Integrating Knowledge Translation and Exchange into a grant

1. Integrating Knowledge Translation and Exchange into a grant Maureen Dobbins, RN, PhD SON, January 14, 2013

2. Objectives • current activities • type of KTE activity • planning for integrated KT • end of grant KT • Assessing success

3. Setting the Stage At your small table discuss: • your research • your experience in KT • what is KT success to you

4. A Journey of Learning • OHCEN • Doctoral • Qualitative • RCT • Case Studies

5. What is KT?

6. What is KT? raising knowledge users' awareness of research findings and facilitating the use of those findings (http://www.cihr-irsc.gc.ca/e/45321.html#a1)

7. Type of KTE • Integrated KT (iKT) Knowledge users part of research team Participate in most/all of research process • End of grant KT Plan for how research findings will be translated after study

8. Knowledge User • an individual likely able to use research to make informed decisions about health policies, programs or practices • can be: • practitioner • policy maker • educator • decision maker • health care administrator • community leader or an individual in a health charity • patient group • private sector organization • or media outlet.

9. Identify Knowledge User(s)

10. Knowledge User Roles (iKT) opportunity for significant collaboration with knowledge users in: • development or refinement of research questions • selection of the methodology, data collection and tools development • selection of outcome measures • interpretation of the findings • crafting of the message and dissemination of the results

11. Identify Applicable User Roles

12. Engaging Users • grant timelines • addressing user needs • challenges

13. Grant Timeline Plot timeline for developing grant (ensure adequate time for user input)

14. What do you know about user informational needs

15. Challenges to engaging User

16. Research Question • To what extent is the research question clear and in response to an important need identified by the decision-maker(s) on the research team? • Make explicit how question addresses User(s) needs

17. Research Question

18. Research Approach • extent knowledge users are meaningfully engaged • strategies for sustaining their meaningful engagement • specify when, how and for what purpose the researchers and knowledge users will meet • Very strong iKT projects demonstrate an established relationship with the participating knowledge users, one that hopefully precedes and will outlast the project • primary audience for iKT projects is the knowledge users participating as part of the project team

19. Research Approach

20. Feasibility • extent knowledge users are committed to applying the findings when they become available and is their application achievable in the particular practice, program and/or policy context? • to what extent does the researcher-decision-maker team have the necessary expertise, time and track record to deliver on the project's objective(s)

21. Feasibility

22. Monitor Knowledge Use PATHWAYS MODEL What constitutes knowledge? Select, Tailor, Implement Interventions Evaluate Outcomes Knowledge Inquiry Adapt Knowledge to Local Context Knowledge Synthesis Tailoring Knowledge Knowledge Tools/ Products Sustain Knowledge Use Assess Barriers to Knowledge Use Identify Problem ------------------------------- Identify, Review, Select Knowledge Identify the best available research evidence evaluating strategies to promote child health Policy making models and the use of research evidence Model adapted from Graham, I. D., Logan, J., Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W. et al. (2006). Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions, 26, 13-14. KT ACTION CYCLE (Application)

23. Outcomes • To what extent will the project have a substantive and sustainable impact on health outcomes, practice, programs and/or policy in the study context? • To what extent will the project's findings be transferable to other practice, programs and/or policy contexts?

24. Outcome Issues • What are the right outcomes • Realistic timing • Validity and reliability

25. Instrumental Use Outcomes • Developing processes and infrastructure • Organizational policies • Resources • Skill development and training sessions

26. Instrumental Use (cont’d) • Attitudes • Evidence is being used • to assess clients/communities • to plan programs • Health outcomes • Work life satisfaction • Health system

27. Conceptual Outcomes • # aware of program • # aware of evidence • Proportion aware of project and products • # of times evidence downloaded • # of times links to evidence are clicked • # of times links in newsletters, etc are clicked • Agenda items

28. Outcomes

29. Keys to success • leadership & strategic direction • shared vision • combination of f2f and virtual contact • individual & organizational assessment • tailored interventions • practice-based & -relevant

30. Keys to success cont’d • multiple levels of involvement • starting “where folks are at” • skills practice opportunities • collaborative goal setting • flexibility • Format (virtual or face-to-face) • Site visit schedules • Availability • Changing priorities

31. End of Grant KT • identify key target audiences for findings • craft key messages tailored for various audiences • tailored KT strategy for different audiences • face to face engagement • personalized reports • open access publications in relevant journals • presentations at conferences where audience attends • Non-peer reviewed publications

32. End of Grant KT (cont’d) • open access publications in relevant journals • presentations at conferences where audience attends • non-peer reviewed publications/web reports • have knowledge users prepare and present results at relevant conferences

33. End of Grant KT (cont’d)

34. Helpful Resources http://www.cihr-irsc.gc.ca/e/45321.html#a1 (guide to KT planning) http://www.cihr-irsc.gc.ca/e/44954.html (module: researcher/knowledge user collaboration) http://www.cihr-irsc.gc.ca/e/4656.html#s3_7_4 (scientific merit criteria)