Objective

To describe knowledge translation (KT) research as a means of changing practice behaviors in rehabilitation. We specifically aimed to explore how theories, models and frameworks (TMFs) are used to guide KT, methods to tailor KT interventions, and to evaluate outcomes. We hypothesized these methods would increase over the past 10 years.

Data Sources

Articles were identified through searches conducted using databases CINAHL, MEDLINE, PubMed, Academic Search Premier, and previous reviews from January 2000 to April 2020. Search terms included physical therapy, occupational therapy, speech language pathology, knowledge translation and knowledge-to-action.

Study Selection

Titles, abstracts, and full-text articles were screened independently by two authors. Studies were included if behavior change of rehabilitation practitioners was measured. Systematic reviews, protocols and capacity building interventions were excluded.

Data Extraction

Information on study design, theoretical frameworks, intervention strategies and outcome evaluation were extracted by three authors.

Data Synthesis

Fifty-six studies were included in the review. Sixteen (29%) reported the use of a theoretical framework to guide the KT process. Since 2013, the Knowledge-to-Action framework was used 35% of the time. Twenty-two studies (39%) reported barrier assessments to tailor interventions and 82% were published after 2013. However, barrier assessment in the local context was only conducted 64% of the time. Outcomes of tailored interventions were most frequently measured using chart audits (50%) and questionnaires (41%). Further, the link between KT theory, specific barriers, and selection of intervention strategies was not consistently described.

Conclusions

Over the past 7 years, there has been an increase in the use of KT TMFs and tailored interventions. Recommendations for future research include the use of TMFs to guide local barrier assessment, KT strategy selection, intervention development, and the overall KT process and mapping barriers to selected intervention strategies.

中文翻译：

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促进康复行为改变的知识转化研究：使用理论框架和量身定制的干预措施：范围审查

客观的

将知识转化 (KT) 研究描述为改变康复实践行为的一种手段。我们特别旨在探索如何使用理论、模型和框架 (TMF) 来指导 KT、定制 KT 干预的方法以及评估结果。我们假设这些方法将在过去 10 年中增加。

数据源

文章是通过使用数据库 CINAHL、MEDLINE、PubMed、Academic Search Premier 以及 2000 年 1 月至 2020 年 4 月的先前评论进行的搜索来确定的。搜索词包括物理治疗、职业治疗、言语语言病理学、知识翻译和知识转化为行动。

研究选择

标题、摘要和全文文章由两位作者独立筛选。如果测量康复从业者的行为变化，则纳入研究。系统审查、协议和能力建设干预措施被排除在外。

数据提取

三位作者提取了有关研究设计、理论框架、干预策略和结果评估的信息。

数据综合

该评价纳入了 56 项研究。16 人 (29%) 报告使用理论框架来指导 KT 过程。自 2013 年以来，知识到行动框架的使用率为 35%。22 项研究 (39%) 报告了为制定干预措施而进行的障碍评估，其中 82% 是在 2013 年之后发表的。然而，仅在 64% 的时间里在当地进行了障碍评估。定制干预的结果最常使用图表审核 (50%) 和问卷 (41%) 来衡量。此外，KT 理论、特定障碍和干预策略选择之间的联系并没有得到一致的描述。

结论

在过去 7 年中，KT TMF 和量身定制的干预措施的使用有所增加。对未来研究的建议包括使用 TMF 来指导局部障碍评估、KT 策略选择、干预开发以及整个 KT 过程以及将障碍映射到选定的干预策略。