There’s nothing better (yet?) for improving evidence-based practice than knowledge translation
DOI:
https://doi.org/10.12775/JEHS.2022.12.12.039Keywords
knowledge translation,, evidence-based medicine, evidence-based public health, evidence-based practiceAbstract
WHO Framework Convention on Tobacco Control entered into force 55 years after the first publication on relationship between smoking and lung cancer. The need to increase use of evidence into practice is widely emphasized.
Purpose. Presentation of the knowledge translation process and discussion of the basis on which this concept was created.
The state of knowledge. The concept of knowledge translation was created at the beginning of the 21st century in response to problems related to the production and dissemination of scientific evidence, including the so-called the know-do gap. These problems constitute a significant barrier to adherence to the principles of evidence-based medicine and practice. The translation of knowledge is seen as an operationalization of the above principles and a shortening of the path from evidence to effect. There are many approaches to knowledge translation, and there are problems and limitations in evaluating this process. This can cause confusion amongst stakeholders in the health system.
Conclusions. Knowledge translation is a developmental and increasingly popular concept. There is no (yet?) better tool to improve evidence-based practice, both in medicine and public health than knowledge translation. The issue of knowledge translation should be disseminated in literature, tested in research, raised in discourse and implemented in health professionals education in Poland.
References
Doll R, Hill AB. Smoking and Carcinoma of the Lung. Br Med J. 1950; 2(4682): 739–748. DOI: 10.1136/bmj.2.4682.739.
U.S. Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. A Historical Review of Efforts to Reduce Smoking in the United States. Chapter 2.
Atlanta, Georgia, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2000: 27-57.
https://www.cdc.gov/tobacco/sgr/2000/complete_report/pdfs/fullreport.pdf. (dostęp: 2022.10.15).
World Health Organization. WHO Framework Convention on Tobacco Control. WHO, Genewa 2005. https://fctc.who.int/who-fctc/overview. (dostęp: 2022.10.15).
Rose G. Strategy of prevention: lessons from cardiovascular disease. Br Med J (Clin Res Ed). 1981; 282(6279): 1847–1851.
World Health Organization. The World Health Report. Reducing risks, promotiong healthy life. WHO, Geneva 2002: 147. https://www.who.int/publications/i/item/9241562072. (dostęp: 2022.10.15).
Brainin M, Feigin VL, Norrving B, et al. Global prevention of stroke and dementia: the WSO Declaration. Lancet Neurol. 2020; 19(6):487-488. DOI: 10.1016/S1474-4422(20)30141-1.
Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med. 2011; 104(12): 510–520. DOI: 10.1258/jrsm.2011.110180.
Green LW. Making research relevant: If it is an evidence-based practice, where's the practice-based evidence? Family Practice 2008; 25(supl 1): i20-4. DOI: 10.1093/fampra/cmn055.
Chalmers I, Glasziou P. Avoidable waste in the production and reporting of research evidence. Lancet 2009; 374(9683): 86-9. DOI: 10.1016/S0140-6736(09)60329-9.
Mankoff SP, Brander C, Ferrone S. et al. Lost in Translation: Obstacles to Translational Medicine. J Transl Med. 2004; 2: 14. DOI: 10.1186/1479-5876-2-14.
Żurawski P, Stryła W, Szczepański P. Ignac Semmelweis (1818-1865) – pro memoria Ignac Semmelweis (1818-1865) – pro memoria. Probl Hig Epidemiol 2010; 91(2): 173-177.
Green LW, Ottoson JM, Garcıa C, et al. Diffusion Theory and Knowledge Dissemination, Utilization, and Integration in Public Health. Annu. Rev. Public Health 2009; 30:151–74. DOI: 10.1146/annurev.publhealth.031308.100049.
Andersen F, Rocca E. Underdetermination and evidence-based policy. Studies in History and Philosophy of Science. Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 2020; 84:101335. DOI: 10.1016/j.shpsc.2020.101335.
Yamey G, Feachem R. Evidence-based policymaking in global health – the payoffs and pitfalls. BMJ Evidence-Based Medicine 2011;16: 97-99. DOI: 10.1136/ebm.2011.100060.
Cairney P, Oliver K. Evidence-based policymaking is not like evidence-based medicine, so how far should you go to bridge the divide between evidence and policy? Health Res Policy Sys 2017; 15: 35. DOI:10.1186/s12961-017-0192-x.
Kothari A, Smith MJ. Public Health Policymaking, Politics, and Evidence. W: Fafard P, Cassola A , de Leeuw E. (red.). Integrating Science and Politics for Public Health. Palgrave Macmillan 2022: 59-74. DOI:10.1007/978-3-030-98985-9.
