Systematic review of knowledge translation strategies in the allied health professions.
Systematic review of knowledge translation strategies in the allied health professions.
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DOI：
10.1186/1748-5908-7-70
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发表时间：
2012-07-25
期刊：
影响因子：
--
通讯作者：
Dryden DM
中科院分区：
文献类型：
--
作者：
Scott SD;Albrecht L;O'Leary K;Ball GD;Hartling L;Hofmeyer A;Jones CA;Klassen TP;Kovacs Burns K;Newton AS;Thompson D;Dryden DM
知识翻译旨在弥合研究与实践之间的鸿沟，以期在实践中实现和最大化研究的效益。以前的研究已经调查了护理和医学中的KT策略；然而，本研究是第一次系统地回顾各种KT干预措施在五个相关健康学科中的有效性：营养学、职业疗法、药剂学、物理疗法和语言-语言病理学。一名卫生研究图书馆员利用语言(英文)和日期限制(1985年至2010年3月)在8个电子数据库(MEDLINE、CINAHL、ERIC、PASCAL、EMBASE、IPA、SCOPUS、CENTAL)中制定和实施了搜索策略。手动搜索其他相关来源。两名审查员独立筛选标题和摘要，审阅全文文章，进行数据提取，并进行质量评估。在每个专业中，创建了证据表格，根据研究设计、KT策略、目标行为和主要结果对数据进行分组和分析。已发表的关于KT干预措施的说明与干预措施发展和评估研究工作组(WIDER)的建议进行了比较，以改进对行为改变干预措施内容的报告。总共找到了2638篇文章，并对标题和摘要进行了筛选。其中1172篇全文综述，随后32篇研究纳入系统综述。确定了各种单一(n = 15)和多(n = 17)KT干预措施，其中教育会议是主要的KT策略(n = 11)。大多数主要结果被确定为专业/过程结果(n = 25)；然而，患者结果(n = 4)、经济结果(n = 2)和多个主要结果(n = 1)也被呈现。总的来说，这些研究的方法学质量较低。结果报告的偏差是常见的，并且排除了明确确定干预效果的可能性。在大多数研究中，干预措施对主要结果表现出混合影响，只有4项研究显示对主要结果有统计学意义的积极影响。没有一项研究满足这四项更广泛的建议。在五个联合的卫生专业中，模棱两可的结果、低方法质量和结果报告偏见限制了我们推荐一种KT策略而不是另一种的能力。需要利用更广泛的建议进行进一步的研究，以便为制定和实施有效的联合保健KT干预措施提供信息。
Knowledge translation (KT) aims to close the research-practice gap in order to realize and maximize the benefits of research within the practice setting. Previous studies have investigated KT strategies in nursing and medicine; however, the present study is the first systematic review of the effectiveness of a variety of KT interventions in five allied health disciplines: dietetics, occupational therapy, pharmacy, physiotherapy, and speech-language pathology. A health research librarian developed and implemented search strategies in eight electronic databases (MEDLINE, CINAHL, ERIC, PASCAL, EMBASE, IPA, Scopus, CENTRAL) using language (English) and date restrictions (1985 to March 2010). Other relevant sources were manually searched. Two reviewers independently screened the titles and abstracts, reviewed full-text articles, performed data extraction, and performed quality assessment. Within each profession, evidence tables were created, grouping and analyzing data by research design, KT strategy, targeted behaviour, and primary outcome. The published descriptions of the KT interventions were compared to the Workgroup for Intervention Development and Evaluation Research (WIDER) Recommendations to Improve the Reporting of the Content of Behaviour Change Interventions. A total of 2,638 articles were located and the titles and abstracts were screened. Of those, 1,172 full-text articles were reviewed and subsequently 32 studies were included in the systematic review. A variety of single (n = 15) and multiple (n = 17) KT interventions were identified, with educational meetings being the predominant KT strategy (n = 11). The majority of primary outcomes were identified as professional/process outcomes (n = 25); however, patient outcomes (n = 4), economic outcomes (n = 2), and multiple primary outcomes (n = 1) were also represented. Generally, the studies were of low methodological quality. Outcome reporting bias was common and precluded clear determination of intervention effectiveness. In the majority of studies, the interventions demonstrated mixed effects on primary outcomes, and only four studies demonstrated statistically significant, positive effects on primary outcomes. None of the studies satisfied the four WIDER Recommendations. Across five allied health professions, equivocal results, low methodological quality, and outcome reporting bias limited our ability to recommend one KT strategy over another. Further research employing the WIDER Recommendations is needed to inform the development and implementation of effective KT interventions in allied health.
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影响因子：
3
作者：
Airaksinen, M;Ahonen, R;Enlund, H
通讯作者：
Enlund, H
影响因子：
2.6
作者：
Brug, Johannes;Spikmans, Femke;Ferreira, Isabel
通讯作者：
Ferreira, Isabel
影响因子：
--
作者：
Benrimoj, Shalom (Charlie) I.;Gilbert, Andrew;de Almeida Neto, Abilio C.
通讯作者：
de Almeida Neto, Abilio C.
影响因子：
3.4
作者：
Bracchi, RCG;Houghton, J;Routledge, PA
通讯作者：
Routledge, PA
影响因子：
--
作者：
Bekkering, GE;Hendriks, HJM;Bouter, LM
通讯作者：
Bouter, LM