McDonald M Ellen, Papadopoulos Andrew, Edge Victoria L, Ford James, Sumner Alison, Harper Sherilee L
Department of Population Medicine, University of Guelph, Guelph, ON, Canada;
Department of Population Medicine, University of Guelph, Guelph, ON, Canada.
Int J Circumpolar Health. 2016 Apr 20;75:31223. doi: 10.3402/ijch.v75.31223. eCollection 2016.
Health research knowledge translation (KT) is important to improve population health outcomes. Considering social, geographical and cultural contexts, KT in Inuit communities often requires different methods than those commonly used in non-Inuit populations.
To examine the extent, range and nature of literature about health-related KT in Inuit communities.
A scoping review was conducted. A search string was used to search 2 English aggregator databases, ProQuest and EBSCOhost, on 12 March 2015. Study selection was conducted by 2 independent reviewers using inclusion and exclusion criteria. To be included, studies had to explicitly state that KT approaches were used to share human health research results in Inuit communities in the Circumpolar North. Articles that evaluated or assessed KT approaches were thematically analysed to identify and characterize elements that contributed to KT success or challenges.
From 680 unique records identified in the initial search, 39 met the inclusion criteria and were retained for analysis. Of these 39 articles, 17 evaluated the KT approach used; thematic analysis identified 3 themes within these 17 articles: the value of community stakeholders as active members in the research process; the importance of local context in tailoring KT strategies and messaging; and the challenges with varying and contradictory health messaging in KT. A crosscutting gap in the literature, however, included a lack of critical assessment of community involvement in research. The review also identified a gap in assessments of KT in the literature. Research primarily focused on whether KT methods reflected the local culture and needs of the community. Assessments rarely focused on whether KT had successfully elicited its intended action.
This review synthesized a small but burgeoning area of research. Community engagement was important for successful KT; however, more discussion and discourse on the tensions, challenges and opportunities for improvement are necessary.
健康研究知识转化（KT）对于改善人群健康状况至关重要。考虑到社会、地理和文化背景，因纽特社区的知识转化通常需要与非因纽特人群常用的方法不同的方法。
研究关于因纽特社区健康相关知识转化的文献的范围、广度和性质。
进行了一项范围综述。2015年3月12日，使用搜索词在两个英文聚合数据库ProQuest和EBSCOhost中进行搜索。由两名独立评审员根据纳入和排除标准进行研究选择。要纳入研究，必须明确指出知识转化方法用于在北极圈北部的因纽特社区分享人类健康研究结果。对评估或评价知识转化方法的文章进行主题分析，以识别和描述有助于知识转化成功或面临挑战的因素。
在初步搜索中识别出的680条独特记录中，39条符合纳入标准并被保留用于分析。在这39篇文章中，17篇评估了所使用的知识转化方法；主题分析在这17篇文章中确定了3个主题：社区利益相关者作为研究过程中积极成员的价值；根据当地情况调整知识转化策略和信息的重要性；以及知识转化中健康信息变化和矛盾带来的挑战。然而，文献中一个贯穿各领域的差距是缺乏对社区参与研究的批判性评估。该综述还发现文献中对知识转化评估存在差距。研究主要关注知识转化方法是否反映了当地文化和社区需求。评估很少关注知识转化是否成功引发预期行动。
本综述综合了一个虽小但正在兴起的研究领域。社区参与对于成功的知识转化很重要；然而，有必要就改进中的紧张关系、挑战和机遇进行更多讨论和论述。
