A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies.
A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies.
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DOI：
10.1186/1748-5908-4-61
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发表时间：
2009-09-23
期刊：
影响因子：
--
通讯作者：
Robeson P
中科院分区：
文献类型：
--
作者：
Dobbins M;Hanna SE;Ciliska D;Manske S;Cameron R;Mercer SL;O'Mara L;DeCorby K;Robeson P
研究知识的生产投入了大量的资源和时间。这项随机对照试验的主要目的是评估三种知识转化和交流策略在将研究证据纳入公共卫生政策和计划方面的有效性。这项试验是在 2004 年至 2006 年期间对加拿大公共卫生部门的全国样本进行的。这三项干预措施于 2005 年实施，历时一年多，包括访问研究证据的在线登记册；定制消息传递；和知识经纪人。主要结果评估了最近的计划决策中使用研究证据的程度，次要结果衡量了卫生部门正在实施的以证据为依据的健康体重促进政策或计划的总和的变化。使用混合效应模型来检验假设。 141 个卫生部门中有 108 个（77%）参与了这项研究。未观察到干预对主要结局有显着影响（p < 0.45）。然而，对于公共卫生政策和计划 (HPP)，仅针对定制的、有针对性的信息观察到干预措施的显着效果 (p < 0.01)。治疗效果受到组织研究文化的调节（例如，决策中对研究证据的重视）。这项研究的结果表明，在某些条件下，定制的有针对性的消息比知识经纪和访问研究证据的在线注册表更有效。为了实施最能满足各个组织需求的战略，需要更加重视组织因素的识别。试验注册号和标题如下：ISRCTN35240937——知识经纪人在促进循证体育活动和健康体重规划方面是否比其他策略更有效？
Significant resources and time are invested in the production of research knowledge. The primary objective of this randomized controlled trial was to evaluate the effectiveness of three knowledge translation and exchange strategies in the incorporation of research evidence into public health policies and programs. This trial was conducted with a national sample of public health departments in Canada from 2004 to 2006. The three interventions, implemented over one year in 2005, included access to an online registry of research evidence; tailored messaging; and a knowledge broker. The primary outcome assessed the extent to which research evidence was used in a recent program decision, and the secondary outcome measured the change in the sum of evidence-informed healthy body weight promotion policies or programs being delivered at health departments. Mixed-effects models were used to test the hypotheses. One hundred and eight of 141 (77%) health departments participated in this study. No significant effect of the intervention was observed for primary outcome (p < 0.45). However, for public health policies and programs (HPPs), a significant effect of the intervention was observed only for tailored, targeted messages (p < 0.01). The treatment effect was moderated by organizational research culture (e.g., value placed on research evidence in decision making). The results of this study suggest that under certain conditions tailored, targeted messages are more effective than knowledge brokering and access to an online registry of research evidence. Greater emphasis on the identification of organizational factors is needed in order to implement strategies that best meet the needs of individual organizations. The trial registration number and title are as follows: ISRCTN35240937 -- Is a knowledge broker more effective than other strategies in promoting evidence-based physical activity and healthy body weight programming?
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影响因子：
120.7
作者：
DAVIS, DA;THOMSON, MA;HAYNES, RB
通讯作者：
HAYNES, RB
影响因子：
3.8
作者：
Church, J;Saunders, D;Dorgan, M
通讯作者：
Dorgan, M
DOI：
10.1017/s0266462301107026
发表时间：
2001-09-01
影响因子：
3.2
作者：
Dobbins, M;Cockerill, R;Ciliska, D
通讯作者：
Ciliska, D
DOI：
10.1017/s0266462300105069
发表时间：
2001-03-01
影响因子：
3.2
作者：
Dobbins, M;Cockerill, R;Barnsley, J
通讯作者：
Barnsley, J
DOI：
10.1111/j.1741-6787.2004.t01-1-04009.x
发表时间：
2004-01-01
影响因子：
4.3
作者：
Dobbins, M;DeCorby, K;Twiddy, T
通讯作者：
Twiddy, T