The Role of Integrated Knowledge Translation in Intervention Research
- 463 Downloads
There is widespread recognition across the full range of applied research disciplines, including health and social services, about the challenges of integrating scientifically derived research evidence into policy and/or practice decisions. These “disconnects” or “knowledge-practice gaps” between research production and use have spawned a new research field, most commonly known as either “implementation science” or “knowledge translation.” The present paper will review key concepts in this area, with a particular focus on “integrated knowledge translation” (IKT)—which focuses on researcher-knowledge user partnership—in the area of mental health and prevention of violence against women and children using case examples from completed and ongoing work. A key distinction is made between the practice of KT (disseminating, communicating, etc.), and the science of KT, i.e., research regarding effective KT approaches. We conclude with a discussion of the relevance of IKT for mental health intervention research with children and adolescents.
KeywordsImplementation science Knowledge translation Integrated knowledge translation Evidence-based practice Child mental health Violence prevention
This work was supported by funds from the Canadian Institutes of Health Research (CIHR) Institute of Gender and Health (IGH) and Institute of Neurosciences Mental Health and Addictions (INMHA) to PreVAiL (Centre for Research Development in Gender, Mental Health and Violence across the Lifespan, grant #RDG99326), which is co-led by Drs. Wathen and MacMillan. Dr. MacMillan holds the Chedoke Health Chair in Child Psychiatry.
Conflict of Interest
The authors declare that they have no conflicts of interest.
- Balas, E. A. (2003). Accelerating quality improvement in health care: Strategies to speed the diffusion of evidence-based innovations. Washington, DC: National Committee for Quality Health Care. Google Scholar
- Canadian Institutes of Health Research (n.d.). More about knowledge translation at CIHR. Ottawa: Canadian Institutes of Health Research. Available: http://www.cihr-irsc.gc.ca/e/39033.html. Accessed December 8, 2014.
- Dobbins, M., Hanna, S. E., Ciliska, D., Manske, S., Cameron, R., Mercer, S. L., O'Mara, L., DeCorby, K., & Robeson, P. (2009). A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies. Implementation Science, 4, 61.CrossRefPubMedCentralPubMedGoogle Scholar
- Haynes, L., Service, O., Goldacre, B., Torgerson, D. (2012). Test, learn, adapt: Developing public policy with randomized controlled trials. London, UK, Cabinet Office Behavioural Insights Team. Available: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/62529/TLA-1906126.pdf. Accessed June 17, 2014.
- Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.Google Scholar
- Kothari, A., Sibbald, S., & Wathen, C. N. (2014). Evaluation of partnerships in a transnational family violence research network using an integrated knowledge translation and exchange model: A mixed methods study. Health Research Policy and Systems, 12, 25. doi: 10.1186/1478-4505-12-25.CrossRefPubMedCentralPubMedGoogle Scholar
- Kunz, R., Wegscheider, K., Fritsche, L., Schünemann, H. J., Moyer, V., Miller, D., Boluyt, N., Falck-Ytter, Y., Griffiths, P., Bucher, H. C., Timmer, A., Meyerrose, J., Witt, K., Dawes, M., Greenhalgh, T., & Guyatt, G. H. (2010). Determinants of knowledge gain in evidence-based medicine short courses: An international assessment. Open Medicine, 4, e3–e10.CrossRefPubMedCentralPubMedGoogle Scholar
- Lavis, J. N., Hammill, A. C., Gildiner, A., McDonagh, R. J., Wilson, M. G., Ross, S. E., Ouimet, M., & Stoddart, G. L. (2005). A systematic review of the factors that influence the use of research evidence by public policymakers. Hamilton: Canadian Population Health Initiative.Google Scholar
- Lomas, J. (2000). Connecting research and policy. Canadian Journal of Policy Research, 1, 140–144.Google Scholar
- MacGregor, J. C., Kothari, A., LeMoine, K., & Labelle, J. (2013). Linking research to action for youth violence prevention: Community capacity to acquire, assess, adapt and apply research evidence. Canadian Journal of Public Health, 104(5), e394–399.Google Scholar
- MacMillan, H. L., Wathen, C. N., Jamieson, E., Boyle, M., McNutt, L. A., Worster, A., Lent, B., & Webb, M. (2006). A randomized trial of approaches to screening for intimate partner violence in health care settings. Journal of the American Medical Association, 296, 530–536.CrossRefPubMedGoogle Scholar
- MacMillan, H. L., Wathen, C. N., Jamieson, E., Boyle, M. H., Shannon, H., Ford-Gilboe, M., Worster, A., Lent, B., Coben, J., Campbell, J. C., McNutt, L. A., & for the McMaster Violence Against Women Research Program. (2009). Screening for intimate partner violence in health care settings: Results of a multi-site randomized trial. Journal of the American Medical Association, 305, 493–501.CrossRefGoogle Scholar
- McKibbon, K. A., Lokker, C., Wilczynski, N. L., Ciliska, D., Dobbins, M., Davis, D. A., Haynes, R. B., & Straus, S. E. (2010). A cross-sectional study of the number and frequency of terms used to refer to knowledge translation in a body of health literature in 2006: A Tower of Babel? Implementation Science, 5, 16.CrossRefPubMedCentralPubMedGoogle Scholar
- McLean, R., Tucker, J. & the Evaluation Working Group. (2013). Evaluation of CIHR's Knowledge Translation Funding Program. Ottawa: Canadian Institutes of Health Research. Available: http://www.cihr-irsc.gc.ca/e/documents/kt_evaluation_report-en.pdf. Accessed December 9, 2014.
- Sales, A. (2009). Quality improvement. In I. Graham, S. Straus, & J. Tetroe (Eds.), Knowledge translation in health care: Moving from evidence to practice. Wiley-Blakwell: Oxford.Google Scholar
- Wathen, C. N., MacMillan, H. L., Ford-Gilboe, M., Wekerle, C., Jack, S. M., & Sibbald, S. L. (2010). New knowledge about violence across the lifespan: Sharing the findings of three large research programs (Knowledge to Action: An End-of-Grant Knowledge Translation Casebook. (pp. 29-31)). Canadian Institutes of Health Research: Ottawa.Google Scholar
- Wathen, C. N., MacGregor, J. C., Sibbald, S. L., & MacMillan, H. L. (2013). Exploring the uptake and framing of research evidence on universal screening for intimate partner violence against women: A knowledge translation case study. Health Research Policy and Systems, 11, 13.CrossRefPubMedCentralPubMedGoogle Scholar
- World Health Organization. (n.d.) Violence prevention alliance – The public health approach. Available: http://www.who.int/violenceprevention/approach/public_health/en/index.html. Accessed June 17, 2014.