Knowledge translation of research findings
journal contributionposted on 31.03.2022, 22:33 by JM Grimshaw, MP Eccles, JN Lavis, Sophie HillSophie Hill, JE Squires
Background: One of the most consistent findings from clinical and health services research is the failure to translate research into practice and policy. As a result of these evidence-practice and policy gaps, patients fail to benefit optimally from advances in healthcare and are exposed to unnecessary risks of iatrogenic harms, and healthcare systems are exposed to unnecessary expenditure resulting in significant opportunity costs. Over the last decade, there has been increasing international policy and research attention on how to reduce the evidence-practice and policy gap. In this paper, we summarise the current concepts and evidence to guide knowledge translation activities, defined as T2 research (the translation of new clinical knowledge into improved health). We structure the article around five key questions: what should be transferred; to whom should research knowledge be transferred; by whom should research knowledge be transferred; how should research knowledge be transferred; and, with what effect should research knowledge be transferred?Discussion: We suggest that the basic unit of knowledge translation should usually be up-to-date systematic reviews or other syntheses of research findings. Knowledge translators need to identify the key messages for different target audiences and to fashion these in language and knowledge translation products that are easily assimilated by different audiences. The relative importance of knowledge translation to different target audiences will vary by the type of research and appropriate endpoints of knowledge translation may vary across different stakeholder groups. There are a large number of planned knowledge translation models, derived from different disciplinary, contextual (i.e., setting), and target audience viewpoints. Most of these suggest that planned knowledge translation for healthcare professionals and consumers is more likely to be successful if the choice of knowledge translation strategy is informed by an assessment of the likely barriers and facilitators. Although our evidence on the likely effectiveness of different strategies to overcome specific barriers remains incomplete, there is a range of informative systematic reviews of interventions aimed at healthcare professionals and consumers (i.e., patients, family members, and informal carers) and of factors important to research use by policy makers.Summary: There is a substantial (if incomplete) evidence base to guide choice of knowledge translation activities targeting healthcare professionals and consumers. The evidence base on the effects of different knowledge translation approaches targeting healthcare policy makers and senior managers is much weaker but there are a profusion of innovative approaches that warrant further evaluation. © 2012 Grimshaw et al.; licensee BioMed Central Ltd.
We are grateful to Egon Jonson for agreeing that we could use the chapter Grimshaw J, Eccles MP (2008). Knowledge Translation of Research Findings. In IHE Report June 2008: Effective Dissemination of Findings from Research. Institute of Health Economics, Alberta, Canada (2008) as the basis for this paper. JMG holds a Canada Research Chair. JES is a Postdoctoral Fellow funded by Canadian Institutes for Health Research. JMG and JNL are members and MPE is a member of the Scientific Advisory Board of KT Canada. Sophie Hill's role as Coordinating Editor of Cochrane Consumers and Communication Review Group is supported by funding from the Quality, Safety and Patient Experience Branch, Department of Health Victoria, Australia and the National Health and Medical Research Council Funding for Australian-based Cochrane Collaboration Activities.
Article NumberARTN 50
Rights Statement© 2012 Grimshaw et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Science & TechnologyLife Sciences & BiomedicineHealth Care Sciences & ServicesHealth Policy & ServicesHEALTH POLICY-MAKINGSUPPORT TOOLSQUALITYIMPLEMENTATIONCAREINTERVENTIONSCOMMUNICATIONBEHAVIORADDRESSDatabases as TopicHealth BehaviorHumansInformation DisseminationInformation Storage and RetrievalKnowledge ManagementPolicy MakingReview Literature as TopicTranslational Research, BiomedicalTranslational Medical Research