidated Framework for Implementation Research (CFIR) on the KTA framework offers a comprehensive methodology to identify barriers and facilitators and evaluation of the project. 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]. The KTA Framework was adapted to different health service settings and resources, indicating a good fit for the diversity of real-world health care. Some indication of the impact of this article can be gained from constructing a normalised citation count for comparison purposes. The action cycle is iterative and includes the deliberate application of knowledge to cause change in behaviours and/or attitudes. 10.1111/j.1752-7325.2011.00223.x. Data-Information-Knowledge-Action Model | SpringerLink Similarly, we acknowledge that some readers may be interested in precise reasons for exclusions. Between 2009 and 2013, she was a Knowledge Translation Project Lead with the NIHR CLAHRC SY. The index citation for the source paper for the KTA Framework Lost in knowledge translation: time for a map? by Graham and colleagues [1] was identified on each of three databases that offered functionality for citation searching. For example, if a strategy has the goal of improving social networking, and the barrier is weak ties between end-users, the social support theory [8] may be used to design an intervention that involves the use of change agents to transfer information [2]. statement and Glossary for Knowledge to Action Framework; Research Phase. Do you have a process in place to pick implementation strategies? On this basis, all ten studies were judged as having described their projects clearly. Field, B., Booth, A., Ilott, I. et al. IL Limitations of English language and year of publication 2006-June 2013 were set. School of Nursing, University of Ottawa, Ottawa, ON, Canada. 1, Lgar F: Assessing barriers and facilitators to knowledge use. Knowledge Creation includes knowledge inquiry, knowledge synthesis, and knowledge tools/products. 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]. This is typically the recommended starting point for implementation and involves identifying a problem that needs attention. Making sense of implementation theories, models and frameworks Health Psychol. When thinking about program planning and implementation, there are several important concepts that need to be considered. 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 . Google Scholar. PO Box 1649, Peoria, Action phases may be carried out sequentially or simultaneously; knowledge phases may impact on the action phases. Booth A, Harris J, Croot E, Springett J, Campbell F, Wilkins E: Towards a methodology for cluster searching to provide conceptual and contextual richness for systematic reviews of complex interventions: case study (CLUSTER). Overview of the Knowledge to Action Cycle. 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.
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