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Knowledge Translation Interventions for Youth Health Care Transitions: Protocol for a Realist Review.
Grace MacIntyre1, Rachel Flynn2, Kathryn A Birnie3
1School of Nursing, Faculty of Health, Dalhousie University, 5850/5980 University Avenue P.O. Box 9700, Room K8011, Halifax, NS, B3K 6R8, Canada.
JMIR Research Protocols
|July 15, 2026
Summary
This realist review will explore knowledge translation interventions to improve youth healthcare transitions in Canada. It aims to understand how these interventions support the implementation and sustainability of transition in care innovations.
Area of Science:
- Health Services Research
- Knowledge Translation
- Healthcare Innovation
Background:
- Supporting youth and caregivers during healthcare transitions from pediatric to adult care is a priority in Canada.
- Existing transition in care (TiC) innovations often face challenges in effective implementation and sustainability.
- Knowledge translation (KT) interventions are crucial for adopting innovations, but their specific application in TiC is not well-understood.
Purpose of the Study:
- To conduct a realist review to understand the effectiveness of KT interventions for implementing and sustaining TiC innovations.
- To identify what KT interventions work, how they function, for whom, and in what contexts.
- To develop initial program theories guiding the application of KT interventions in healthcare transitions.
Main Methods:
- A realist review following Pawson's 5 iterative steps, integrating rapid realist review methodology.
- Adherence to RAMESES (Realist and Meta-narrative Evidence Syntheses-Evolving Standards) quality standards.
- An integrated knowledge translation approach involving researchers and knowledge users with lived and professional expertise.
Main Results:
- The review is funded by the Canadian Institutes of Health Research, with a multidisciplinary team in place.
- Step 1 of the review is currently underway.
- The review is expected to be completed within 12 months.
Conclusions:
- The realist review will generate initial program theories on mechanisms, context, and processes of KT interventions in TiC.
- These theories will inform a subsequent realist evaluation to test and refine findings.
- The research aims to guide future TiC innovations for diverse health settings in Canada and internationally.
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