The nature of evidence resources and knowledge translation for health promotion practitioners

Cochrane Health Promotion and Public Health Field, Melbourne, Australia.
Health Promotion International (Impact Factor: 1.94). 10/2007; 22(3):254-60. DOI: 10.1093/heapro/dam017
Source: PubMed


Governments and other public health agencies have become increasingly interested in evidence-informed policy and practice. Translating research evidence into programmatic change has proved challenging and the evidence around how to effectively promote and facilitate this process is still relatively limited. This paper presents the findings from an evaluation of a series of evidence-based health promotion resources commissioned by the Victorian Department of Human Services. The evaluation used qualitative methods to explore how practitioners for whom the resources were intended, viewed and used them. Document and literature review and analysis, and a series of key informant interviews and focus groups were conducted. The findings clearly demonstrate that the resources are unlikely to act as agents for change unless they are linked to a knowledge management process that includes practitioner engagement. This paper also considers the potential role of knowledge brokers in helping to identify and translate evidence into practice.

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    • "reviewed articles, we met similar terms to describe synthesis, like development, creation and generation of knowledge. For knowledge synthesis, processes need to adequately link research, practice and policy into a meaningful interface (Armstrong et al., 2007). Different types of knowledge could be assembled to present a composite picture of the evidence-based, informed practice. "
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    ABSTRACT: Knowledge is an intangible asset in Organizations, and provides a comparative advantage to those who possess it. Hospitals are complex organizations with unique characteristics because of the heterogeneity of health professionals' orientation, the composite networking and the decision-making processes. A deeper understanding of knowledge management (KM) could streamline productivity and coordinate the use of resources more efficient. We conducted a systematic literature search of peer-reviewed papers that described key elements of KM using three databases (Medline, Cinahl and Health Source: nursing/academic edition) for a 10-year period (1/1/2004-25/11/2014). The included articles were subjected to qualitative content analysis. We retrieved 604 articles of which 20 articles were eligible for analysis. Most of the studies (n=13) used a qualitative methodology. The total sample size was 2155 participants. The key elements that arose were as follows: perceptions of KM, synthesis, dissemination, collaboration, means of KM and leadership. Moreover, this study identified barriers for KM implementation, like time restrictions and limited skills. Healthcare managers ought to cultivate a knowledge environment, operate as role models, provide the tools for KM and reward people who act as knowledge brokers. Opportunities for collaboration and knowledge sharing should be encouraged. Successful KM should be patient-centered to gain its maximum value. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.
    Full-text · Article · Jul 2015 · International Journal of Health Planning and Management
    • "In public health, evidence-informed decision making with respect to policy and practice has been gaining momentum (Armstrong et al, 2007). Although policy makers and health professionals are expected to base their decisions on scientific evidence (Coleman and Nicholl, 2001; Humphreys and Piot, 2012; Muir Gray, 2004), applying scientific evidence is not straightforward (Dobbins et al, 2002; Oxman et al, 2009). "
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    ABSTRACT: One of the barriers regarding evidence-informed decision making is the gap between the needs of policy makers and the ways researchers present evidence. This pilot study evaluates the barriers and facilitators to the implementation of a tool to enhance transparent and unambiguous communication on scientific evidence by knowledge workers.Therefore, mixed methods (qualitative and quantitative) were applied.The results indicate that to promote successful implementation of such a tool, efforts should be undertaken to provide time and guidance on how to adapt routines and on how to apply the tool to various products.
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    • "Online modules have recently been used successfully to change knowledge, beliefs, and clinical practice behaviors among occupational therapists in a school setting (Campbell et al., 2012; Missiuna et al., 2012b). The use of an online educational module would also allow PTs the ability to access a variety of resources within the module as needed to support new learning, as well as more in-depth learning, both of which are noted to be necessary for the implementation of new knowledge (Armstrong et al., 2007). "
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    ABSTRACT: Aims: Developmental coordination disorder (DCD) is a chronic condition with potential negative health consequences. Therapists working with children with DCD need access to tailored, synthesized, evidence-based information; however a knowledge-to-practice gap exists. The aim of this study was to develop and evaluate the utility of an evidence-based online DCD module tailored to physical therapists' (PTs) needs. Methods: Guided by the Knowledge to Action framework, we interviewed PTs working with children with DCD (n = 9) to identify their information needs. Their recommendations, along with synthesized DCD research evidence, informed module development. These PTs as well as others (n = 50) evaluated the module's usefulness. Results: The module incorporated important content areas including: (1) identification; (2) planning interventions and goals; (3) evidence-based practice; (4) management; and (5) resources. Case scenarios, clinical applications, interactive media, links to resources, and interactive learning opportunities were also embedded. PTs perceived the module to be comprehensive and useful and provided feedback to improve module navigation. Conclusions: Involving end-users throughout the development and evaluation of an online PT DCD module contributed to its relevance, applicability, and utility. It will be important to evaluate whether use of this module improves the quality of services provided by PTs.
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