Faculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, UK
Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.
BMJ Open. 2023 Apr 19;13(4):e065557. doi: 10.1136/bmjopen-2022-065557.
To evaluate the impact of using knowledge mobilisation interventions to alter and enhance mindlines and improve childhood eczema care.
The eczema mindlines study involved three stages: (1) mapping and confirming eczema mindlines, (2) intervention development and delivery and (3) analysis of intervention impact. The focus of this paper is on stage 3. Data analysis was guided by the Social Impact Framework to address the questions: (1) what is the impact of this study on individuals and groups? (2) what changes in behaviour and practice have occurred due to their involvement? (3) what mechanisms have enabled these impacts or changes to occur? and (4) what are the recommendations and questions arising from this research?
A deprived inner-city neighbourhood in central England and national/international settings.
Patients, practitioners and wider community members exposed to the interventions locally, nationally and internationally.
Data revealed tangible multi-level, relational and intellectual impacts. Mechanisms supporting impact included: simplicity and consistency of messages adapted to audience, flexibility, opportunism and perseverance, personal interconnectivity and acknowledgement of emotion. Co-created knowledge mobilisation strategies to alter and enhance mindlines mediated through knowledge brokering were effective in producing tangible changes in eczema care practice and self-management and in 'mainstreaming' childhood eczema in positive way across communities. These changes cannot be directly attributed to the knowledge mobilisation interventions, however, the evidence points to the significant contribution made.
Co-created knowledge mobilisation interventions offer a valuable method of altering and enhancing eczema mindlines across lay-practitioner-wider society boundaries. The Social Impact Framework provides comprehensive method of understanding and documenting the complex web of impact occurring as a result of knowledge mobilisation. This approach is transferable to managing other long-term conditions.
评估使用知识转化干预措施来改变和增强思维模式并改善儿童湿疹护理的效果。
湿疹思维线研究包括三个阶段：（1）绘制和确认湿疹思维线，（2）干预措施的开发和实施，以及（3）干预措施效果的分析。本文的重点是第 3 阶段。数据分析以社会影响框架为指导，以回答以下问题：（1）这项研究对个人和群体有什么影响？（2）由于他们的参与，行为和实践发生了哪些变化？（3）哪些机制促成了这些影响或变化的发生？（4）从这项研究中得出了哪些建议和问题？
英格兰中部一个贫困的市中心社区以及全国/国际背景。
在当地、全国和国际范围内接触干预措施的患者、从业者和更广泛的社区成员。
数据揭示了有形的多层次、关系和智力影响。支持影响的机制包括：针对受众的信息的简单性和一致性、灵活性、机会主义和毅力、个人的相互关联性以及对情感的认可。通过知识经纪人进行的共同创建的知识转化策略，有效地改变和增强了思维模式，从而在湿疹护理实践和自我管理方面产生了切实的变化，并以积极的方式在社区中“主流化”了儿童湿疹。这些变化不能直接归因于知识转化干预措施，但是证据表明它们做出了重要贡献。
共同创建的知识转化干预措施为改变和增强跨越医患-更广泛社会边界的湿疹思维模式提供了一种有价值的方法。社会影响框架提供了一种全面的方法，可以理解和记录知识转化产生的复杂影响网络。这种方法可用于管理其他慢性疾病。
