Engagement of health research institutions in knowledge translation in the Eastern Mediterranean Region

Jardali, Fadi El; Mandil, Ahmed; Jamal, Diana; Bou-Karroum, Lama; Feky, Samar El; Nour, Mohamed; Abbar, Mazen Al

doi:10.26719/2018.24.7.672

Cited by 15 publications

(24 citation statements)

References 14 publications

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“…Twelve studies reported on the KT capacity of LMIC researchers and research institutions based on researchers' self-reports and reviews of institutional documents [31][32][33][34][35][36][37][38][39][40][41][42]. About half of the studies were conducted in one or several countries in the Eastern Mediterranean Region [31,33,36,[38][39][40]. Three studies focused on sub-Saharan Africa (a total of six countries) [32,34,42] and three studies were global [35,41] or covered more than one LMIC region, including sub-Saharan Africa and the Eastern Mediterranean Region [37].…”

Section: Kt Capacity Of Researchers' and Research Institutionsmentioning

confidence: 99%

Review of published evidence on knowledge translation capacity, practice and support among researchers and research institutions in low- and middle-income countries

Murunga

Oronje

Bates

et al. 2020

Health Res Policy Sys

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Background: Knowledge translation (KT) is a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to yield beneficial outcomes for society. Effective KT requires researchers to play an active role in promoting evidence uptake. This paper presents a systematised review of evidence on low-and middle-income country (LMIC) researchers' KT capacity, practice and interventions for enhancing their KT practice (support) with the aim of identifying gaps and informing future research and interventions. Methods: An electronic search for peer-reviewed publications focusing on LMIC researchers' KT capacity, practice and support across all academic fields, authored in English and from the earliest records available to February 2019, was conducted using PubMed and Scopus. Selected studies were appraised using the Mixed Methods Appraisal Tool, data pertaining to publication characteristics and study design extracted, and an a priori thematic analysis of reported research findings completed. Results: The search resulted in 334 screened articles, of which 66 met the inclusion criteria. Most (n = 43) of the articles presented original research findings, 22 were commentaries and 1 was a structured review; 47 articles reported on researchers' KT practice, 12 assessed the KT capacity of researchers or academic/research institutions and 9 reported on KT support for researchers. More than half (59%) of the articles focused on sub-Saharan Africa and the majority (91%) on health research. Most of the primary studies used the case study design (41%). The findings suggest that LMIC researchers rarely conduct KT and face a range of barriers at individual and institutional levels that limit their KT practice, including inadequate KT knowledge and skills, particularly for communicating research and interacting with research end-users, insufficient funding, and inadequate institutional guidelines, structures and incentives promoting KT practice. Furthermore, the evidence-base on effective interventions for enhancing LMIC researchers' KT practice is insufficient and largely of weak quality.

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Section: Kt Capacity Of Researchers' and Research Institutionsmentioning

confidence: 99%

Review of published evidence on knowledge translation capacity, practice and support among researchers and research institutions in low- and middle-income countries

Murunga

Oronje

Bates

et al. 2020

Health Res Policy Sys

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“…There are increasing initiatives and projects related to knowledge translation in general and CPGs in particular nationally and regionally [9,27,28]. The World Health Organization of the Regional O ce of the Eastern Mediterranean is promoting and supporting all advances in the development, adaptation, and implementation of CPGs at the regional level [28]. Furthermore, 'National guidelines' are core components of the 'Model of Care' of the new Saudi Arabian National Healthcare Plan [30,31].…”

Section: Declarationsmentioning

confidence: 99%

Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Bashiri

Albatti

Hamad

et al. 2020

Preprint

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Abstract Background: We recently adapted the published National institute for Health and Care Excellence (NICE) Attention deficit hyperactivity disorder (ADHD) diagnosis and management guideline to the Saudi Arabian context. It has been postulated that adaptation of evidence-based clinical practice guidelines to the local healthcare context rather than de-novo development will improve their adoption and implementation without imposing a significant burden on resources. The objective of this paper is to describe the adaptation process methodology utilized for the generation of the first national guideline for management of people with ADHD in Saudi Arabia.Methods: We used the KSU-Modified-ADAPTE methodology for the guideline adaptation process. We describe the full process in detail including the three phases of set-up, adaptation, and finalization. The process was conducted by a multidisciplinary guideline adaptation group in addition to an external review for the clinical content and methodology.Results: The group adapted ten main categories of recommendations from one source CPG (NICE). The recommendations include; (i) service organisation and training, (ii) recognition, identification and referral, (iii) diagnosis, (iv) support, (v) managing ADHD, (vi) dietary advice, (vii) medication, (viii) maintenance and monitoring, (ix) adherence to treatment, and (x) review of medication and discontinuation. Several implementation tools were compiled and developed to enhance implementability including a clinical algorithm, quality measures, coding system, medication tables, translations, patient information, and online resources.Conclusions: The finalized clinical practice guideline provides healthcare providers with applicable evidence-based guidance for the management of people with ADHD in Saudi Arabia. The project also demonstrated the effectiveness of KSU-Modified-ADAPTE, and emphasized the value of a collaborative clinical and methodological expert group for adaptation of national guidelines.

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“…Despite these examples, a study of 10 Arab countries reflected various levels of development and resources in their national health research systems, while only three countries reported setting national health research priorities (21). While there may be a need for further national level action on identification of research priorities (21)(22), there are questions on whether previous priority settings have resulted in affirmative action on guiding health research.…”

mentioning

confidence: 99%

“…A recent study involving over 200 institutions in the EMR indicated that only half reported conduct ing research priority-setting exercises, of which only 40% followed a standardized approach and involved policymakers and stakeholders in setting such priorities. In addition, only a quarter of institutions reported that they examine the extent to which health policy-makers utilize research results, and a similar number reported measuring the impact of their health research (22,24). Hence, there is still a misalignment between national health research priorities and actual research production and use (5).…”

mentioning

confidence: 99%

“…Since 2016, the WHO Regional Office for the Eastern Mediterranean (WHO/EMRO) conducts in-house health research prioritization exercises every two years, following a two-round priority identification exercise, and uses the Nominal Group Technique for consensus development. Outcomes of such workshops are used to develop the Calls for Proposals for Research in Priority From WHO standpoint, research priority setting is a key action for enhancing research for health in the EMR in order to cover the gaps observed through research mapping activities (22,(28)(29)(30). For example, while the region is disproportionately affected by emergencies, a bibliometric analysis of health research production in the EMR showed scarcity of published research on emergencies (30).…”

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confidence: 99%

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Health research prioritization: global and regional perspectives

Mandil

Rashidian

Hajjeh

2020

East Mediterr Health J

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Engagement of health research institutions in knowledge translation in the Eastern Mediterranean Region

Cited by 15 publications

References 14 publications

Review of published evidence on knowledge translation capacity, practice and support among researchers and research institutions in low- and middle-income countries

Review of published evidence on knowledge translation capacity, practice and support among researchers and research institutions in low- and middle-income countries

Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

Health research prioritization: global and regional perspectives

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