Bragge Peter, McNett Molly, Bayley Mark, Dobbins Maureen, Nakase-Richardson Risa, Peek-Asa Corinne, Turgeon Alexis F, Awwad Hibah, Dams-O'Connor Kristen, Doperalski Adele, Maas Andrew, McCrea Mike, Umoh Nsini, Manley Geoff
Monash Sustainable Development Institute and Behaviour Works Australia, Monash University, Melbourne, Australia.
College of Nursing, Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing & Healthcare, The Ohio State University, Columbus, Ohio, USA.
J Neurotrauma. 2025 Jul;42(13-14):1096-1108. doi: 10.1089/neu.2024.0576. Epub 2025 May 7.
The Knowledge to Practice Working Group (K2P WG) was one of six expert groups convened in early 2023 to plan the 2024 National Institute of Neurological Disorders and Stroke Traumatic brain injury (TBI) Classification and Nomenclature Workshop. Recognizing that implementation of revised classification systems is essential to achieve intended impact, the K2P WG's key aims were to foster shared understanding of knowledge translation (KT), build capacity for implementation of a revised TBI classification system, identify and prioritize KT actions, implementation steps and audiences; and make recommendations to advance implementation. The cornerstone of this work was a focused survey to identify "who needs to do what differently," while prioritizing potential implementation actions. Survey findings, dialogue with other working groups, stakeholder discussions, and public feedback were also utilized to support implementation of the revised Clinical, Biomarker, Imaging-Modifiers and retrospective TBI classification system. Forty researchers across five working groups responded to the survey (Response Rate = 59.7%). Fifty-two unique implementation actions were identified. The top 15 priorities across the five working groups comprised six pertaining to clinical practice (e.g., change Glasgow Coma Scale [GCS] assessment); seven focusing on research (e.g., develop tools for measuring psychological and environmental factors); and one each on lived experience (simplified language for patients and families) and other settings (insurance company support for biomarker testing). Twenty-seven stakeholder groups and 18 target settings were identified as being most impacted by the revised classification system. Key recommendations included: develop guidelines based on systematic reviews, clearly explain the rationale for the change, develop implementation toolkits with input from all stakeholders, and embed the new classification in a learning health system database to facilitate implementation strategies based on audits, feedback, and cost-effectiveness analyses.
知识转化实践工作组（K2P WG）是2023年初召集的六个专家小组之一，旨在规划2024年美国国立神经疾病和中风研究所创伤性脑损伤（TBI）分类与命名研讨会。认识到实施修订后的分类系统对于实现预期影响至关重要，K2P WG的主要目标是促进对知识转化（KT）的共同理解，培养实施修订后的TBI分类系统的能力，确定KT行动、实施步骤和受众的优先级；并提出推进实施的建议。这项工作的基石是一项重点调查，以确定“谁需要采取不同的行动”，同时对潜在的实施行动进行优先级排序。调查结果、与其他工作组的对话、利益相关者讨论以及公众反馈也被用于支持修订后的临床、生物标志物、影像修饰符和回顾性TBI分类系统的实施。五个工作组的40名研究人员对调查做出了回应（回应率=59.7%）。确定了52项独特的实施行动。五个工作组的前15项优先事项包括六项与临床实践相关（例如，改变格拉斯哥昏迷量表[GCS]评估）；七项侧重于研究（例如，开发测量心理和环境因素的工具）；以及一项关于生活经历（为患者和家庭简化语言）和其他环境（保险公司对生物标志物检测的支持）。27个利益相关者群体和18个目标环境被确定为受修订后的分类系统影响最大的群体。主要建议包括：基于系统评价制定指南，清楚解释变更的理由，在所有利益相关者的参与下开发实施工具包，并将新分类纳入学习健康系统数据库，以促进基于审核、反馈和成本效益分析的实施策略。
