Step KTA 3.G

Sustain use of the discovery.

Primary findings

Secondary findings

Primary findings

Carriers

Knowledge sharing provides opportunities for mutual learning, creating new knowledge and facilitating novel ideas.
Non-experimental study
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When convening an interactive forum (a knowledge translation event that brings researchers and knowledge users together to jointly interpret research findings) it may be important for ongoing relationship building to determine whether stakeholders have an expectation that follow-up activities will be scheduled by the researcher.
Literature review and single case study.
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Methods

Action Cycle within the KTA Model — the seventh step concerns approaches to sustain knowledge use. The barriers to continued use may be different than those encountered at initial use, but the process for addressing them still involves assessing barriers, tailoring interventions as carriers to overcome them, and establishing a feedback loop to monitor long-term use and its consequences.
Summary of the Knowledge To Action Model and its application to knowledge translation.
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Identify a problem that needs addressing; Identify the need for change; Identify change agents (i.e., the appropriate actors to bring about the change); Identify target audience; Assess barriers to using the knowledge; Review evidence and literature or develop or adapt innovation; Select and tailor interventions to promote the use of the knowledge; Link to appropriate individuals or groups who have vested interests in the project; Implement; Evaluate; Develop a plan to evaluate use of the knowledge; Pilot test; Evaluate process; Evaluate outcomes; Maintain change or sustain ongoing knowledge use.
Results from a knowledge synthesis
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Measures

When using the Knowledge to Action Process model to effect an evidence-based change (e.g., in a clinical practice), it is important to determine whether the desired practice changes have become sustainable. One way to track this is to administer a practice standards interview.
Applying the Graham Knowledge to Action Process model in stroke rehabilitation.
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Secondary findings

Carriers

Ottawa Model of Research Use (OMRU) — There are six essential elements in the design of a strategy to introduce research findings into practice: 1) the practice environment; 2) the potential adopters of the evidence; 3) the evidence-based innovation; 4) research transfer strategies; 5) the evidence adoption; 6) health-related and other outcomes. The systematic assessment, monitoring and evaluation of the state of each of the six elements is required before, during and after any efforts to transfer the research findings.
Source: Logan, J et al (1999). In: Estabrooks, C.; Thompson, D.S., Lovely, J.J.E., & Hofmeyer, A. (2006)