Skip to main content
Top
Published in: Implementation Science 1/2018

Open Access 01-12-2018 | Research

Longitudinal evaluation of a course to build core competencies in implementation practice

Authors: Julia E. Moore, Shusmita Rashid, Jamie S. Park, Sobia Khan, Sharon E. Straus

Published in: Implementation Science | Issue 1/2018

Login to get access

Abstract

Background

Few training opportunities are available for implementation practitioners; we designed the Practicing Knowledge Translation (PKT) to address this gap. The goal of PKT is to train practitioners to use evidence and apply implementation science in healthcare settings. The aim of this study was to describe PKT and evaluate participant use of implementation science theories, models, and frameworks (TMFs), knowledge, self-efficacy, and satisfaction and feedback on the course.

Methods

PKT was delivered to implementation practitioners between September 2015 and February 2016 through a 3-day workshop, 11 webinars. We assessed PKT using an uncontrolled before and after study design, using convergent parallel mixed methods. The primary outcome was use of TMFs in implementation projects. Secondary outcomes were knowledge and self-efficacy across six core competencies, factors related to each of the outcomes, and satisfaction with the course. Participants completed online surveys and semi-structured interviews at baseline, 3, 6, and 12 months.

Results

Participants (n = 15) reported an increase in their use of implementation TMFs (mean = 2.11; estimate = 2.11; standard error (SE) = 0.4; p = 0.03). There was a significant increase in participants’ knowledge of developing an evidence-informed, theory-driven program (ETP) (estimate = 4.10; SE = 0.37; p = 0.002); evidence implementation (estimate = 2.68; SE = 0.42; p < 0.001); evaluation (estimate = 4.43; SE = 0.36; p < 0.001); sustainability, scale, and spread (estimate = 2.55; SE = 0.34; p < 0.001); and context assessment (estimate = 3.86; SE = 0.32; p < 0.001). There was a significant increase in participants’ self-efficacy in developing an ETP (estimate = 3.81; SE = 0.34; p < 0.001); implementation (estimate = 3.01; SE = 0.36; p < 0.001); evaluation (estimate = 3.83; SE = 0.39; p = 0.002); sustainability, scale, and spread (estimate = 3.06; SE = 0.46; p = 0.003); and context assessment (estimate = 4.05; SE = 0.38; p = 0.016).

