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Knowledge Translation What is it and how are we doing it? Cheryl Cook, Research Associate Geriatric Medicine Research  Dalhousie University/Capital Health  Halifax, NS
What is Knowledge Translation (KT)? ,[object Object],[object Object]
Perhaps we could make that a bit simpler for you…
The Elevator Pitch: ,[object Object],[object Object]
What do we mean by ‘Knowledge’? ,[object Object]
That’s simple.  ,[object Object],[object Object],[object Object]
8 things you should know about good KT. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bonus fact:  there are over 90 terms in use for KT.
What is the common thread? ,[object Object],[object Object]
The Knowledge to Action Cycle (CIHR)
We’ll break that down for you.
Knowledge creation   ,[object Object],[object Object],[object Object],These three are typically represented as a funnel, with inquiry, the largest part, at the top.  This is narrowed by the synthesis of information, and then further narrowed into the  products/tools.  The needs of the knowledge users can be incorporated into every stage in  the funnel, allowing for customization of the work.
The Action Cycle (knowledge application) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why do KT?  ,[object Object],©XKCD
Don’t we already use evidence? ,[object Object],Of eight policy making processes studied in Canada, only four were using evidence in at least one stage of their process. Lavis et al, 2002
Types of KT ,[object Object],[object Object],CIHR http://www.cihr-irsc.gc.ca/e/38654.html   The Canadian Institutes for Health Research describes two types of KT: end of grant and integrated.
The Challenge of Integrated KT ,[object Object],[object Object],[object Object],[object Object]
Helping Integrated KT along. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wait….what is your expected outcome?  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Collaborating with your target audience from the beginning can help you craft achievable, useful outcomes.
Let's look at some of the elements  of KT.
An important first step in KT: Knowledge Synthesis (KS) ,[object Object],“…  'the contextualization and integration of research findings of individual research studies within the larger body of knowledge on the topic.”  CIHR   http://www.cihr-irsc.gc.ca/e/39033.htm
Components of a good KS ,[object Object],[object Object],[object Object]
Another very important part of KT: Dissemination ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diffusion ,[object Object],[object Object],[object Object]
Dissemination ,[object Object],[object Object],[object Object],[object Object]
Implementation ,[object Object],[object Object]
6 things you should know about good dissemination. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
5 things to consider when planning dissemination. ,[object Object],[object Object],[object Object],[object Object],[object Object]
The bit that often gets overlooked: Evaluation ,[object Object],[object Object]
Evaluation is hard.  ,[object Object],[object Object],[object Object]
One more thought…
The KT Imperative ,[object Object],[object Object]
For more information on KT and research at GMR: http://geriatricresearch.medicine.dal.ca/ gmru@dal.ca

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Knowledge translation: a brief introduction

Notes de l'éditeur

  1. There are 90+ terms for KT in use today. This is probably not helpful. However the CIHR defintion is the standard one in our area of practice, and has been adopted by other groups.
  2. This may seem easy but often people lose sight of the mnost fundamental part of this: you must be translating knowledge (nad by that we mean evidence) and there must be a practical use for that knowledge. (Talk about this later with the KT imperaticvwe. This is your elevator pitch for KT. If you have a few extra floors, there are some basic ideas about KT that you should know
  3. Every project is different, but this is the generally accepted knowledge to action cycle that the CIHR has adopted. Centre is knowledge creation: refining the knowledge as we go through this process. The tools/products can be as abstract as decision making tools – in the case of our current KS, it will help us (and our partners in policy/practice) make decisions on the next areas of research, or what areas might need translating so they can more readily use the evidence etc., Around it is the action phase. These do not have to occur in a linear sequence and can influence and be influenced by the steps in the knowledge creation funnel. For example, We are working on this KS – we cannot just write up our findings and walk off. Our partners will be consulted to talk about how what we learn about dementia care workers perspectives can be considered when we think of the Nova Scotian context, they can help us understand what the barriers may be to this knowledge being used by people in policy and practice here, etc. We would then have to work with them to monitor any use of the knowledge that comes from this synthesis, and to evaluate it and any future work coming from this study.
  4. Every project is different, but this is the generally accepted knowledge to action cycle that the CIHR has adopted. Centre is knowledge creation: refining the knowledge as we go through this process. The tools/products can be as abstract as decision making tools – in the case of our current KS, it will help us (and our partners in policy/practice) make decisions on the next areas of research, or what areas might need translating so they can more readily use the evidence etc., Around it is the action phase. These do not have to occur in a linear sequence and can influence and be influenced by the steps in the knowledge creation funnel. For example, We are working on this KS – we cannot just write up our findings and walk off. Our partners will be consulted to talk about how what we learn about dementia care workers perspectives can be considered when we think of the Nova Scotian context, they can help us understand what the barriers may be to this knowledge being used by people in policy and practice here, etc. We would then have to work with them to monitor any use of the knowledge that comes from this synthesis, and to evaluate it and any future work coming from this study.
  5. 1. As well as the usefull ness and validity of the knwoledge
  6. Systematic reviews, meta-analyses, etc. Quantitative are most common, qualitative less common.
  7. Requires the most work, obviously.
  8. There is a whole field of study aournd this – but much more needs to be done to consider what sort of KT programs/interventions work best – in what context, etc.