Kothari Anita, Holmes Bev J, Lang Iain, McCutcheon Chris, Comer Leigha, Graham Ian D
School of Health Studies, Western University, Room 0222, Health Sciences Building, 1151 Richmond Street, London, ON, N6A 3K7, Canada.
Michael Smith Health Research BC, 200-1285 West Broadway, Vancouver, BC, V6H 3X8, Canada.
Health Res Policy Syst. 2025 Jun 16;23(1):78. doi: 10.1186/s12961-025-01353-5.
Integrated knowledge translation (IKT) has emerged as an approach to research centered on collaboration between researchers and knowledge users, particularly in health research. There has been a growing focus on power within the IKT literature, especially the concern that overlooking power inequities within IKT partnerships may reproduce forms of knowledge production and dissemination that do not align with IKT's aspirations of shared decision making to produce useful and usable research findings. However, there remain significant gaps in our understanding of how to address and attend to power in IKT. The lack of conceptual precision around power complicates these efforts. In this commentary, we draw on existing literatures that have grappled with the notion of power to sensitize those who study and engage in IKT to the importance of power and to identify helpful ways of thinking about power in IKT. We propose that it is time to not only acknowledge the importance of power in IKT but also to develop empirically based strategies through which the many dimensions of power can be identified and navigated.
整合知识转化（IKT）已成为一种以研究者与知识使用者之间的合作为核心的研究方法，尤其是在健康研究领域。IKT文献越来越关注权力问题，特别是担心忽视IKT伙伴关系中的权力不平等可能会重现知识生产和传播的形式，这些形式与IKT通过共同决策产生有用且可用的研究结果的愿望不一致。然而，我们对如何在IKT中处理和关注权力的理解仍存在重大差距。围绕权力缺乏概念上的精确性使这些努力变得复杂。在这篇评论中，我们借鉴了现有探讨权力概念的文献，以使那些研究和参与IKT的人认识到权力的重要性，并确定思考IKT中权力的有益方式。我们建议，现在不仅要承认权力在IKT中的重要性，还要制定基于实证的策略，通过这些策略可以识别和驾驭权力的多个维度。
