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

BackgroundKnowledge 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.MethodsThe 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.ResultsThe 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.ConclusionsThis 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.

[1]  Whitney Berta,et al.  Integrated knowledge translation (IKT) in health care: a scoping review , 2015, Implementation Science.

[2]  Michael G. Wilson,et al.  Health System Decision Makers' Feedback on Summaries and Tools Supporting the Use of Systematic Reviews: A Qualitative Study. , 2014 .

[3]  D. Ciliska,et al.  The effectiveness of knowledge translation strategies used in public health: a systematic review , 2012, BMC Public Health.

[4]  T. Greenhalgh,et al.  Realist review - a new method of systematic review designed for complex policy interventions , 2005, Journal of health services research & policy.

[5]  S. Straus,et al.  Using a systematic review in clinical decision making: a pilot parallel, randomized controlled trial , 2015, Implementation Science.

[6]  P. Tugwell,et al.  Do evidence summaries increase health policy‐makers' use of evidence from systematic reviews? A systematic review , 2018, Campbell systematic reviews.

[7]  S. Staniszewska,et al.  Mapping the impact of patient and public involvement on health and social care research: a systematic review , 2014, Health expectations : an international journal of public participation in health care and health policy.

[8]  Vicky Ward,et al.  Developing a Framework for Transferring Knowledge Into Action: A Thematic Analysis of the Literature , 2009, Journal of health services research & policy.

[9]  Colleen Davison,et al.  Knowledge translation: Implications for evaluation , 2009 .

[10]  I. Graham,et al.  From knowledge translation to engaged scholarship: promoting research relevance and utilization. , 2013, Archives of physical medicine and rehabilitation.

[11]  David A Chambers,et al.  Bridging research and practice: models for dissemination and implementation research. , 2012, American journal of preventive medicine.

[12]  C. Willis,et al.  A time-responsive tool for informing policy making: rapid realist review , 2013, Implementation Science.

[13]  N. Britten,et al.  Collaborative research and the co-production of knowledge for practice: an illustrative case study , 2015, Implementation Science.

[14]  Kara Hanson,et al.  Scaling up in international health: what are the key issues? , 2010, Health policy and planning.

[15]  C. Dagenais,et al.  Do knowledge translation (KT) plans help to structure KT practices? , 2016, Health Research Policy and Systems.

[16]  J. Grimshaw,et al.  Knowledge translation of research findings , 2012, Implementation Science.

[17]  N. Sewankambo,et al.  Assessing country-level efforts to link research to action. , 2006, Bulletin of the World Health Organization.

[18]  Claire Glenton,et al.  User testing and stakeholder feedback contributed to the development of understandable and useful Summary of Findings tables for Cochrane reviews. , 2010, Journal of clinical epidemiology.

[19]  P. Hedström,et al.  Causal Mechanisms in the Social Sciences , 2010 .

[20]  S. Michie,et al.  Using realist review to inform intervention development: methodological illustration and conceptual platform for collaborative care in offender mental health , 2015, Implementation Science.

[21]  Lisa Hartling,et al.  Systematic review of knowledge translation strategies in the allied health professions , 2011, Implementation Science.

[22]  T. Greenhalgh,et al.  Uncovering the Benefits of Participatory Research: Implications of a Realist Review for Health Research and Practice , 2012, The Milbank quarterly.

[23]  David Moher,et al.  The art and science of knowledge synthesis. , 2011, Journal of clinical epidemiology.

[24]  J. Lavis,et al.  How can research organizations more effectively transfer research knowledge to decision makers? , 2003, The Milbank quarterly.

[25]  Duncan Chambers,et al.  Maximizing the impact of systematic reviews in health care decision making: a systematic scoping review of knowledge-translation resources. , 2011, The Milbank quarterly.

[26]  Alison L Kitson,et al.  The need for systems change: reflections on knowledge translation and organizational change. , 2009, Journal of advanced nursing.

[27]  Sarah E. Rosenbaum,et al.  A summary to communicate evidence from systematic reviews to the public improved understanding and accessibility of information: a randomized controlled trial. , 2015, Journal of clinical epidemiology.

[28]  G. Wong,et al.  Scaling up complex interventions: insights from a realist synthesis , 2016, Health Research Policy and Systems.

[29]  A. Tricco,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 , 2015, BMJ Open.

[30]  P. Tugwell,et al.  Update of Strategies to Translate Evidence from Cochrane Musculoskeletal Group Systematic Reviews for Use by Various Audiences , 2014, The Journal of Rheumatology.

[31]  T. Lorenc,et al.  A systematic review of barriers to and facilitators of the use of evidence by policymakers , 2014, BMC Health Services Research.

[32]  Kevin W Eva,et al.  Building theories of knowledge translation interventions: Use the entire menu of constructs , 2012, Implementation Science.

[33]  D. Gough,et al.  Clarifying differences between review designs and methods , 2012, Systematic Reviews.

[34]  Julius Court,et al.  Bridging research and policy in international development: an analytical and practical framework , 2006 .

[35]  M. Clarke,et al.  Barriers to the uptake of evidence from systematic reviews and meta-analyses: a systematic review of decision makers’ perceptions , 2012, BMJ Open.

[36]  P. Tugwell,et al.  Do evidence summaries increase policy-makers’ use of evidence from systematic reviews: A systematic review protocol , 2015, Systematic Reviews.

[37]  V. Bekkers,et al.  A Systematic Review of Co-Creation and Co-Production: Embarking on the social innovation journey , 2014 .

[38]  G. Patton,et al.  Harnessing Complexity: Taking Advantage of Context and Relationships in Dissemination of School-Based Interventions , 2010, Health promotion practice.

[39]  M. Clarke,et al.  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 , 2014, Journal of the Royal Society of Medicine.

[40]  T. Greenhalgh,et al.  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 , 2014 .

[41]  Alison M. Hutchinson,et al.  Collaboration and Co-Production of Knowledge in Healthcare: Opportunities and Challenges. , 2016, International journal of health policy and management.

[42]  R. Armstrong,et al.  The nature of evidence resources and knowledge translation for health promotion practitioners. , 2007, Health promotion international.

[43]  C. Davison,et al.  Critical examination of knowledge to action models and implications for promoting health equity , 2015, International Journal for Equity in Health.

[44]  J. Curran,et al.  Embedding mental health interventions in early childhood education systems for at-risk preschoolers: an evidence to policy realist review , 2014, Systematic Reviews.

[45]  F. Leeuw,et al.  Unpacking Black Boxes: Mechanisms and Theory Building in Evaluation , 2010 .

[46]  Julie Nanavati,et al.  Realist Review: Current Practice and Future Prospects , 2016 .