Sutcliffe S, Court J. Evidence-Based Policymaking: What is it? How does it work? What relevance for developing countries? Overseas Development Institute November 2005: 7. https://cdn.odi.org/media/documents/3683.pdf. (dostęp: 2022.10.15).
Caplan N. The Two-Communities Theory and Knowledge Utilization. American Behavioral Scientist. 1979; 22(3): 459–70. DOI: 10.1177/000276427902200308.
Gaudreau M, Saner M. Researchers are from Mars; Policymakers are from Venus: Collaboration across the System. University of Ottawa, Institute for Science, Society and Policy: 2014. https://www2.uottawa.ca/research-innovation/sites/g/files/bhrskd326/files/2022-07/issp2014-spibrief1-collaboration.pdf. (dostęp: 2022.10.15).
Brownson RC, Royer C, Ewing R, et l. TD. Researchers and policymakers: travelers in parallel universes.
Am J Prev Med. 2006 Feb;30(2):164-72. DOI: 10.1016/j.amepre.2005.10.004.
Stanowisko Polskiego Towarzystwa Hydrobiologicznego w sprawie Odry. 13.09.2022. http://www.pth.home.pl/portal/index.php. (dostęp: 2022.10.15).
Leibniz Institute of Freshwater Ecology and Inland Fisheries(IGB). The future of the River Oder: Research-based recommendations for action in the wake of the man-made environmental disaster. IGB Policy Brief, Leibniz-Institut für Gewässerökologie und Binnenfischerei, Berlin. 2022. https://www.igb-berlin.de/sites/default/files/media-files/download-files/IGB_Policy_Brief_The_future_of_the_River_Oder_web.pdf. (dostęp: 2022.10.15).
Evidence-Based Medicine Working Group. Evidence-based medicine. A new approach to teaching the practice of medicine". JAMA 1992; 268 (17): 2420–2425. DOI: 10.1001/jama.1992.03490170092032.
Cochrane AL. Effectiveness and efficiency: Random reflections on health services. Nuffield Trust 1972. https://www.nuffieldtrust.org.uk/files/2017-01/effectiveness-and-efficiency-web-final.pdf. (dostęp: 2022.10.15).
Sackett DL, Rosenberg WMC, Gray JAM, et al. Evidence based medicine: what it is and what it isn't. BMJ 1996; 312(7023):71-2. DOI: 10.1136/bmj.312.7023.71.
Haynes RB, Sackett DL, Gray JRM, et al. Transferring evidence from research into practice: 1. the role of clinical care research evidence in clinical decisions. ACP Journal Club 1996, 125:A-14-16.
Gray M. Designing healthcare for a different future. Journal of the Royal Society of Medicine. 2016; 109(12):453-458. DOI:10.1177/0141076816679781.
Cohen AM, Stavri PZ, Hersh WR. A categorization and analysis of the criticisms of evidence-based medicine. Int J Med Inf 2004; 73(1): 35-43. DOI: 10.1016/j.ijmedinf.2003.11.002.
Sheridan DJ, Julian DG. Achievements and Limitations of Evidence-Based Medicine. J Am Coll Cardiol. 2016; 68(2): 204-213. DOI:10.1016/j.jacc.2016.03.600.
Correa VC, Lugo-Agudelo LH, Aguirre-Acevedo DC. et al. Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview. Health Res Policy Sys 2020: 18: 74. DOI:10.1186/s12961-020-00588-8.
Jin Yh, Tan LM, Khan KS, et al. Determinants of successful guideline implementation: a national cross-sectional survey. BMC Med Inform Decis Mak 2021; 21: 19. DOI: 10.1186/s12911-020-01382-w.
Jenicek M. Epidemiology, evidenced-based medicine, and evidence-based public health. J Epidemiol. 1997; 7(4):187-97. DOI: 10.2188/jea.7.187.
Brownson RC, Fielding JE, Maylahn CM. Evidence-based decision making to improve public health practice. Frontiers in Public Health Services and Systems Research 2013, 2(2): 2. DOI: 10.13023/FPHSSR.0202.02.
Rutter H, Savona N, Glonti K, et al. The need for a complex systems model of evidence for public health. Lancet. 2017; 390(10112): 2602-2604. DOI:10.1016/S0140-6736(17)31267-9.
McGill E, Er V, Penney T, et al. Evaluation of public health interventions from a complex systems perspective: A research methods review. Social Science & Medicine 2021; 272: 113697. DOI:10.1016/j.socscimed.2021.113697.
Wolfenden L, Mooney K, Gonzalez S. et al. Increased use of knowledge translation strategies is associated with greater research impact on public health policy and practice: an analysis of trials of nutrition, physical activity, sexual health, tobacco, alcohol and substance use interventions. Health Res Policy Sys 2022; 20: 15. DOI: 10.1186/s12961-022-00817-2
World Dental Federation. FDI policy statement on Evidence-based dentistry Adopted by the FDI General Assembly, September 2016, Poznan, Poland. International Dental Journal 2017; 67: 12–13. DOI: 10.1111/idj.12311.