Conclusion

Process and outcome measures collected indicated that PKT participants increased use of, knowledge of, self-efficacy in KT. Our findings highlight the importance of longitudinal evaluations of training initiatives to inform how to build capacity for implementers.
Appendix
Available only for authorised users
Literature
10.
go back to reference UCSF Online implementation science courses and certificate program, in implementation science news.2017. UCSF Online implementation science courses and certificate program, in implementation science news.2017.
13.
go back to reference Dunagan PB, Kimble LP, Gunby SS, Andrews MM. Attitudes of prejudice as a predictor of cultural competence among baccalaureate nursing students. J Nurs Educ. 2014;53(6):320–8.CrossRefPubMed Dunagan PB, Kimble LP, Gunby SS, Andrews MM. Attitudes of prejudice as a predictor of cultural competence among baccalaureate nursing students. J Nurs Educ. 2014;53(6):320–8.CrossRefPubMed
16.
go back to reference The Michael Smith Foundation for Health Research. Training and resources to support research use: a BC needs assessment; 2012. The Michael Smith Foundation for Health Research. Training and resources to support research use: a BC needs assessment; 2012.
17.
go back to reference Knowledge Translation Program. breaKThrough: a knowledge translation support service report on findings of a needs assessment and exploration of growth opportunities. Toronto: St. Michael’s Hospital; 2013. Knowledge Translation Program. breaKThrough: a knowledge translation support service report on findings of a needs assessment and exploration of growth opportunities. Toronto: St. Michael’s Hospital; 2013.
21.
go back to reference Straus SE, Brouwers M, Johnson D, Lavis JN, Légaré F, Majumdar SR, et al. Core competencies in the science and practice of knowledge translation: description of a Canadian strategic training initiative. Implement Sci. 2011;6(1):127.CrossRefPubMedPubMedCentral Straus SE, Brouwers M, Johnson D, Lavis JN, Légaré F, Majumdar SR, et al. Core competencies in the science and practice of knowledge translation: description of a Canadian strategic training initiative. Implement Sci. 2011;6(1):127.CrossRefPubMedPubMedCentral
26.
go back to reference Straus SE, Sales A, Wensing M, Michie S, Kent B, Foy R. Education and training for implementation science: our interest in manuscripts describing education and training materials. Implement Sci. 2015;10:136.CrossRefPubMedPubMedCentral Straus SE, Sales A, Wensing M, Michie S, Kent B, Foy R. Education and training for implementation science: our interest in manuscripts describing education and training materials. Implement Sci. 2015;10:136.CrossRefPubMedPubMedCentral
29.
go back to reference Park JS, Moore JE, Sayal R, Holmes BJ, Scarrow G, Graham ID, et al. Evaluation of the “Foundations in Knowledge Translation” training initiative: preparing end users to practice KT. Implement Sci. 2018;13(1):63.CrossRefPubMedPubMedCentral Park JS, Moore JE, Sayal R, Holmes BJ, Scarrow G, Graham ID, et al. Evaluation of the “Foundations in Knowledge Translation” training initiative: preparing end users to practice KT. Implement Sci. 2018;13(1):63.CrossRefPubMedPubMedCentral
30.
go back to reference Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, et al. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006;26:13–24.CrossRefPubMed Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, et al. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006;26:13–24.CrossRefPubMed
31.
go back to reference Nilsen P Making sense of implementation theories, models and frameworks. Implementation Science 2015; 10: 53. Nilsen P Making sense of implementation theories, models and frameworks. Implementation Science 2015; 10: 53.
32.
go back to reference Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implementation science. 2011;6:42.CrossRefPubMed Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implementation science. 2011;6:42.CrossRefPubMed
33.
go back to reference Mezirow J. Transformative dimensions of adult learning: San Francisco: Jossey-Bass; 1991. Mezirow J. Transformative dimensions of adult learning: San Francisco: Jossey-Bass; 1991.
34.
go back to reference Fosnot CT, Perry RS. Constructivism: theory, perspectives, and practice. Vol. 2. New York: Teachers College Press; 2005. p. 8–33. Fosnot CT, Perry RS. Constructivism: theory, perspectives, and practice. Vol. 2. New York: Teachers College Press; 2005. p. 8–33.
35.
go back to reference Kolb DA. Experiential learning: experience as the source of learning and development. Englewood Cliffs: Prentice-Hall; 1984. Kolb DA. Experiential learning: experience as the source of learning and development. Englewood Cliffs: Prentice-Hall; 1984.
36.
go back to reference Conrad R-M, Donaldson JA. Continuing to engage the online learner: more activities and resources for creative instruction. Vol. 35. New York: Wiley; 2012. Conrad R-M, Donaldson JA. Continuing to engage the online learner: more activities and resources for creative instruction. Vol. 35. New York: Wiley; 2012.
37.
go back to reference Lehman RM, Conceição SC. Motivating and retaining online students: research-based strategies that work: San Francisco: Jossey-Bass; 2013. Lehman RM, Conceição SC. Motivating and retaining online students: research-based strategies that work: San Francisco: Jossey-Bass; 2013.
38.
go back to reference Forsetlund L, Bjorndal A, Rashidian A, Jamtvedt G, O’Brien MA, Wolf F, et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2009;2:CD003030 Forsetlund L, Bjorndal A, Rashidian A, Jamtvedt G, O’Brien MA, Wolf F, et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2009;2:CD003030
39.
go back to reference Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. JAMA. 2008;300:1181–96.CrossRefPubMed Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. JAMA. 2008;300:1181–96.CrossRefPubMed
40.
go back to reference Giguère A, Légaré F, Grimshaw J, Turcotte S, Fiander M, Grudniewicz A, et al. Printed educational materials: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2012;(10):CD004398. Giguère A, Légaré F, Grimshaw J, Turcotte S, Fiander M, Grudniewicz A, et al. Printed educational materials: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2012;(10):CD004398.
