The Knowledge to Action (KTA) Framework was developed in Canada by Graham and colleagues in the 2000s, following a review of 31 planned action theories. Canadian Journal of Speech-Language Pathology . Knowledge Translation - KTDRR Field, B., Booth, A., Ilott, I. et al. Addressing sustainability also involves planning for both the spread and scaling up of knowledge use, and concerns whether an innovation continues to be used beyond the initial implementation. 2012, 7: 50-10.1186/1748-5908-7-50. Am J Prev Med. Knowledge to Action Framework - Monash Centre for Health Research and This involved checking whether the four elements were described. The Knowledge-to-Action Framework | by Leah Crockett - Medium Implement Sci. Worldviews Evid Based Nurs. Seven described using both the Knowledge Creation and the Action Cycle components [18],[20]-[24],[27]. CIHR also provides a practical guide to designing a KT intervention for health researchers, with relevant examples of its application. For example, the creation of websites, interactive e-learning modules, training packages and a protocol were reported as part of the Action Cycle [19],[23],[24], yet they could be knowledge tools/products. And if so, how?. These were the question and study design, recruitment and selection and methods of data collection and analysis. For example, if a strategy has the goal of improving social networking, and the barrier is weak ties between end-users, the social support theory [8] may be used to design an intervention that involves the use of change agents to transfer information [2]. The Knowledge to Action Framework [1] (the KTA Framework) is a conceptual framework intended to help those concerned with knowledge translation deliver sustainable, evidence-based interventions. PRISMA flow diagram of citation analysis and systematic literature review. 10.1111/jan.12091. Using the knowledge to action process model to incite clinic - LWW We sought to identify all reported citations of a particular reference irrespective of the context within which that reference had been used. Edited by: Straus S, Tetroe J, Graham I. However, we were interested in the real-world application of the KTA Framework as a guide to implementation activities in health care and whether it was used in a way that was true to the framework. This flexibility was intended, as Graham and colleagues [1] state the framework can also accommodate different phases being accomplished by different stakeholders and groups (working independently of each other) at different points in time (p. 18). When using the Knowledge to Action Process model to effect an evidence-based change (e.g., in a clinical practice), one of the factors that knowledge users (e.g., clinicians) may site as an impediment is an absence of the evidence appraisal and statistical analysis skills that are required in the knowledge inquiry phase. In the absence of formal comparisons of citation search techniques, we decided to operationalise citation searching using Google Scholar. So-called action (or planned action) models are process models that facilitate implementation by offering practical guidance in the planning and execution of implementation endeavours and/or implementation strategies. All ten described using the Action Cycle and seven referred to Knowledge Creation. We found that the framework is being used in practice, to varying degrees of completeness, and with theory fidelity when reported as integral to the implementation effort. The search results are illustrated in Figure 2, the PRISMA flow chart. This may be an artefact of reporting, indicating that prospective, primary research is needed to explore the real value of the KTA Framework and similar tools. Today well highlight one of the most highly cited conceptual frameworks in Canada the Knowledge-to-Action (KTA) Framework. The search strategy was limited to citation searching of three databases. Building a conceptual model Forms of knowledge Research evidence Clinician knowledge, skills, experience Others argue that the effectiveness and generalisability of implementation studies are hindered by weak theoretical underpinnings [40],[43],[44]. Measuring this practice gap can include the use of administrative data, questionnaires, or conducting chart audits, to name a few. Perhaps more significantly, the KTA Framework is associated with the Canadian Institutes of Health Research [27]. Claude KM, Juvenal KL, Hawkes M: Applying a knowledge-to-action framework for primary prevention of spina bifida in tropical Africa. It is important that KT is maximized in health care to improve patient outcomes. 10.1016/j.jclinepi.2004.09.002. Further details can be found at www.clahrc-yh.nihr.ac.uk. J Clin Epidemiol. Knowledge becomes more refined as it moves through these three steps. Although the terms conceptual frameworks, theories and models are often used interchangeably, conceptual frameworks are broad and descriptive, whereas theories and models are more specific and amenable to hypothesis testing [6]. Within KTA, knowledge creation - or the production of knowledge - is composed of three phases: knowledge inquiry (first-generation knowledge), knowledge synthesis (second-generation knowledge), and creation of knowledge tools and/or products (third-generation knowledge). The Knowledge to Action KTF The Knowledge to Action (KTA)4 is an overarching framework that includes both knowledge creation and implementation. Musk was a co-founder of OpenAI before leaving its board in 2018, and has complained recently of the company's move from a nonprofit model to a highly valuable business influenced by Microsoft. References to non-English language articles were removed. 