When Is Knowledge Ripe for Primary Care?

Beaulieu, Marie-Dominique; Proulx, Michelle; Jobin, Guy; Kugler, Marianne; Gossard, Françis; Denis, Jean‐Louis; Larouche, Danielle

doi:10.1177/0163278707311870

Cited by 18 publications

(8 citation statements)

References 21 publications

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“…Results of the KMM indicated that regulatory organizations focus their KT activities in the products category (see Table 1). Regulatory While these numbers were comparable to what was found in educational organizations (Cooper, 2012), the literature shows that one of the primary ways in which clinicians obtain knowledge is through colleagues (Beaulieu et al, 2008), and enhancements in networking opportunities and structure to support exchange could allow for an enhanced level of KT and evidence-based practice.…”

Section: Regulatory Organizationsmentioning

confidence: 51%

Knowledge Translation Activities in Occupational Therapy Organizations: The Canadian Landscape

Donnelly¹,

Cramm²,

Mofina³

et al. 2016

The Open Journal of Occupational Therapy

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Despite acknowledging the importance of knowledge translation (KT), the occupational therapy profession has demonstrated only emerging KT activity. Organizations are seen as playing an important role in supporting KT. To date, there have been no known attempts to explore KT activities conducted by occupational therapy organizations in Canada. The purpose of this study was to identify and describe KT activities occurring in Canadian occupational therapy organizations. An environmental scan was used to identify KT activities. The websites of occupational therapy national and provincial associations and/or regulatory bodies and the educational programs were searched. A Knowledge Mobilization Matrix (KMM) website was applied to each organizational website. The total KMM scores were highest for universities and lowest for regulatory organizations. The type and nature of the KT activities varied according to the type of organization. Canadian occupational therapy leadership organizations play an important role in supporting KT.

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Section: Regulatory Organizationsmentioning

confidence: 51%

Knowledge Translation Activities in Occupational Therapy Organizations: The Canadian Landscape

Donnelly¹,

Cramm²,

Mofina³

et al. 2016

The Open Journal of Occupational Therapy

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“…This systematic review will help bridge two knowledge gaps: on the one hand, the majority of intervention studies address simple care needs rather than complex ones; on the other hand, current systematic reviews typically focus on one condition and one homogeneous population. 80–84 The studies’ heterogeneity challenge will be addressed by using an innovative mixed methods design three-step synthesis to build a taxonomy presenting various key decisional needs’ configurations.…”

Section: Ethics and Disseminationmentioning

confidence: 99%

Decisional needs assessment of patients with complex care needs in primary care: a participatory systematic mixed studies review protocol

et al. 2017

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IntroductionPatients with complex care needs (PCCNs) often suffer from combinations of multiple chronic conditions, mental health problems, drug interactions and social vulnerability, which can lead to healthcare services overuse, underuse or misuse. Typically, PCCNs face interactional issues and unmet decisional needs regarding possible options in a cascade of interrelated decisions involving different stakeholders (themselves, their families, their caregivers, their healthcare practitioners). Gaps in knowledge, values clarification and social support in situations where options need to be deliberated hamper effective decision support interventions. This review aims to (1) assess decisional needs of PCCNs from the perspective of stakeholders, (2) build a taxonomy of these decisional needs and (3) prioritise decisional needs with knowledge users (clinicians, patients and managers).Methods and analysisThis review will be based on the interprofessional shared decision making (IP-SDM) model and the Ottawa Decision Support Framework. Applying a participatory research approach, we will identify potentially relevant studies through a comprehensive literature search; select relevant ones using eligibility criteria inspired from our previous scoping review on PCCNs; appraise quality using the Mixed Methods Appraisal Tool; conduct a three-step synthesis (sequential exploratory mixed methods design) to build taxonomy of key decisional needs; and integrate these results with those of a parallel PCCNs’ qualitative decisional need assessment (semistructured interviews and focus group with stakeholders).Ethics and disseminationThis systematic review, together with the qualitative study (approved by the Centre Intégré Universitaire de Santé et Service Sociaux du Saguenay-Lac-Saint-Jean ethical committee), will produce a working taxonomy of key decisional needs (ontological contribution), to inform the subsequent user-centred design of a support tool for addressing PCCNs’ decisional needs (practical contribution). We will adapt the IP-SDM model, normally dealing with a single decision, for PCCNs who experience cascade of decisions involving different stakeholders (theoretical contribution). Knowledge users will facilitate dissemination of the results in the Canadian primary care network.PROSPERO registration numberCRD42015020558.

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“…Traditional methods, however, such as journal articles and conference presentations are typically not highly effective in disseminating clinical research to healthcare providers, including physicians. 77 To increase uptake of the findings from this study, a brief video and podcast will be created that is similar to the Cochrane Library podcasts ( http://www.cochrane.org/podcasts/ ). These will summarise the key findings of these meta-analyses and their implications for practice.…”

Section: Ethics and Disseminationmentioning

confidence: 99%

Diagnostic accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for detecting major depression in pregnant and postnatal women: protocol for a systematic review and individual patient data meta-analyses

Thombs

Benedetti

et al. 2015

BMJ Open

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IntroductionStudies of the diagnostic accuracy of depression screening tools often used data-driven methods to select optimal cut-offs. Typically, these studies report results from a small range of cut-off points around whatever cut-off score is identified as most accurate. When published data are combined in meta-analyses, estimates of accuracy for different cut-off points may be based on data from different studies, rather than data from all studies for each cut-off point. Thus, traditional meta-analyses may exaggerate accuracy estimates. Individual patient data (IPD) meta-analyses synthesise data from all studies for each cut-off score to obtain accuracy estimates. The 10-item Edinburgh Postnatal Depression Scale (EPDS) is commonly recommended for depression screening in the perinatal period. The primary objective of this IPD meta-analysis is to determine the diagnostic accuracy of the EPDS to detect major depression among women during pregnancy and in the postpartum period across all potentially relevant cut-off scores, accounting for patient factors that may influence accuracy (age, pregnancy vs postpartum).Methods and analysisData sources will include Medline, Medline In-Process & Other Non-Indexed Citations, PsycINFO, and Web of Science. Studies that include a diagnosis of major depression based on a validated structured or semistructured clinical interview administered within 2 weeks of (before or after) the administration of the EPDS will be included. Risk of bias will be assessed with the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Bivariate random-effects meta-analysis will be conducted for the full range of plausible cut-off values. Analyses will evaluate data from pregnancy and the postpartum period separately, as well as combining data from all women in a single model.Ethics and disseminationThis study does not require ethics approval. Dissemination will include journal articles and presentations to policymakers, healthcare providers and researchers.Systematic review registrationPROSPERO 2015:CRD42015024785.

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When Is Knowledge Ripe for Primary Care?

Cited by 18 publications

References 21 publications

Knowledge Translation Activities in Occupational Therapy Organizations: The Canadian Landscape

Knowledge Translation Activities in Occupational Therapy Organizations: The Canadian Landscape

Decisional needs assessment of patients with complex care needs in primary care: a participatory systematic mixed studies review protocol

Diagnostic accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for detecting major depression in pregnant and postnatal women: protocol for a systematic review and individual patient data meta-analyses

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