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Published in: Health Research Policy and Systems 1/2018

Open Access 01-12-2018 | Research

Knowledge translation for realist reviews: a participatory approach for a review on scaling up complex interventions

Authors: Jennifer A. Boyko, Barbara L. Riley, Cameron D. Willis, Lisa Stockton, Dana Zummach, Jon Kerner, Kerry Robinson, Marie Chia

Published in: Health Research Policy and Systems | Issue 1/2018

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Abstract

Background

Knowledge syntheses that use a realist methodology are gaining popularity. Yet, there are few reports in the literature that describe how results are summarised, shared and used. This paper aims to inform knowledge translation (KT) for realist reviews by describing the process of developing a KT strategy for a review on pathways for scaling up complex public health interventions.

Methods

The participatory approach used for the realist review was also used to develop the KT strategy. The approach included three main steps, namely (1) an international meeting focused on interpreting preliminary findings from the realist review and seeking input on KT activities; (2) a targeted literature review on KT for realist reviews; and (3) consultations with primary knowledge users of the review.

Results

The international meeting identified a general preference among knowledge users for findings from the review that are action oriented. A need was also identified for understanding how to tailor findings for specific knowledge user groups in relation to their needs. The literature review identified four papers that included brief descriptions of planned or actual KT activities for specific research studies; however, information was minimal on what KT activities or products work for whom, under what conditions and why. The consultations revealed that KT for realist reviews should consider the following: (1) activities closely aligned with the preferences of specific knowledge user groups; (2) key findings that are sensitive to factors within the knowledge user’s context; and (3) actionable statements that can advance KT goals, activities or products. The KT strategy derived from the three activities includes a planning framework and tailored KT activities that address preferences of knowledge users for findings that are action oriented and context relevant.

