Center for Person-centered Research, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand -
Rehabilitation Teaching and Research Unit, University of Otago and Burwood Academy of Independent Living, Christchurch, New Zealand.
Eur J Phys Rehabil Med. 2019 Jun;55(3):331-341. doi: 10.23736/S1973-9087.19.05793-9. Epub 2019 Apr 15.
Despite a growing portfolio of rehabilitation reviews, uptake of review findings into practice remains slow, with review findings perceived to be lacking in relevance and usability for stakeholders. Key aspects of review design, production and dissemination have been identified to contribute to this knowledge translation (KT) gap.
The aim of this study is to identify strategies relevant to rehabilitation review design, production and dissemination which have the potential to optimize uptake of review findings into practice.
Two strategies are discussed, drawing on case examples of existing rehabilitation reviews, including: 1) involving stakeholders in review design, production and dissemination; and 2) moving towards theory-based, mixed methods review design. The merits of these strategies are discussed with reference to the unique and specific characteristics of the rehabilitation context, where there is complexity inherent in the multiple interacting components across population, intervention, context and implementation processes.
Moving towards theory-based, mixed methods reviews which involve stakeholders may be a critical first step in supporting uptake of review findings into rehabilitation practice. Doing so also has the potential to support advances in knowledge and practice in rehabilitation through theory development, as well as creating the context for evidence-based practice.
尽管康复领域的综述越来越多，但这些综述的研究结果在实践中的应用仍然缓慢，利益相关者认为这些综述的结果缺乏相关性和实用性。研究设计、制作和传播的关键方面被认为是导致知识转化（KT）差距的原因。
本研究旨在确定与康复综述设计、制作和传播相关的策略，这些策略有可能优化综述结果在实践中的应用。
讨论了两种策略，借鉴了现有的康复综述案例，包括：1）让利益相关者参与综述的设计、制作和传播；2）朝着基于理论的混合方法综述设计发展。讨论了这些策略的优点，参考了康复背景下的独特和具体特征，在人口、干预、环境和实施过程的多个相互作用的组成部分中存在固有的复杂性。
朝着基于理论的、涉及利益相关者的混合方法综述发展可能是支持康复实践中采用综述结果的关键的第一步。这样做也有可能通过理论发展来支持康复知识和实践的进步，并为循证实践创造环境。
