Institute for Health Policy, Management & Evaluation, University of Toronto, 155 College St 4th floor, Toronto, Ontario M5T 3M6, Canada; Knowledge Translation Program, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria St, Toronto, Ontario M5B 1T8, Canada.
Institute for Health Policy, Management & Evaluation, University of Toronto, 155 College St 4th floor, Toronto, Ontario M5T 3M6, Canada; Knowledge Translation Program, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 209 Victoria St, Toronto, Ontario M5B 1T8, Canada; Division of Geriatric Medicine, Department of Medicine, University of Toronto, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada.
J Clin Epidemiol. 2019 Sep;113:58-63. doi: 10.1016/j.jclinepi.2019.05.015. Epub 2019 May 23.
A systematic review (SR) was conducted to evaluate the comparative effectiveness of geriatrician-led models of care, and an integrated knowledge translation (iKT) approach facilitated SR relevance. Activities to engage knowledge users (KUs) in the SR were evaluated for perceived level of engagement.
KUs included patients, caregivers, geriatricians, and policymakers from three Canadian provinces. Activities included 1) modified Delphi to select outcomes; 2) cross-sectional survey to select outcome measures, and 3) in-person meeting to discuss SR findings. KU engagement was assessed using the Patient Engagement Evaluation Tool (PEET) after the second and third activities. KUs rated the extent of successful engagement using a 7-point Likert scale ranging from "no extent" to "very large extent."
In total, 15 KUs completed the PEET: eight geriatricians, four policymakers, two patients, and one caregiver. Median engagement scores across all activities (median range: 6.00-6.50) indicated that KUs felt engaged. Differences were observed for activity type; perceived engagement at in-person meeting resulted in higher meta-criteria scores for trust (P = 0.005), legitimacy (P = 0.003), fairness (P = 0.013), and competency (P = 0.035) compared with online activities.
KUs can be engaged meaningfully in SR processes. Their perceived engagement was higher for in-person than for online activities.
进行了一项系统评价 (SR)，以评估老年病医生主导的护理模式的比较效果，并采用综合知识转化 (iKT) 方法促进 SR 的相关性。评估了与知识使用者 (KUs) 互动的活动，以了解其感知的参与程度。
KUs 包括来自加拿大三个省份的患者、护理人员、老年病医生和政策制定者。活动包括 1) 修改 Delphi 以选择结果；2) 横断面调查以选择结果测量，以及 3) 面对面会议以讨论 SR 结果。在第二次和第三次活动后，使用患者参与评估工具 (PEET) 评估 KU 参与度。KUs 使用 7 分李克特量表评估成功参与的程度，范围从“没有程度”到“非常大程度”。
共有 15 名 KUs 完成了 PEET：8 名老年病医生、4 名政策制定者、2 名患者和 1 名护理人员。所有活动的中位数参与得分（中位数范围：6.00-6.50）表明 KUs 感到参与。活动类型存在差异；与在线活动相比，面对面会议的感知参与度导致信任 (P = 0.005)、合法性 (P = 0.003)、公平性 (P = 0.013) 和能力 (P = 0.035) 的元标准得分更高。
KUs 可以在 SR 过程中进行有意义的参与。他们对面对面活动的参与度高于在线活动。