Conclusions

This paper provides an example of a KT strategy for realist reviews that blends theoretical and practical insights. Evaluation of the strategy’s implementation will provide useful insights on its effectiveness and potential for broader application.
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Literature
2.
go back to reference Almeida C, Báscolo E. Use of research results in policy decision-making, formulation, and implementation: a review of the literature. Cad Saude Publica. 2006;22:S7–19.CrossRef Almeida C, Báscolo E. Use of research results in policy decision-making, formulation, and implementation: a review of the literature. Cad Saude Publica. 2006;22:S7–19.CrossRef
3.
go back to reference Davison CM, Ndumbe-Eyoh S, Clement C. Critical examination of knowledge to action models and implications for promoting health equity. Int J Equity Health. 2015;14(1):49.CrossRef Davison CM, Ndumbe-Eyoh S, Clement C. Critical examination of knowledge to action models and implications for promoting health equity. Int J Equity Health. 2015;14(1):49.CrossRef
4.
go back to reference Tabak RG, Khoong EC, Chambers D, Brownson RC. Bridging research and practice: models for dissemination and implementation research. Am J Prev Med. 2012;43(3):337–50.CrossRef Tabak RG, Khoong EC, Chambers D, Brownson RC. Bridging research and practice: models for dissemination and implementation research. Am J Prev Med. 2012;43(3):337–50.CrossRef
5.
go back to reference LaRocca R, Yost J, Dobbins M, Ciliska D, Butt M. The effectiveness of knowledge translation strategies used in public health: a systematic review. BMC Public Health. 2012;12:751.CrossRef LaRocca R, Yost J, Dobbins M, Ciliska D, Butt M. The effectiveness of knowledge translation strategies used in public health: a systematic review. BMC Public Health. 2012;12:751.CrossRef
6.
go back to reference Gagliardi AR, Berta W, Kothari A, Boyko J, Urquhart R. Integrated knowledge translation (IKT) in health care: a scoping review. Implement Sci. 2016;11:38.CrossRef Gagliardi AR, Berta W, Kothari A, Boyko J, Urquhart R. Integrated knowledge translation (IKT) in health care: a scoping review. Implement Sci. 2016;11:38.CrossRef
7.
go back to reference Scott SD, Albrecht L, O’Leary K, Ball GD, Hartling L, Hofmeyer A, et al. Systematic review of knowledge translation strategies in the allied health professions. Implement Sci. 2012;7:70.CrossRef Scott SD, Albrecht L, O’Leary K, Ball GD, Hartling L, Hofmeyer A, et al. Systematic review of knowledge translation strategies in the allied health professions. Implement Sci. 2012;7:70.CrossRef
8.
go back to reference Oliver K, Innvar S, Lorenc T, Woodman J, Thomas J. A systematic review of barriers to and facilitators of the use of evidence by policymakers. BMC Health Serv Res. 2014;14(1):2.CrossRef Oliver K, Innvar S, Lorenc T, Woodman J, Thomas J. A systematic review of barriers to and facilitators of the use of evidence by policymakers. BMC Health Serv Res. 2014;14(1):2.CrossRef
9.
go back to reference Tricco AC, Tetzlaff J, Moher D. The art and science of knowledge synthesis. J Clin Epidemiol. 2011;64(1):11–20.CrossRef Tricco AC, Tetzlaff J, Moher D. The art and science of knowledge synthesis. J Clin Epidemiol. 2011;64(1):11–20.CrossRef
10.
go back to reference Gough D, Thomas J, Oliver S. Clarifying differences between review designs and methods. Syst Rev. 2012;1(1):28.CrossRef Gough D, Thomas J, Oliver S. Clarifying differences between review designs and methods. Syst Rev. 2012;1(1):28.CrossRef
11.
go back to reference Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review--a new method of systematic review designed for complex policy interventions. J Health Serv Res. 2005;10(Suppl 1):21–34.CrossRef Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review--a new method of systematic review designed for complex policy interventions. J Health Serv Res. 2005;10(Suppl 1):21–34.CrossRef
12.
go back to reference Astbury B, Leeuw FL. Unpacking black boxes: mechanisms and theory building in evaluation. Am J Eval. 2010;31(3):363–81.CrossRef Astbury B, Leeuw FL. Unpacking black boxes: mechanisms and theory building in evaluation. Am J Eval. 2010;31(3):363–81.CrossRef
13.
go back to reference Hedstrom P, Ylikoski P. Causal mechanisms in the social sciences. Annu Rev Sociol. 2010;36:49–67.CrossRef Hedstrom P, Ylikoski P. Causal mechanisms in the social sciences. Annu Rev Sociol. 2010;36:49–67.CrossRef
14.
go back to reference Wong G, Greenhalgh T, Westhorp G, Pawson R. Development of methodological guidance, publication standards and training materials for realist and meta-narrative reviews: the RAMESES (Realist And Meta-narrative Evidence Syntheses – Evolving Standards) project. Health Services and Delivery Research. Southampton: NIHR Journals Library; 2014;2(30).CrossRef Wong G, Greenhalgh T, Westhorp G, Pawson R. Development of methodological guidance, publication standards and training materials for realist and meta-narrative reviews: the RAMESES (Realist And Meta-narrative Evidence Syntheses – Evolving Standards) project. Health Services and Delivery Research. Southampton: NIHR Journals Library; 2014;2(30).CrossRef
