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Applying the knowledge to action framework to plan a strategy for implementing breast cancer screening guidelines: an
Sarah Munce1, Monika Kastner, Heidi Cramm
1Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON, Canada. sarah.munce@utoronto.ca
Summary
Integrated knowledge translation (IKT) strategies can improve clinical guideline adoption. Assessing barriers to knowledge use is key for effective breast cancer screening guideline implementation and patient outcomes.
Area of Science:
- Health Services Research
- Knowledge Translation
- Public Health
Background:
- Integrated knowledge translation (IKT) interventions are crucial for enhancing the adoption of clinical guidelines.
- Breast cancer research and guideline implementation benefit significantly from interdisciplinary collaboration involving practitioners, patients, caregivers, and policymakers to optimize patient outcomes.
Purpose of the Study:
- To outline the development of an integrated knowledge translation (IKT) strategy for guideline developers.
- To enhance the uptake of clinical practice guidelines for breast cancer screening.
Main Methods:
- An interprofessional team, including students and faculty, convened over three days at the KT Canada Summer Institute in 2011.
- The Knowledge to Action (KTA) Framework's action cycle phases were utilized as an organizational structure.
- A key focus was assessing barriers to knowledge use to anticipate implementation challenges and inform targeted KT interventions.
Main Results:
- The assessment of barriers to knowledge use was identified as particularly vital for predicting implementation issues.
- This process highlighted the significance of group dynamics and teamwork within IKT initiatives.
- The study demonstrated the utility of the KTA Framework in developing and planning KT strategies.
Conclusions:
- An a priori assessment of barriers to knowledge use, integrated with the Knowledge to Action Framework, offers a strategic approach for developing, implementing, and evaluating KT strategies.
- This methodology can be applied to future planning of KT strategies for guideline implementation, particularly in breast cancer screening.
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