Bridging the gap between therapeutic research results and physician prescribing decisions: knowledge transfer, a prerequisite to knowledge translation

Boissel, Jean-Pièrre; Amsallem, Emmanuel; Cucherat, Michel; Nony, Patrice; Haugh, Margaret

doi:10.1007/s00228-004-0816-2

Cited by 26 publications

(24 citation statements)

References 37 publications

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“…About 60% of the answers are simple, such as the dose of a drug, and can easily be located by looking in textbooks or medication databases [1]. Other questions are more complex and a large portion remain unanswered although in many cases an answer exists in the literature that would have changed the physician's decision [2,3].…”

Section: Introductionmentioning

confidence: 99%

Problem-oriented drug information: physicians’ expectations and impact on clinical practice

Hedegaard

Damkier

2009

Eur J Clin Pharmacol

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Purpose Problem-oriented drug information (POD) is a service in which health professionals provide evidencebased answers to clinical questions posed by physicians. The objective of this study was to evaluate the user satisfaction and clinical impact of POD, to investigate predictors for use and to examine the kind of sources physicians search before applying for POD. Methods To evaluate POD, a questionnaire was distributed with problem-oriented answers sent from a drug information centre to physicians during the period of April 2006 to March 2007. Results Of 197 questionnaires, 183 (93%) were returned. The information from the POD service was highly valued by the physicians, and 90% of the answers led to reported impact on clinical practice in the specific clinical situation. Furthermore, 74% of the answers were intended to be used in a wider context either for future patients (67%) or for dissemination to colleagues (51%). Secondary-care physicians more often than general practitioners (GPs) used the information for dissemination to colleagues (63 vs. 39%, P=0.0008), while GPs more often used the answer to support patient information (88 vs. 70%, P=0.0029). The most prominent motive for applying for POD was a request for evidencebased information (78%), and the service was used to overcome barriers to practicing evidence-based medicine such as lack of time (36%), skills for searching (26%), and appraising the literature (13%). Before inquiring, 74% of the physicians had tried other information sources; the most frequent sources used were a drug reference (68%) and consulting a colleague (24%). Secondary-care physicians reported fewer barriers than GPs when seeking information, and secondary-care physicians searched other sources more often than GPs before contacting the service (81 vs. 67%, P=0.031). Conclusion POD represents a useful source for acquiring evidence-based drug information by physicians. POD is highly valued by the users. It was reported to have an impact on clinical practice for the specific patient but is also intended to be used in a wider context for future patients or for dissemination to colleagues. GPs' and secondary-care physicians' use of POD differs with GPs having more focus on patient information and secondary-care physicians having more focus on dissemination of the information to colleagues.

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Section: Introductionmentioning

confidence: 99%

Problem-oriented drug information: physicians’ expectations and impact on clinical practice

Hedegaard

Damkier

2009

Eur J Clin Pharmacol

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“…Improvements in care, including screening of arm problems and timely referrals to appropriate services, can be achieved through improved knowledge transfer to health care professionals and breast cancer survivors. In a conventional model of knowledge translation, knowledge is understood as a product (information) to be created, transferred, and applied in a linear manner, but the demand for novel strategies to bridge the theory-to-practice gap in the health care is increasingly recognized [28][29][30]. An emerging model of knowledge translation conceives of the process as being dynamic, iterative, and situated within a com-plex system of interactions between researchers and stakeholders [31,32].…”

Section: Discussionmentioning

confidence: 99%

Ethnodrama: An innovative knowledge translation tool in the management of lymphedema.

Ahmed

Quinlan

McMullen

et al. 2015

JCO

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Background: Lymphedema can cause significant physical impairment and quality-of-life issues. Yet there is a gap in knowledge about lymphedema among breast cancer survivors (BCS), and health care professionals (HCP). Ethnodrama is an innovative knowledge translation strategy that uses theatrical performances for dissemination of research results. We evaluated the impact of live ethnodrama on HCP' and BCS' awareness and attitudes in relation to impact of lymphedema on BCS' lives. Methods: Ethnodrama performances were developed by script writers and a theatre director in collaboration with the investigators and BCS using data from published research and pre-performances workshops. Six interactive live performances were given to audiences of BCS, HCP, and community members in four cities across Canada. After watching these live performances, members of the audiences were asked to complete a paper-based questionnaire regarding their knowledge of lymphedema, and their attitudes and practices toward lymphedema. Results: Of 238 audience members who participated in the survey, 55 (23%) were BCS and 85 (37.5%) were HCP. Most members rated the performances as very effective in changing their (84%) or other people's (93%) understanding of lymphedema; 96% reported being motivated to seek additional information on lymphedema, and 72% of HCP anticipated changes in their practices related to lymphedema screening. Overall no significant differences were noted in responses to ethnodrama between BCS and HCP. Open-ended responses were supportive of the findings from the closed-ended questions. Conclusions:Our results indicate that ethnodrama performances effectively convey information and positively affecting changes in HCP' and BCS' attitudes toward lymphedema.

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“…This has important implications for the medical school curriculum ('curriculomegaly') and the translation of research results into clinical practice [14,15] . Clinicians encounter growing difficulties in identifying the papers relevant to their practice [16] .…”

Section: The Clinicianmentioning

confidence: 99%

“…The amount of scientific information in the medical field is continuously increasing [14] . This has important implications for the medical school curriculum ('curriculomegaly') and the translation of research results into clinical practice [14,15] .…”

Section: The Clinicianmentioning

confidence: 99%

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Information Overload, the Patient and the Clinician

Fava

Guidi

2006

Psychother Psychosom

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Bridging the gap between therapeutic research results and physician prescribing decisions: knowledge transfer, a prerequisite to knowledge translation

Abstract: This ambitious endeavor is needed to ensure that prescribers have access to pertinent research results for use in their prescription decisions. We demonstrate in this article that there are no theoretical or technical obstacles to make the proposed system workable.

Cited by 26 publications

References 37 publications

Problem-oriented drug information: physicians’ expectations and impact on clinical practice

Problem-oriented drug information: physicians’ expectations and impact on clinical practice

Ethnodrama: An innovative knowledge translation tool in the management of lymphedema.

Information Overload, the Patient and the Clinician

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