15.
go back to reference Centre for Reviews and Dissemination. Systematic Reviews: CRDs Guidance for Undertaking Reviews in Health Care. York: Centre for Reviews and Dissemination, University of York; 2008. Centre for Reviews and Dissemination. Systematic Reviews: CRDs Guidance for Undertaking Reviews in Health Care. York: Centre for Reviews and Dissemination, University of York; 2008.
16.
go back to reference Chambers D, Wilson PM, Thompson CA, Hanbury A, Farley K, Light K. Maximizing the impact of systematic reviews in health care decision making: a systematic scoping review of knowledge-translation resources. Milbank Q. 2011;89(1):131–56.CrossRef Chambers D, Wilson PM, Thompson CA, Hanbury A, Farley K, Light K. Maximizing the impact of systematic reviews in health care decision making: a systematic scoping review of knowledge-translation resources. Milbank Q. 2011;89(1):131–56.CrossRef
17.
go back to reference Jagosh J, Macaulay AC, Pluye P, Salsberg J, Bush PL, Henderson J, et al. Uncovering the benefits of participatory research: implications of a realist review for health research and practice. Milbank Q. 2012;90(2):311–46.CrossRef Jagosh J, Macaulay AC, Pluye P, Salsberg J, Bush PL, Henderson J, et al. Uncovering the benefits of participatory research: implications of a realist review for health research and practice. Milbank Q. 2012;90(2):311–46.CrossRef
18.
go back to reference Wallace J, Nwosu B, Clarke M. Barriers to the uptake of evidence from systematic reviews and meta-analyses: a systematic review of decision makers’ perceptions. BMJ Open 2012;2(5): pii: e001220.CrossRef Wallace J, Nwosu B, Clarke M. Barriers to the uptake of evidence from systematic reviews and meta-analyses: a systematic review of decision makers’ perceptions. BMJ Open 2012;2(5): pii: e001220.CrossRef
19.
go back to reference Brehaut JC, Eva KW. Building theories of knowledge translation interventions: Use the entire menu of constructs. Implement Sci. 2012;7:114.CrossRef Brehaut JC, Eva KW. Building theories of knowledge translation interventions: Use the entire menu of constructs. Implement Sci. 2012;7:114.CrossRef
20.
go back to reference Santesso N, Rader T, Nilsen ES, Glenton C, Rosenbaum S, Ciapponi A, et al. A summary to communicate evidence from systematic reviews to the public improved understanding and accessibility of information: a randomized controlled trial. J Clin Epidemiol. 2015;68(2):182–90.CrossRef Santesso N, Rader T, Nilsen ES, Glenton C, Rosenbaum S, Ciapponi A, et al. A summary to communicate evidence from systematic reviews to the public improved understanding and accessibility of information: a randomized controlled trial. J Clin Epidemiol. 2015;68(2):182–90.CrossRef
21.
go back to reference Rader T, Pardo Pardo J, Stacey D, Ghogomu E, Maxwell LJ, Welch VA, et al. Update of strategies to translate evidence from cochrane musculoskeletal group systematic reviews for use by various audiences. J Rheumatol. 2014;41(2):206–15.CrossRef Rader T, Pardo Pardo J, Stacey D, Ghogomu E, Maxwell LJ, Welch VA, et al. Update of strategies to translate evidence from cochrane musculoskeletal group systematic reviews for use by various audiences. J Rheumatol. 2014;41(2):206–15.CrossRef
22.
go back to reference Perrier L, Persaud N, Thorpe KE, Straus SE. Using a systematic review in clinical decision-making: a pilot parallel, randomized controlled trial. Implement Sci. 2015;10:118.CrossRef Perrier L, Persaud N, Thorpe KE, Straus SE. Using a systematic review in clinical decision-making: a pilot parallel, randomized controlled trial. Implement Sci. 2015;10:118.CrossRef
23.
go back to reference Rosenbaum SE, Glenton C, Nylund HK, Oxman AD. User testing and stakeholder feedback contributed to the development of understandable and useful summary of findings tables for Cochrane reviews. J Clin Epidemiol. 2010;63(6):607–19.CrossRef Rosenbaum SE, Glenton C, Nylund HK, Oxman AD. User testing and stakeholder feedback contributed to the development of understandable and useful summary of findings tables for Cochrane reviews. J Clin Epidemiol. 2010;63(6):607–19.CrossRef
24.
go back to reference Maguire LK, Clarke M. How much do you need: a randomised experiment of whether readers can understand the key messages from summaries of Cochrane Reviews without reading the full review. J R Soc Med. 2014;107(11):444–9.CrossRef Maguire LK, Clarke M. How much do you need: a randomised experiment of whether readers can understand the key messages from summaries of Cochrane Reviews without reading the full review. J R Soc Med. 2014;107(11):444–9.CrossRef