2012, 7: 87-10.1186/1748-5908-7-87. These goals are to increase (a) the use of evidence-based research and (b) the understanding and use of KT principles. Google Scholar. The Action Cycle focuses on the processes needed to implement knowledge in healthcare settings including identifying problems; assessing determinants of KT; selecting, tailoring, implementing, and evaluating KT interventions; and determining strategies for ensuring sustained knowledge use. It includes the production, synthesis and interpretation of knowledge. 2009, 6: Paper 10-10.2202/1548-923X.1741. Over time, barriers to knowledge use may change from those initially identified, so sustaining knowledge use includes an ongoing feedback loop that cycles back through the action phases. Once an understanding of the potential barriers and facilitators to adoption has been achieved, the next phase involves planning and carrying out interventions to bring about the intended change. review papers, conceptual or descriptive papers and those describing a single knowledge translation strategy or not topically relevant), we excluded against a single criterion, even when multiple criteria applied, as practical considerations rendered it unnecessary to exhaustively document all possible reasons for exclusion for each paper. This review sought to answer two questions: 'Is the This model provides a sequence of phases for researchers and clinicians to . It may be that when people are consulted, they identify those barriers that they feel able to influence, such as knowledge or awareness, rather than organisational barriers, which could be perceived as more problematic or more distant. This may explain the varying degrees to which the framework was used. Rather, papers typically stated aims and objectives, which often related to closing evidence/knowledge-practice gaps. Using the framework itself as a device through which to examine how it had been used seemed an appropriate and pragmatic approach for our purposes. Knowledge-to-Action Model (Adapted from I.D. Graham, J. Logan, M.B (Dignan, M.B & Carr, P.A. The quality of reporting was assessed using criteria adapted from Carroll and colleagues [16]. Yet the albeit limited, evidence available indicates that bringing information close to the point of decision-making (such as using reminders or decision support tools) is likely to be more effective than using more traditional educational strategies (such as study, teaching or training) to try to address barriers and change practice [31],[33]. Google Scholar. The KTA process has two components: (1) knowledge creation and (2) action. However, the target audiences were primarily patients, the public and the nursing and allied health professions. Graham et al. However, adaptation of guidelines also runs the risk of deviating from the original evidence base to address this, a systematic approach to guideline adoption has been developed by a Canadian collaboration called ADAPTE [4]. This review is designed to address this knowledge gap. Integrating Ethics and the Knowledge-To-Action Cycle - CIHR Implement Sci. Interventions can be of multiple sorts: educational (passive or active strategies), professional (reminders, audit and feedback), organizational (redesign services), and patient directed (health literacy, patient decision aids) [3]. Google Scholar references often included an incomplete text fragment rather than a more traditional abstract. We did not assess the research rigour of the individual knowledge translation projects. Each component involves several phases which overlap and can be iterative; Graham and colleagues [1] describe the phases as dynamiccan influence each other (p. 20). Straus S, Tetroe J, Graham ID: Knowledge Translation in Health Care. Knowledge Translation in Health Care: Moving from Evidence to Practice. One of the things that makes the KTA unique is that it begins with research evidence, the need to synthesize and translate that evidence - these are represented by the funnel in the middle of the cycle. 2007, 87: 1728-38. Upper Saddle River, NJ: Prentice Hall. Keyser SE: The Implementation of a Delirium Knowledge Translation Project for Families of the Elderly. 1, EPOC Taxonomy of Professional and OrganisationalInterventions.[https://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/EPOC%20Taxonomy%20of%20Interventions%202002.pdf]. This review seeks to answer two questions: Is the KTA Framework being used in practice? and If so, how is the KTA Framework being used in practice? We were interested in the real-life application of this conceptual framework to real-world implementation challenges. The benefits of theory-informed KT practice are not limited to providing a deliberate map for interventions, but also allow for increased validity and rigor and more seamless integration of KT-related evidence into the ever-growing body of implementation literature. Each implementation study was very different (see Table 3). Too many KT strategies use the traditional ISLAGIATT (It Seemed Like A Good Idea At The Time)* approach, and result in uninformed interventions that are often too broad and too ambitious. Bjrk IT, Lomborg K, Nielsen CM, Brynildsen G, Frederiksen A-MS, Larsen K, Reierson I, Sommer I, Stenholt B: From theoretical model to practical use: an example of knowledge translation. Theories and Models of Knowledge to Action - Knowledge Translation in 2014, 348: g1687-10.1136/bmj.g1687. The Action Cycle was reported in all the integrated examples, illustrating theory fidelity in this specific subset of studies. Knowledge-to-action cycle | BMJ Evidence-Based Medicine A continuum of usage, ranging from referenced to integrated, was developed to aid this process.