Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa Hospital - General Campus, 501 Smyth Road, C,P, 711, K1H 8 L6 Ottawa, ON, Canada.
Implement Sci. 2014 May 1;9:51. doi: 10.1186/1748-5908-9-51.
BACKGROUND: A wide range of diverse and inconsistent terminology exists in the field of knowledge translation. This limits the conduct of evidence syntheses, impedes communication and collaboration, and undermines knowledge translation of research findings in diverse settings. Improving uniformity of terminology could help address these challenges. In 2012, we convened an international working group to explore the idea of developing a common terminology and an overarching framework for knowledge translation interventions. FINDINGS: Methods included identifying and summarizing existing frameworks, mapping together a subset of those frameworks, and convening a multi-disciplinary group to begin working toward consensus. The group considered four potential approaches to creating a simplified framework: melding existing taxonomies, creating a framework of intervention mechanisms rather than intervention strategies, using a consensus process to expand one of the existing models/frameworks used by the group, or developing a new consensus framework. CONCLUSIONS: The work group elected to draft a new, simplified consensus framework of interventions to promote and integrate evidence into health practices, systems and policies. The framework will include four key components: strategies and techniques (active ingredients), how they function (causal mechanisms), how they are delivered (mode of delivery), and what they aim to change (intended targets). The draft framework needs to be further developed by feedback and consultation with the research community and tested for usefulness through application and evaluation.
背景:知识转化领域存在着广泛而多样的术语,这些术语不一致,限制了证据综合的开展,阻碍了交流与合作,也不利于研究结果在不同环境下的转化。术语的统一化可以帮助解决这些挑战。2012 年,我们召集了一个国际工作组,探讨开发一个通用术语和知识转化干预措施的总体框架的想法。
发现:方法包括确定和总结现有的框架,将其中的一个子集进行映射,并召集一个多学科小组开始努力达成共识。该小组考虑了四种创建简化框架的潜在方法:融合现有的分类法、创建干预机制框架而不是干预策略框架、使用共识过程扩展小组使用的现有模型/框架之一,或开发一个新的共识框架。
结论:工作组选择起草一个新的、简化的干预措施共识框架,以促进和整合证据到健康实践、系统和政策中。该框架将包括四个关键组成部分:策略和技术(有效成分)、它们的作用方式(因果机制)、它们的传递方式(传递模式)以及它们旨在改变的目标(预期目标)。该框架草案需要通过与研究界的反馈和协商进一步制定,并通过应用和评估来测试其有用性。
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