25.
go back to reference Petkovic J, Welch V, Tugwell P. Do evidence summaries increase policy-makers’ use of evidence from systematic reviews: a systematic review protocol. Syst Rev. 2015;4:122.CrossRef Petkovic J, Welch V, Tugwell P. Do evidence summaries increase policy-makers’ use of evidence from systematic reviews: a systematic review protocol. Syst Rev. 2015;4:122.CrossRef
26.
go back to reference Ellen ME, Lavis JN, Wilson Michael G, Grimshaw J, Haynes RB, Ouimet M, Raina P, et al. Health system decision makers’ feedback on summaries and tools supporting the use of systematic reviews: a qualitative study. Evid Policy A J Res Debate Pract. 2014;10(3):337–59.CrossRef Ellen ME, Lavis JN, Wilson Michael G, Grimshaw J, Haynes RB, Ouimet M, Raina P, et al. Health system decision makers’ feedback on summaries and tools supporting the use of systematic reviews: a qualitative study. Evid Policy A J Res Debate Pract. 2014;10(3):337–59.CrossRef
27.
go back to reference Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE. Knowledge translation of research findings. Implement Sci. 2012;7:50.CrossRef Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE. Knowledge translation of research findings. Implement Sci. 2012;7:50.CrossRef
28.
go back to reference Berg R, Nanavati J. Realist review: current practice and future prospects. J Res Pract. 2016;12(1):Berg. Berg R, Nanavati J. Realist review: current practice and future prospects. J Res Pract. 2016;12(1):Berg.
29.
go back to reference Willis CD, Riley BL, Stockton L, Abramowicz A, Zummach D, Wong G, et al. Scaling up complex interventions: insights from a realist synthesis. Health Res Policy Syst. 2016;14:88.CrossRef Willis CD, Riley BL, Stockton L, Abramowicz A, Zummach D, Wong G, et al. Scaling up complex interventions: insights from a realist synthesis. Health Res Policy Syst. 2016;14:88.CrossRef
31.
go back to reference Mangham LJ, Hanson K. Scaling up in international health: what are the key issues? Health Policy Plan. 2010;25(2):85–96.CrossRef Mangham LJ, Hanson K. Scaling up in international health: what are the key issues? Health Policy Plan. 2010;25(2):85–96.CrossRef
32.
go back to reference Butler H, Bowes G, Drew S, Glover S, Godfrey C, Patton G, et al. Harnessing complexity: taking advantage of context and relationships in dissemination of school-based interventions. Health Promot Pract. 2010;11(2):259–67.CrossRef Butler H, Bowes G, Drew S, Glover S, Godfrey C, Patton G, et al. Harnessing complexity: taking advantage of context and relationships in dissemination of school-based interventions. Health Promot Pract. 2010;11(2):259–67.CrossRef
33.
go back to reference Lavis JN, Lomas J, Hamid M, Sewankambo NK. Assessing country-level efforts to link research to action. Bull World Health Organ. 2006;84(8):620–8.CrossRef Lavis JN, Lomas J, Hamid M, Sewankambo NK. Assessing country-level efforts to link research to action. Bull World Health Organ. 2006;84(8):620–8.CrossRef
34.
go back to reference Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J. How can research organizations more effectively transfer research knowledge to decisionmakers? Milbank Q 2003;81(2):221–48, 171–2.CrossRef Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J. How can research organizations more effectively transfer research knowledge to decisionmakers? Milbank Q 2003;81(2):221–48, 171–2.CrossRef
35.
go back to reference Ward V, House A, Hamer S. Developing a framework for transferring knowledge into action: a thematic analysis of the literature. J Health Serv Res Policy. 2009;14(3):156–64.CrossRef Ward V, House A, Hamer S. Developing a framework for transferring knowledge into action: a thematic analysis of the literature. J Health Serv Res Policy. 2009;14(3):156–64.CrossRef
36.
go back to reference Kitson AL. The need for systems change: reflections on knowledge translation and organizational change. J Adv Nurs. 2009;65(1):217–28.CrossRef Kitson AL. The need for systems change: reflections on knowledge translation and organizational change. J Adv Nurs. 2009;65(1):217–28.CrossRef
37.
go back to reference Davison CM. Knowledge translation: implications for evaluation. New Dir Eval. 2009;124:75–87.CrossRef Davison CM. Knowledge translation: implications for evaluation. New Dir Eval. 2009;124:75–87.CrossRef
38.
go back to reference Court J, Young J. Bridging research and policy in international development: an analytical and practical framework. Dev Pract. 2006;16(1):85–90.CrossRef Court J, Young J. Bridging research and policy in international development: an analytical and practical framework. Dev Pract. 2006;16(1):85–90.CrossRef
40.
