Fahim Christine, Prashad Anupa Jyoti, Silveira Kyle, Chandraraj Arthana, Thombs Brett D, Tonelli Marcello, Thériault Guylène, Grad Roland, Riva John, Colquhoun Heather, Rodin Rachel, Subnath Melissa, Rolland-Harris Elizabeth, Barnhardt Kim, Straus Sharon E
Knowledge Translation Program (Fahim, Prashad, Silveira, Chandraraj, Straus), Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ont.; Faculty of Medicine (Thombs, Theriault), McGill University; Lady Davis Institute for Medical Research (Thombs), Jewish General Hospital, Montréal, Que.; Cumming School of Medicine (Tonelli), University of Calgary, Calgary, Alta.; Department of Medicine (Grad), McGill University, Montréal, Que.; Department of Family Medicine (Riva), McMaster University, Hamilton, Ont.; Department of Occupational Science and Occupational Therapy (Colquhoun), University of Toronto, Toronto, Ont.; Public Health Agency of Canada (Rodin, Subnath, Rolland-Harris); Canadian Medical Association Journal (Barnhardt), Ottawa, Ont.; Department of Medicine, Faculty of Medicine (Straus), University of Toronto, Toronto, Ont.
CMAJ Open. 2023 Aug 8;11(4):E684-E695. doi: 10.9778/cmajo.20220121. Print 2023 Jul-Aug.
The Canadian Task Force on Preventive Health Care (task force) develops evidence-based preventive health care guidelines and knowledge translation (KT) tools to facilitate guideline dissemination and implementation. We aimed to determine practitioners' awareness of task force guidelines and KT tools and explore barriers and facilitators to their use.
The task force's KT team completed annual evaluations using surveys and interviews with primary care providers in Canada from 2014 to 2020, to assess practitioners' awareness and determinants of use of task force guidelines and tools. We transcribed interviews verbatim and double-coded them using a framework analysis approach.
A total of 1284 primary care practitioners completed surveys and 183 participated in interviews. On average, 79.9% of participants were aware of the task force's 7 cancer screening guidelines, 36.2% were aware of the other 6 screening guidelines and 18.6% were aware of the 3 lifestyle or prevention guidelines. Participants identified 13 barriers and 7 facilitators to guideline and KT tool implementation; these were consistent over time. Participants identified strategies at the public and patient, provider and health systems levels to improve uptake of guidelines.
Canadian primary care practitioners were more aware of task force cancer screening guidelines than its other preventive health guidelines. Over the 6-year period, participants consistently reported barriers to guideline uptake, including misalignment with patient preferences and other provincial or specialty guideline organizations. Further evaluations will assess tailored strategies to address the barriers identified.
加拿大预防性医疗保健特别工作组（特别工作组）制定基于证据的预防性医疗保健指南和知识转化（KT）工具，以促进指南的传播和实施。我们旨在确定从业者对特别工作组指南和KT工具的认知情况，并探讨使用这些指南和工具的障碍及促进因素。
特别工作组的KT团队在2014年至2020年期间，通过对加拿大初级保健提供者进行调查和访谈来完成年度评估，以评估从业者对特别工作组指南和工具的认知情况及使用的决定因素。我们逐字转录访谈内容，并使用框架分析方法进行双重编码。
共有1284名初级保健从业者完成了调查，183人参与了访谈。平均而言，79.9%的参与者知晓特别工作组的7项癌症筛查指南，36.2%的人知晓其他6项筛查指南，18.6%的人知晓3项生活方式或预防指南。参与者确定了指南和KT工具实施的13项障碍和7项促进因素；这些因素在不同时间保持一致。参与者在公众和患者、提供者及卫生系统层面确定了提高指南采纳率的策略。
加拿大初级保健从业者对特别工作组的癌症筛查指南的知晓程度高于其他预防性医疗保健指南。在这6年期间，参与者一直报告指南采纳存在障碍，包括与患者偏好以及其他省级或专业指南组织不一致。进一步的评估将评估针对已确定障碍的定制策略。
