journal contribution posted on 06.01.2021, 05:40 by Jodi OakmanJodi Oakman, Liana CahillLiana Cahill, Samantha CluneSamantha Clune, Cheryl NeilsonCheryl Neilson, Nora ShieldsNora Shields, Tamara TseTamara Tse, Sophie O'KeefeSophie O'Keefe, Margarita FredericoMargarita Frederico, Marnie GracoMarnie Graco, Anne HollandAnne Holland, Laura JolliffeLaura Jolliffe, Leeanne CareyLeeanne Carey, Virginia LewisVirginia Lewis, Graham BrownGraham Brown, Narelle CoxNarelle Cox, Meg MorrisMeg Morris, Natasha LanninNatasha Lannin
BackgroundThe adoption of research evidence to improve client outcomes may be enhanced using the principles of implementation science. This systematic review aimed to understand the effect of involving consumers to change health professional behaviours and practice. The barriers and enablers to consumer engagement will also be examined.
MethodsWe searched Medline, CINAHL, Embase, The Cochrane Central Register of Controlled Trials (CENTRAL) and PDQ-Evidence from 2004 to February 2019. Implementation studies involving consumers in at least one phase (development, intervention, or facilitation) of an intervention that aimed to change health professional behaviour to align with evidence-based practice were included. Studies in the areas of paediatrics and primary care were excluded. Two review authors independently screened studies for inclusion, one author extracted data and conducted quality assessments with review of a second author. Knowledge translation interventions were categorised using the Effective Practice and Organisation of Care (EPOC) taxonomy. The primary outcome was measures of change in health professional behaviour.
ResultsSixteen articles met the inclusion criteria. Meta analysis of three studies found support for consumer involvement in changing health care professionals behaviour (Hedges' g = 0.41, 95% CI [.27, .57], p < .001). Most knowledge translation studies involved consumers during the development phase only (n = 12). Most studies (n = 9) included one type of knowledge translation intervention. Professional interventions (including education of health professionals, educational outreach, and audit and feedback) were described in 13 studies.
ConclusionsConsumer involvement rarely moves beyond the design phase of knowledge translation research in healthcare settings. Further research is needed of the barriers to and effect of increased consumer engagement across all stages of knowledge translation interventions.
JournalInternational Journal for Quality in Health Care
PublisherOxford University Press
Rights StatementThe Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.