go back to reference Pearson M, Brand SL, Quinn C, Shaw J, Maguire M, Michie S, et al. Using realist review to inform intervention development: methodological illustration and conceptual platform for collaborative care in offender mental health. Implement Sci. 2015;10:134.CrossRef Pearson M, Brand SL, Quinn C, Shaw J, Maguire M, Michie S, et al. Using realist review to inform intervention development: methodological illustration and conceptual platform for collaborative care in offender mental health. Implement Sci. 2015;10:134.CrossRef
41.
go back to reference Kastner M, Perrier L, Hamid J, Tricco AC, Cardoso R, Ivers NM, et al. Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review. BMJ Open. 2015;5(2):e007640.CrossRef Kastner M, Perrier L, Hamid J, Tricco AC, Cardoso R, Ivers NM, et al. Effectiveness of knowledge translation tools addressing multiple high-burden chronic diseases affecting older adults: protocol for a systematic review alongside a realist review. BMJ Open. 2015;5(2):e007640.CrossRef
42.
go back to reference Saul JE, Willis CD, Bitz J, Best A. A time-responsive tool for informing policy making: rapid realist review. Implement Sci. 2013;8(1):103.CrossRef Saul JE, Willis CD, Bitz J, Best A. A time-responsive tool for informing policy making: rapid realist review. Implement Sci. 2013;8(1):103.CrossRef
43.
go back to reference Carrey NJ, Curran JA, Greene R, Nolan A, McLuckie A. Embedding mental health interventions in early childhood education systems for at-risk preschoolers: an evidence to policy realist review. Syst Rev. 2014;3:84.CrossRef Carrey NJ, Curran JA, Greene R, Nolan A, McLuckie A. Embedding mental health interventions in early childhood education systems for at-risk preschoolers: an evidence to policy realist review. Syst Rev. 2014;3:84.CrossRef
44.
go back to reference Tchameni Ngamo S, Souffez K, Lord C, Dagenais C. Do knowledge translation (KT) plans help to structure KT practices? Health Res Policy Syst. 2016;14:46.CrossRef Tchameni Ngamo S, Souffez K, Lord C, Dagenais C. Do knowledge translation (KT) plans help to structure KT practices? Health Res Policy Syst. 2016;14:46.CrossRef
45.
go back to reference Brett J, Staniszewska S, Mockford C, Herron-Marx S, Hughes J, Tysall C, et al. Mapping the impact of patient and public involvement on health and social care research: a systematic review. Health Expect. 2014;17(5):637–50.CrossRef Brett J, Staniszewska S, Mockford C, Herron-Marx S, Hughes J, Tysall C, et al. Mapping the impact of patient and public involvement on health and social care research: a systematic review. Health Expect. 2014;17(5):637–50.CrossRef
46.
go back to reference Rycroft-Malone J, Burton CR, Bucknall T, Graham ID, Hutchinson AM, Stacey D. Collaboration and co-production of knowledge in healthcare: opportunities and challenges. Int J Health Policy Manag. 2016;5(4):221–3.CrossRef Rycroft-Malone J, Burton CR, Bucknall T, Graham ID, Hutchinson AM, Stacey D. Collaboration and co-production of knowledge in healthcare: opportunities and challenges. Int J Health Policy Manag. 2016;5(4):221–3.CrossRef
47.
go back to reference Heaton J, Day J, Britten N. Collaborative research and the co-production of knowledge for practice: an illustrative case study. Implement Sci. 2016;11:20.CrossRef Heaton J, Day J, Britten N. Collaborative research and the co-production of knowledge for practice: an illustrative case study. Implement Sci. 2016;11:20.CrossRef
48.
go back to reference Voorberg WH, Bekkers VJJM, Tummers LG. A Systematic review of co-creation and co-production: embarking on the social innovation journey. Public Manag Rev. 2015;17(9):1333–57.CrossRef Voorberg WH, Bekkers VJJM, Tummers LG. A Systematic review of co-creation and co-production: embarking on the social innovation journey. Public Manag Rev. 2015;17(9):1333–57.CrossRef
49.
go back to reference Bowen SJ, Graham ID. From knowledge translation to engaged scholarship: promoting research relevance and utilization. Arch Phys Med Rehabil. 2013;94(1 Suppl):S3–8.CrossRef Bowen SJ, Graham ID. From knowledge translation to engaged scholarship: promoting research relevance and utilization. Arch Phys Med Rehabil. 2013;94(1 Suppl):S3–8.CrossRef
50.
go back to reference Armstrong R, Waters E, Crockett B, Keleher H. The nature of evidence resources and knowledge translation for health promotion practitioners. Health Promot Int. 2007;22(3):254–60.CrossRef Armstrong R, Waters E, Crockett B, Keleher H. The nature of evidence resources and knowledge translation for health promotion practitioners. Health Promot Int. 2007;22(3):254–60.CrossRef
Metadata
Title
Knowledge translation for realist reviews: a participatory approach for a review on scaling up complex interventions
Authors
Jennifer A. Boyko
Barbara L. Riley
Cameron D. Willis
Lisa Stockton
Dana Zummach
Jon Kerner
Kerry Robinson
Marie Chia
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue 1/2018
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/s12961-018-0374-1

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