Systematic review of knowledge translation strategies in the allied health professions

Scott, Shannon D.; Albrecht, Lauren; O'Leary, Kathy; Ball, Geoff D.C.; Hartling, Lisa; Hofmeyer, Anne; Jones, Chelsea; Klassen, Terry P.; Burns, Katharina Kovacs; Newton, Amanda S; Thompson, David; Dryden, Donna M

doi:10.1186/1748-5908-7-70

Cited by 269 publications

(279 citation statements)

References 69 publications

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“…According to the categorization proposed by Samoocha et al, 17 the majority of the articles were considered to be poor (10 of 12 articles), [18][19][20][21][22][23][24][25]27,29 suggesting the need for more rigorous study methodology. In a broader systematic review examining KT strategies in allied health professions, Scott et al 35 used a different quality assessment tool, but similarly found that studies were of low methodological quality. Therefore, low-quality rating appears to be a problem in not only SCI, but also in the KT field in general.…”

Section: Discussionmentioning

confidence: 99%

Knowledge translation and implementation in spinal cord injury: a systematic review

et al. 2014

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,5 and the SCIRE Research TeamObjective: To conduct a systematic review examining the effectiveness of knowledge translation (KT) interventions in changing clinical practice and patient outcomes. Methods: MEDLINE/PubMed, CINAHL, EMBASE and PsycINFO were searched for studies published from January 1980 to July 2012 that reported and evaluated an implemented KT intervention in spinal cord injury (SCI) care. We reviewed and summarized results from studies that documented the implemented KT intervention, its impact on changing clinician behavior and patient outcomes as well as the facilitators and barriers encountered during the implementation. Results: A total of 13 articles featuring 10 studies were selected and abstracted from 4650 identified articles. KT interventions included developing and implementing patient care protocols, providing clinician education and incorporating outcome measures into clinical practice. The methods (or drivers) to facilitate the implementation included organizing training sessions for clinical staff, introducing computerized reminders and involving organizational leaders. The methodological quality of studies was mostly poor. Only 3 out of 10 studies evaluated the success of the implementation using statistical analyses, and all 3 reported significant behavior change. Out of the 10 studies, 6 evaluated the effect of the implementation on patient outcomes using statistical analyses, with 4 reporting significant improvements. The commonly cited facilitators and barriers were communication and resources, respectively. Conclusion: The field of KT in SCI is in its infancy with only a few relevant publications. However, there is some evidence that KT interventions may change clinician behavior and improve patient outcomes. Future studies should ensure rigorous study methods are used to evaluate KT interventions.

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Section: Discussionmentioning

confidence: 99%

Knowledge translation and implementation in spinal cord injury: a systematic review

et al. 2014

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“…However, methodology on how to determine barriers and how to design strategies to address them, is less clear [17,18]. Recently, the literature regarding guideline implementation has also advocated the use of theoretical frameworks to inform implementation strategies [19][20][21][22]. While theory has not been routinely used in implementation research to date, this approach is gaining momentum [23].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of implementation strategies for clinical guidelines to community pharmacy: A systematic review

Watkins

Wood

Clifford

et al. 2016

Research in Social and Administrative Pharmacy

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“…When members of the allied health professions act as knowledge brokers, they may not always be in the position to establish change outside of their professional autonomy [15] and shared agency [16] may be established by local implementation teams that include managers and rehabilitation physicians who do hold power of decision.…”

Section: Introductionmentioning

confidence: 99%

“…The choice for SLTs as knowledge brokers in this case was based on the contents of the new treatment. However, allied health professionals cannot easily change their professional practice to align with an innovation, because they work in a complex organisational structure as members of interdisciplinary professional teams and behaviour change is complex due to competing factors, often beyond their control [15]. Therefore the local implementation teams also included a doctor and a manager in order to engage those with managerial power to take decisions and to promote shared agency.…”

mentioning

confidence: 99%

ImPACT: a multifaceted implementation for conversation partner training in aphasia in Dutch rehabilitation settings

Wielaert

Sandt-Koenderman

Dammers

et al. 2016

Disability and Rehabilitation

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ImPACT: a multifaceted implementation for conversation partner training in aphasia inDutch rehabilitation settings. AbstractPurpose: Exploration of the clinical uptake of a novel conversation partner training (CPT) programme in aphasia in ten Dutch rehabilitation facilities and identification of its perceived facilitators and barriers in service providers, and the evaluation of the implementation methods used. Method:Ten rehabilitation centres took part in a multifaceted implementation of conversation partner training over thirteen months. Each centre selected two speech and language therapists to act as knowledge brokers whose role it was to raise awareness of CPT in the team and to facilitate getting partners of people with aphasia into the programme. The implementation was evaluated using analysis of recruitment data and questionnaires, supplemented by consensus data and scrutiny of implementation plans.Results: Successful implementation was described as 1) four dyads included during the intervention period, 2) two more dyads included after the intervention period, before the end of the study and 3) inclusion of Partners of Aphasic Clients Conversation Training (PACT) in a description of the logistics of local stroke care (stroke care pathway). Seven centres were successful in reaching the target inclusion of 6 dyads in total. Only one centre had care pathways in place. From a recruitment pool of 504 dyads, 41 dyads were recruited and 34 partners completed the implementation of PACT study (ImPACT). Observed facilitators included the motivation to engage partners in the rehabilitation process and the perceived added value of PACT. The perceived barriers focused on time limitations within current systems to discuss the consequences of PACT with relevant professionals and to establish allocated time for PACT within existing care routines. Conclusions:The motivation of professionals to involve partners in the rehabilitation process assisted with the introduction of PACT in practice. The main barrier was time, linked to the requirement to think through integration of this innovation within existing care. Longer term evaluation would ascertain how centres sustain uptake without support.

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Systematic review of knowledge translation strategies in the allied health professions

Cited by 269 publications

References 69 publications

Knowledge translation and implementation in spinal cord injury: a systematic review

Knowledge translation and implementation in spinal cord injury: a systematic review

Effectiveness of implementation strategies for clinical guidelines to community pharmacy: A systematic review

ImPACT: a multifaceted implementation for conversation partner training in aphasia in Dutch rehabilitation settings

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