Massougbodji José, Zomahoun Hervé Tchala Vignon, Adisso Evehouenou Lionel, Sawadogo Jasmine, Borde Valérie, Cameron Cynthia, Moisan Hélène, Paquette Jean-Sébastien, Akbaraly Zamzam, Châteauneuf Lëa-Kim, David Geneviève, Légaré France
Department of Social and Preventive Medicine, Laval University, Québec, QC, Canada.
First Nations of Quebec and Labrador Health and Social Services Commission, Québec, QC, Canada.
JMIR Aging. 2022 Aug 19;5(3):e39016. doi: 10.2196/39016.
Little is known about engaging patients and stakeholders in the process of scaling up effective knowledge translation interventions targeting the public.
Using an integrated knowledge translation approach, we aimed to scale up and evaluate an effective pilot program to disseminate research results in public libraries.
We conducted a scaling-up study targeting the public. On the basis of our successful pilot project, we codeveloped and implemented a large-scale program of free citizen workshops in public libraries, in a close research partnership with stakeholders and patient representatives. Citizen workshops, each facilitated by 1 participating physician and 1 science communicator, consisted of a 45-minute computer-assisted presentation and a 45-minute open exchange. The intervention outcome was knowledge gained. The scale-up outcomes were satisfaction, appropriateness, coverage, and costs. An evaluation questionnaire was used to collect data of interest. Both quantitative and qualitative analyses were performed.
The workshop theme chosen by the patient and stakeholder representatives was the high prevalence of medication overuse among people aged ≥65 years. From April to May 2019, 26 workshops were conducted in 25 public libraries reaching 362 people. The mean age of participants was 64.8 (SD 12.5) years. In total, 18 participating physicians and 6 science communicators facilitated the workshops. Participants reported significant knowledge gain (mean difference 2.1, 95% CI 2.0-2.2; P<.001). The median score for overall public satisfaction was 9 out of 10 (IQR 8-10). The public participants globally rated the workshops as having a high level of appropriateness. Coverage was 92% (25/27) of the total number of public libraries targeted. Costs were CAD $6051.84 (US $4519.69) for workshop design and CAD $22,935.41 (US $17,128.85) for scaling them up.
This project successfully established a large-scale and successful implementation science or knowledge translation bridge among researchers, clinicians, and citizens via public libraries. This study provides a model for a dissemination practice that benefits the public by both engaging them in the dissemination process and targeting them directly.
在扩大针对公众的有效知识转化干预措施的过程中，关于让患者和利益相关者参与其中的情况鲜为人知。
采用综合知识转化方法，我们旨在扩大并评估一项在公共图书馆传播研究成果的有效试点项目。
我们开展了一项针对公众的扩大规模研究。基于我们成功的试点项目，我们与利益相关者和患者代表密切合作，共同开发并实施了一项在公共图书馆举办免费公民工作坊的大规模项目。每个公民工作坊由1名参与的医生和1名科学传播者主持，包括45分钟的计算机辅助演示和45分钟的开放式交流。干预结果是获得的知识。扩大规模的结果是满意度、适宜性、覆盖范围和成本。使用一份评估问卷来收集相关数据。进行了定量和定性分析。
患者和利益相关者代表选择的工作坊主题是65岁及以上人群中药物过度使用的高患病率。2019年4月至5月，在25家公共图书馆举办了26场工作坊，共有362人参加。参与者的平均年龄为64.8（标准差12.5）岁。共有18名参与的医生和6名科学传播者主持了这些工作坊。参与者报告知识有显著增加（平均差异2.1，95%置信区间2.0 - 2.2；P <.001）。总体公众满意度的中位数评分是十分制中的9分（四分位距8 - 10）。公众参与者总体上认为这些工作坊具有很高的适宜性。覆盖范围为目标公共图书馆总数的92%（25/27）。工作坊设计成本为6051.84加元（4519.69美元），扩大规模的成本为22935.41加元（17128.85美元）。
该项目通过公共图书馆成功地在研究人员、临床医生和公民之间建立了一个大规模且成功的实施科学或知识转化桥梁。本研究提供了一种传播实践模式，通过让公众参与传播过程并直接针对他们，从而使公众受益。