41.
go back to reference Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687.CrossRefPubMed Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687.CrossRefPubMed
42.
go back to reference Palinkas LA, Aarons GA, Horwitz S, Chamberlain P, Hurlburt M, Landsverk J. Mixed method designs in implementation research. Admin Pol Ment Health. 2011;38(1):44–53.CrossRef Palinkas LA, Aarons GA, Horwitz S, Chamberlain P, Hurlburt M, Landsverk J. Mixed method designs in implementation research. Admin Pol Ment Health. 2011;38(1):44–53.CrossRef
43.
go back to reference Fetters MD, Curry LA, Creswell JW. Achieving integration in mixed methods designs—principles and practices. Health services research. 2013;48(6pt2):2134–56.CrossRefPubMedPubMedCentral Fetters MD, Curry LA, Creswell JW. Achieving integration in mixed methods designs—principles and practices. Health services research. 2013;48(6pt2):2134–56.CrossRefPubMedPubMedCentral
44.
go back to reference Dillman DA. Mail and telephone surveys: the total design method. Vol. 19. New York: Wiley; 1978. Dillman DA. Mail and telephone surveys: the total design method. Vol. 19. New York: Wiley; 1978.
45.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef
46.
go back to reference Padek M, Mir N, Jacob RR, Chambers DA, Dobbins M, Emmons KM, et al. Training scholars in dissemination and implementation research for cancer prevention and control: a mentored approach. Implement Sci. 2018;13(1):18.CrossRefPubMedPubMedCentral Padek M, Mir N, Jacob RR, Chambers DA, Dobbins M, Emmons KM, et al. Training scholars in dissemination and implementation research for cancer prevention and control: a mentored approach. Implement Sci. 2018;13(1):18.CrossRefPubMedPubMedCentral
47.
go back to reference Salyers V, Carter L, Cairns S, and Durrer L The use of scaffolding and interactive learning strategies in online courses for working nurses: implications for adult and online education. 2014. Salyers V, Carter L, Cairns S, and Durrer L The use of scaffolding and interactive learning strategies in online courses for working nurses: implications for adult and online education. 2014.
48.
go back to reference Hmelo-Silver CE. Problem-based learning: what and how do students learn? Educ Psychol Rev. 2004;16:235–66.CrossRef Hmelo-Silver CE. Problem-based learning: what and how do students learn? Educ Psychol Rev. 2004;16:235–66.CrossRef
49.
go back to reference Furman N, Sibthorp J. Leveraging experiential learning techniques for transfer. New Directions for Adult and Continuing Education. 2013;2013:17–26.CrossRef Furman N, Sibthorp J. Leveraging experiential learning techniques for transfer. New Directions for Adult and Continuing Education. 2013;2013:17–26.CrossRef
51.
go back to reference Hutchinson A, Estabrooks C. Theories of KT: educational theories. In: Straus SE, Tetroe J, Graham ID, editors. Knowledge translation in health care. Oxford: Wiley/Blackwell; 2009. Hutchinson A, Estabrooks C. Theories of KT: educational theories. In: Straus SE, Tetroe J, Graham ID, editors. Knowledge translation in health care. Oxford: Wiley/Blackwell; 2009.
52.
go back to reference Heifetz R, Linsky M, Grashow A. Practice of adaptive leadership: tools and tactics for changing your organization and the world. Boston: Harvard Business Review Press; 2009. Heifetz R, Linsky M, Grashow A. Practice of adaptive leadership: tools and tactics for changing your organization and the world. Boston: Harvard Business Review Press; 2009.
53.
go back to reference Knowles MS, Holton EF, Holton E, Swanson RA. The adult learner: the definitive classic in adult education and human resource development. New York: Routledge; 2005. Knowles MS, Holton EF, Holton E, Swanson RA. The adult learner: the definitive classic in adult education and human resource development. New York: Routledge; 2005.
54.
go back to reference Sachdeva AK. Use of effective feedback to facilitate adult learning. J Cancer Educ. 1996;11(2):106–18.PubMed Sachdeva AK. Use of effective feedback to facilitate adult learning. J Cancer Educ. 1996;11(2):106–18.PubMed
55.
go back to reference Wandersman A, Chien VH, Katz J. Toward an evidence-based system for innovation support for implementing innovations with quality: tools, training, technical assistance, and quality assurance/quality improvement. Am J Community Psychol. 2012;50:445–59.CrossRefPubMed Wandersman A, Chien VH, Katz J. Toward an evidence-based system for innovation support for implementing innovations with quality: tools, training, technical assistance, and quality assurance/quality improvement. Am J Community Psychol. 2012;50:445–59.CrossRefPubMed
56.
go back to reference Leeman J, Calancie L, Hartman MA, Escoffery CT, Herrmann AK, Tague LE, et al. What strategies are used to build practitioners’ capacity to implement community-based interventions and are they effective?: a systematic review. Implement Sci. 2015;10:80.CrossRefPubMedPubMedCentral Leeman J, Calancie L, Hartman MA, Escoffery CT, Herrmann AK, Tague LE, et al. What strategies are used to build practitioners’ capacity to implement community-based interventions and are they effective?: a systematic review. Implement Sci. 2015;10:80.CrossRefPubMedPubMedCentral
57.
go back to reference Practicing knowledge translation. 2015. Accessed 30 Mar 2018. Practicing knowledge translation. 2015. Accessed 30 Mar 2018.
58.
go back to reference Bandura A. Social learning theory. General Learning Corporation. New York City: General Learning Press; 1971. Bandura A. Social learning theory. General Learning Corporation. New York City: General Learning Press; 1971.
Metadata
Title
Longitudinal evaluation of a course to build core competencies in implementation practice
Authors
Julia E. Moore
Shusmita Rashid
Jamie S. Park
Sobia Khan
Sharon E. Straus
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2018
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/s13012-018-0800-3

Other articles of this Issue 1/2018

Implementation Science 1/2018 Go to the issue