Systematic review of determinants influencing knowledge implementation in occupational therapy

Area of Science:

• Health Services Research
• Knowledge Translation
• Occupational Therapy Practice

Background:

• Implementation strategies are crucial for practice change in knowledge translation.
• Determinants, including individual and organizational factors, significantly impact the success of implementation strategies.
• A synthesis of how these determinants influence knowledge implementation (KI) is currently lacking.

Purpose of the Study:

• To systematically review and document the influence of determinants on knowledge implementation (KI) outcomes specifically within the field of occupational therapy.
• To identify which determinants are most frequently studied in relation to KI in occupational therapy.

Main Methods:

• A systematic literature review following PRISMA guidelines was conducted across 12 databases.
• Studies involving KI strategies with occupational therapists were selected and appraised for quality.
• The Consolidated Framework for Implementation Research (CFIR) was used to categorize determinants and their influence on KI outcomes.

Main Results:

• Twenty-two studies were analyzed, with CFIR (sub-)constructs mentioned 81 times.
• Seven key (sub-)constructs, including Adaptability, Learning Climate, and Leadership Engagement, were most frequently cited.
• The Inner Setting domain of CFIR was the most documented, highlighting its importance in KI.

Conclusions:

• Researchers developing KI strategies for occupational therapists should prioritize assessing the salience of the seven most frequently mentioned (sub-)constructs.
• Future research should employ standardized tools to more accurately measure the influence of determinants on KI outcomes.
• A deeper understanding of determinant influence is essential for optimizing knowledge implementation in occupational therapy.