Saunders H, Gallagher-Ford L, Kvist T, et al. Practicing Healthcare Professionals' Evidence-Based Practice Competencies: An Overview of Systematic Reviews. Worldviews Evid Based Nurs. 2019; 16(3):176-185. DOI: 10.1111/wvn.12363.
Canadian Institutes of Health Reserch. Knowledge Translation Strategy 2004-2009Innovation in Action. 2004. https://cihr-irsc.gc.ca/e/26574.html#defining. (dostęp: 2022.10.15).
Ødemark, J., Engebretsen, E. Challenging medical knowledge translation: convergence and divergence of translation across epistemic and cultural boundaries. Humanit Soc Sci Commun 2022; 9: 71. DOI:10.1057/s41599-022-01088-6
Davis D, Davis ME, Jadad A et al. (2003) The case for knowledge translation: shortening the journey from evidence to effect. BMJ 2003; 327(7405):33–35. DOI: 10.1136/bmj.327.7405.33
Chen CY, Huang TW, Kuo KN, et al. Evidence-based health care: A roadmap for knowledge translation. Journal of the Chinese Medical Association 2017; 80(12):747-749. DOI: 10.1016/j.jcma.2017.04.010.
Canadian Institutes of Health Researcch. Knowledge translation. 2016. https://cihr-irsc.gc.ca/e/29418.html#4. (dostęp: 2022.10.15).
PanAmerican Health Organization (PAHO/WHO). Knowledge Translation and Evidence. https://www.paho.org/en/evidence-and-intelligence-action-health/knowledge-translation-and-evidence. (dostęp: 2022.10.15).
Straus SE, Tetroe J, Graham ID. Knowledge to action: what it is and what it isn't. W: Knowledge Translation in Health Care: Moving from Evidence to Practice. Canadian Institutes of Health Research. 2015. https://cihr-irsc.gc.ca/e/41928.html. (dostęp: 2022.10.15).
Esmail R, Hanson H, Holroyd-Leduc J. et al. Knowledge translation and health technology reassessment: identifying synergy. BMC Health Serv Res 2018; 18: 674. DOI: 10.1186/s12913-018-3494-y.
Graham ID, Logan J, Harrison MB, et al. Lost in Knowledge Translation: Time For A Map? J Contin Educ Health Prof 2006; 26(1): 13. DOI: 10.1002/chp.47.
McKibbon KA, Lokker C, Wilczynski NL, et al. 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? Implement Sci. 2010; 5:16. DOI: 10.1186/1748-5908-5-16.
Ward V, House A, Hamer S. Developing a framework for transferring knowledge into action: a thematic analysis of the literature. J Health Serv Res Policy. 2009; 14(3): 156–164. DOI: 10.1258/jhsrp.2009.008120.
Sudsawad P. Knowledge Translation: Introduction to Models, Strategies, and Measures. The National Center for the Dissemination of Disability Research. 2007: 2-3.
Murphy K, Fafard P. Knowledge Translation and Social Epidemiology: Taking Power, Politics and Values Seriously. W: O’Campo P, Dunn JR. (red.) Rethinking Social Epidemiology: Towards a Science of Change. Springer Dordrecht 2012: 267-283. DOI: 10.1007/978-94-007-2138-8.
El-Jardali F, Bou-Karroum L, Fadlallah R. Amplifying the role of knowledge translation platforms in the COVID-19 pandemic response. Health Res Policy Sys 2020; 18: 58. DOI: 10.1186/s12961-020-00576-y.
WHO Regional Office for Europe. Rapid response: knowledge translation mechanisms to translate evidence into public health policy in WHO, Copenhagen. 2021. https://apps.who.int/iris/bitstream/handle/10665/342575/WHO-EURO-2021-2719-42477-58997-eng.pdf. (dostęp: 2022.10.15).
Kuchenmüller T, Reeder JC, Reveiz L, et al. COVID-19: investing in country capacity to bridge science, policy and action. BMJ Global Health 2021; 6: e005012. DOI: 10.1136/ bmjgh-2021-005012.
Cianciara D. Translacja wiedzy – wprowadzenie do tematyki. W: Cianciara D. (red.) Nie ma zdrowia bez badań w dziedzinie zdrowia publicznego. Narodowy Instytut Zdrowia Publicznego-Państwowy Zakład Higieny, Warszawa 2014: 111-128. http://bazawiedzy.pzh.gov.pl/wydawnictwa. (dostęp: 2022.10.15).
