Young Adrienne M, Cameron Ashley, Meloncelli Nina, Barrimore Sally E, Campbell Katrina, Wilkinson Shelley, McBride Liza-Jane, Barnes Rhiannon, Bennett Sally, Harvey Gillian, Hickman Ingrid
Dietetics and Food Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Centre for Health Services Research, The University of Queensland, Brisbane, QLD, Australia.
Front Health Serv. 2023 Feb 17;3:1103997. doi: 10.3389/frhs.2023.1103997. eCollection 2023.
Front-line health practitioners lack confidence in knowledge translation, yet they are often required to undertake projects to bridge the knowledge-practice gap. There are few initiatives focused on building the capacity of the health practitioner workforce to undertake knowledge translation, with most programs focusing on developing the skills of researchers. This paper reports the development and evaluation of a knowledge translation capacity building program for allied health practitioners located over geographically dispersed locations in Queensland, Australia.
Allied Health Translating Research into Practice (AH-TRIP) was developed over five years with consideration of theory, research evidence and local needs assessment. AH-TRIP includes five components: training and education; support and networks (including champions and mentoring); showcase and recognition; TRIP projects and implementation; evaluation. The RE-AIM framework (Reach, Effectiveness, Adoption, Implementation Maintenance) guided the evaluation plan, with this paper reporting on the reach (number, discipline, geographical location), adoption by health services, and participant satisfaction between 2019 and 2021.
A total of 986 allied health practitioners participated in at least one component of AH-TRIP, with a quarter of participants located in regional areas of Queensland. Online training materials received an average of 944 unique page views each month. A total of 148 allied health practitioners have received mentoring to undertake their project, including a range of allied health disciplines and clinical areas. Very high satisfaction was reported by those receiving mentoring and attending the annual showcase event. Nine of sixteen public hospital and health service districts have adopted AH-TRIP.
AH-TRIP is a low-cost knowledge translation capacity building initiative which can be delivered at scale to support allied health practitioners across geographically dispersed locations. Higher adoption in metropolitan areas suggests that further investment and targeted strategies are needed to reach health practitioners working in regional areas. Future evaluation should focus on exploring the impact on individual participants and the health service.
一线卫生从业人员对知识转化缺乏信心，但他们经常被要求开展项目以弥合知识与实践之间的差距。很少有举措专注于培养卫生从业人员进行知识转化的能力，大多数项目侧重于培养研究人员的技能。本文报告了一项针对澳大利亚昆士兰州地理位置分散的联合健康从业人员的知识转化能力建设项目的开发与评估情况。
联合健康将研究转化为实践（AH-TRIP）项目历时五年开发而成，开发过程中考虑了理论、研究证据和当地需求评估。AH-TRIP包括五个组成部分：培训与教育；支持与网络（包括倡导者和指导）；展示与认可；TRIP项目与实施；评估。RE-AIM框架（覆盖范围、有效性、采用情况、实施情况、维持情况）指导了评估计划，本文报告了2019年至2021年期间的覆盖范围（数量、学科、地理位置）、卫生服务机构的采用情况以及参与者满意度。
共有986名联合健康从业人员参与了AH-TRIP的至少一个组成部分，其中四分之一的参与者位于昆士兰州的偏远地区。在线培训材料每月平均有944次独立页面浏览量。共有148名联合健康从业人员接受了指导以开展他们的项目，涉及一系列联合健康学科和临床领域。接受指导并参加年度展示活动的人员报告了非常高的满意度。16个公立医院和卫生服务区中有9个采用了AH-TRIP。
AH-TRIP是一项低成本的知识转化能力建设举措，可以大规模实施，以支持地理位置分散的联合健康从业人员。大都市地区的采用率较高，这表明需要进一步投资和有针对性的策略来覆盖偏远地区的卫生从业人员。未来的评估应侧重于探索对个体参与者和卫生服务的影响。
