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to be the biggest barrier. Other barriers included lack of time to complete the assessments. Positive clinician attitudes was the biggest facilitator identified. Interventions were selected to target the barriers and optimize use of facilitators. Educational sessions targeted the barrier of lack of awareness and knowledge. A local opinion leader will be recruited to mentor others. Knowledge use will be monitored using pre & post questionnaires, clinical observations, and chart reviews. Three primary outcomes will be evaluated after 6 months: patient satisfaction, changes in patient fatigue scores, and RTT awareness, knowledge and attitudes about the CCO SMG. As the last framework step, knowledge use will be sustained through monitoring with standard chart reviews. Successes will be celebrated and results shared at staff meetings. Benefits/Challenges: KT frameworks can increase the success of implementing and sustaining a change in practice. This framework incorporates critical elements of change and targets areas that often lead to failure. The strategy can be built into our current processes which also facilitates increased adoption. One of the challenges to using this framework was evaluating and sustaining the change. In addition, this strategy targets front-line MRT(T)s only and does not involve other stakeholders. It does not impact changes that may be needed at the organizational level. For example, more time may be needed for patient appointments to follow the guidelines. Impact: A knowledge translation strategy was developed to address an evidence-to-practice gap in the screening, assessment and management of CRF by MRT(T)s. Utilizing this strategy to close this gap is anticipated to improve care, patient satisfaction and quality of life for our patients.

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