Bridging science to service: using Rehabilitation Research and Training Center program to ensure that research-based knowledge makes a difference.

Center for Psychiatric Rehabilitation, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA 02215, USA.
The Journal of Rehabilitation Research and Development (Impact Factor: 1.69). 02/2007; 44(6):879-92. DOI: 10.1682/JRRD.2006.08.0101
Source: PubMed

ABSTRACT The challenge of bridging science to service is increasingly visible in the healthcare field, with emphasis on the influence of evidence-based knowledge on both policy and practice. Since its inception more than 40 years ago, the Rehabilitation Research and Training Center (RRTC) program has provided grants for both research and training activities designed to ensure that research knowledge is translated into practice. The RRTC program is unique in that its mission and funding have always required that both time and money be invested in the translation and dissemination of research-generated knowledge to users in the field, i.e., decision makers and practitioners. Boston University's Center for Psychiatric Rehabilitation has been an RRTC for more than 25 years and provides an example of the effect of the RRTC program in bridging science to service. The Center's mission as an RRTC has been to develop and transfer research knowledge to decision makers and practitioners who can then inform change and promote progress in mental health disability policy and practice. This article reviews five basic dissemination and utilization principles for overcoming the most common barriers to effective dissemination of evidence-based knowledge and provides examples of the Center's activities related to each principle. In addition, a knowledge-transfer framework developed by the Center to organize dissemination and utilization efforts is described.

1 Follower
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background Like many new fields, implementation science has become vulnerable to instrumentation issues that potentially threaten the strength of the developing knowledge base. For instance, many implementation studies report findings based on instruments that do not have established psychometric properties. This article aims to review six pressing instrumentation issues, discuss the impact of these issues on the field, and provide practical recommendations.DiscussionThis debate centers on the impact of the following instrumentation issues: use of frameworks, theories, and models; role of psychometric properties; use of `home-grown¿ and adapted instruments; choosing the most appropriate evaluation method and approach; practicality; and need for decision-making tools. Practical recommendations include: use of consensus definitions for key implementation constructs; reporting standards (e.g., regarding psychometrics, instrument adaptation); when to use multiple forms of observation and mixed methods; and accessing instrument repositories and decision aid tools.SummaryThis debate provides an overview of six key instrumentation issues and offers several courses of action to limit the impact of these issues on the field. With careful attention to these issues, the field of implementation science can potentially move forward at the rapid pace that is respectfully demanded by community stakeholders.
    Implementation Science 09/2014; 9(1):118. DOI:10.1186/s13012-014-0118-8 · 3.47 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background The conceptual framework which describes recovery from mental illness is based primarily on studies conducted in English-speaking countries. Knowledge and development of recovery orientation within other cultures and mental health systems is still limited. Aim The aim of this study was to compile, describe and discuss the research on personal recovery and recovery-oriented practice within the psychiatric and social fields in the Nordic countries. Method A systematic literature review of Nordic research on recovery from mental illness. Results The research literature is limited, and primarily replicates designs and confirms findings first presented in studies conducted in the USA and Great Britain. The majority of the studies are qualitative, and point to the importance of social relations, environmental factors and peer support. Conclusions There is a need to identify and describe factors in Nordic mental health systems that may influence the recovery process. A corresponding challenge will be to translate and further develop outcome indicators that can promote a recovery-oriented health system.
    Journal of Mental Health 11/2013; 22(6). DOI:10.3109/09638237.2013.815337 · 1.01 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: OBJECTIVES This study was undertaken to assess the impact of consumer narratives on the recovery orientation and job satisfaction of service providers on inpatient wards that focus on the treatment of schizophrenia. It was developed to address the paucity of literature and service development tools that address advancing the recovery model of care in inpatient contexts. METHODS A mixed-methods design was used. Six inpatient units in a large urban psychiatric facility were paired on the basis of characteristic length of stay, and one unit from each pair was assigned to the intervention. The intervention was a series of talks (N=58) to inpatient staff by 12 former patients; the talks were provided approximately biweekly between May 2011 and May 2012. Self-report measures completed by staff before and after the intervention assessed knowledge and attitudes regarding the recovery model, the delivery of recovery-oriented care at a unit level, and job satisfaction. In addition, focus groups for unit staff and individual interviews with the speakers were conducted after the speaker series had ended. RESULTS The hypothesis that the speaker series would have an impact on the attitudes and knowledge of staff with respect to the recovery model was supported. This finding was evident from both quantitative and qualitative data. No impact was observed for recovery orientation of care at the unit level or for job satisfaction. CONCLUSIONS Although this engagement strategy demonstrated an impact, more substantial change in inpatient practices likely requires a broader set of strategies that address skill levels and accountability.
    Psychiatric services (Washington, D.C.) 11/2013; 65(2). DOI:10.1176/ · 1.99 Impact Factor


Available from