Cianciara D. Translacja wiedzy – relacje badaczy z użytkownikami badań. W: Cianciara D. (red.) Nie ma zdrowia bez badań w dziedzinie zdrowia publicznego. Narodowy Instytut Zdrowia Publicznego-Państwowy Zakład Higieny, Warszawa 2014:129-145. http://bazawiedzy.pzh.gov.pl/wydawnictwa. (dostęp: 2022.10.15).
Cianciara D. Translacja wiedzy – podejścia i metody. W: Cianciara D. (red.) Nie ma zdrowia bez badań w dziedzinie zdrowia publicznego. Narodowy Instytut Zdrowia Publicznego-Państwowy Zakład Higieny, Warszawa 2014:146-158. http://bazawiedzy.pzh.gov.pl/wydawnictwa. (dostęp: 2022.10.15).
Maciorowska K. Wytyczne w praktyce klinicznej: doświadczenia polskie oraz wybranych krajów EU. Naczelna Izba Lekarska , maj 206: 20-21. https://nil.org.pl/uploaded_images/1575631317_wytyczne-i-standardy-kliniczne-raport.pdf. (dostęp: 2022.10.15).
Bhattacharyya O, Estey EA, Zwarenstein M. Methodologies to evaluate the effectiveness of knowledge translation interventions: a primer for researchers and health care managers. J Clin Epidemiol. 2011; 64(1), 32-40. DOI: 10.1016/j.jclinepi.2010.02.022.
Alberta Health Services. Knowledge Translation Evaluation Planning Guide. Edmonton, 2019. https://www.albertahealthservices.ca/assets/info/amh/if-amh-ke-kt-evaluation-planning-guide.pdf. (dostęp: 2022.10.15).
Delnord M, Abboud LA, Costa C, et al. Developing a tool to monitor knowledge translation in the health system: results from an international Delphi study, European Journal of Public Health 2021; 31(4):695-702. DOI: 10.1093/eurpub/ckab117.
Bakewell N, Chan M, Churchill C, Labrecque M. Knowledge Translation: A Synopsis of the Literature for AMH Research. Alberta Health Services, Edmonton, May 2022 https://www.albertahealthservices.ca/assets/info/amh/if-amh-ke-kt-synopsis.pdf. (dostęp: 2022.10.15).
Bhawr J, Skinner K. Examination of tools associated with the evaluation of knowledge uptake and utilization: A scoping review. Evaluation and Program Planning 2020; 83: 101875. DOI: 10.1016/j.evalprogplan.2020.101875.
Murunga VI, Oronje RN, Bates I. et al. Review of published evidence on knowledge translation capacity, practice and support among researchers and research institutions in low- and middle-income countries. Health Res Policy Sys 2020; 18: 16. DOI: 10.1186/s12961-019-0524-0.
Scott SD, Rotter T, Flynn R. et al. Systematic review of the use of process evaluations in knowledge translation research. Syst Rev 2019; 8: 266. DOI: 10.1186/s13643-019-1161-y.
Brown A, Barnes C, Byaruhanga J, et al. Effectiveness of Technology-Enabled Knowledge Translation Strategies in Improving the Use of Research in Public Health: Systematic Review. J Med Internet Res 2020; 22(7): e17274. DOI: 10.2196/17274.
Grimshaw JM, Eccles MP, Lavis JN. et al. Knowledge translation of research findings. Implementation Sci 2012; 7: 50. DOI: 10.1186/1748-5908-7-50.
Churchill C, Mumme J. Knowledge translation strategies for different audiences. Alberta Health Services, Edmonton, August 2022. https://www.albertahealthservices.ca/assets/info/amh/if-amh-kt-strategies-for-different-audiences.pdf. (dostęp: 2022.10.15).
Kujbida G, Stratton J. Effective knowledge translation tactics for increasing the use of health status and surveillance data. Region of Peel. September 2014. https://www.peelregion.ca/health/library/pdf/effective-kt.pdf. (dostęp: 2022.10.15).
Isaacs D, Fitzgerald D. Seven alternatives to evidence based medicine. BMJ 1999; 319 :1618. DOI: 10.1136/bmj.319.7225.1618.
Smith GC, Pell JP. Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ. 2003; 327(7429):1459-61. DOI: 10.1136/bmj.327.7429.1459.
Potts M, Prata N, Walsh J, et al. Parachute approach to evidence based medicine. BMJ 2006; 30;333(7570):701-3. DOI: 10.1136/bmj.333.7570.701.
Bennet G, Jessani N. (red.) The knowledge translation toolkit. Bridging the know-do gap. A resource for researchers. International Development Research Centre, SAGE 2011. https://idl-bnc-idrc.dspacedirect.org/bitstream/handle/10625/46152/IDL-46152.pdf?sequence=1&isAllowed=y. (dostęp: 2022.10.15).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Dorota Cianciara, Andrzej Szmigiel, Jacek Pruszyński
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 589
Number of citations: 0