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Why Is It So Hard to Evaluate Knowledge Exchange? Comment on "Sustaining Knowledge Translation Practices: A Critical
1Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Evaluating knowledge translation (KT) interventions is difficult. A new approach from science and technology studies (STS) focuses on the work of moving knowledge across boundaries, offering new ways to design and assess KT mechanisms.
Area of Science:
- Health Research
- Science and Technology Studies (STS)
Background:
- Knowledge translation (KT) activities and evaluations are growing, but evidence of efficacy remains elusive.
- Evaluating KT interventions faces significant political and logistical challenges.
- Current KT evaluations often rely on health research traditions, emphasizing comparability and efficacy.
Purpose of the Study:
- To propose a novel framework for understanding and evaluating knowledge translation.
- To shift the focus from traditional efficacy metrics to the interactive processes of knowledge exchange.
Main Methods:
- Applying theories from Science and Technology Studies (STS).
- Conceptualizing 'context' as a mutual creation rather than a static environment.
- Viewing institutional influence on behavior beyond mere platforms for evidence mobilization.
Main Results:
- A new perspective on KT evaluations by focusing on the work involved in moving knowledge across community boundaries.
- Understanding relationships as active interactions, not just passive conduits for evidence.
- Recognizing context and institutions as dynamic, co-created elements influencing knowledge mobilization.
Conclusions:
- Rethinking KT as a creative, active practice offers innovative approaches to designing and evaluating KT mechanisms.
- The STS-informed perspective provides a more nuanced understanding of the complexities inherent in knowledge exchange.
- This framework can enhance the effectiveness and evaluation of knowledge translation efforts in research and practice.
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