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Communicating Evidence

Communicating Evidence

Knowledge Transfer - Disseminating Research Findings

Mary Law

© Mary Law, School of Rehabilitation Science, McMaster University, Hamilton, ON Canada

Knowledge Transfer - Disseminating Research Findings

Mary Law

© Mary Law, School of Rehabilitation Science, McMaster University, Hamilton, ON Canada

(2)

Knowledge Transfer

Knowledge Transfer

‹What is knowledge transfer?

‹What factors affect knowledge transfer?

‹What is knowledge transfer?

(3)

Social Learning

Social Learning

‹Social learning involves:

™ (a) promotional activities to interest and motivate

people to change behaviour

™ (b) skills training (to encourage self-efficacy beliefs) ™ (c) development of support networks to maintain the

new behaviours

™ (d) maintenance of behaviour through reinforcement

and generalization to different settings

‹Social learning involves:

™ (a) promotional activities to interest and motivate

people to change behaviour

™ (b) skills training (to encourage self-efficacy beliefs) ™ (c) development of support networks to maintain the

new behaviours

™ (d) maintenance of behaviour through reinforcement

(4)

Social Marketing

Social Marketing

‹Social marketing emphasizes the role of

communication and marketing techniques to

increase the acceptability of an idea or practice. It involves ensuring that the idea or practice is:

™ (a) desirable to the target group

™ (b) promoted through various media ™ (c) adequately distributed.

‹Social marketing emphasizes the role of

communication and marketing techniques to

increase the acceptability of an idea or practice. It involves ensuring that the idea or practice is:

™ (a) desirable to the target group

™ (b) promoted through various media ™ (c) adequately distributed.

(5)

Facilitating Change

Facilitating Change

‹The best techniques for changing individuals’ attitudes or behavior are:

™ (a) active participation

™ (b) persuasive communication ™ (c) empowering individuals

‹The best techniques for changing individuals’ attitudes or behavior are:

™ (a) active participation

™ (b) persuasive communication ™ (c) empowering individuals

(6)

Knowledge Transfer

Knowledge Transfer

‹The dissemination source must be perceived as competent, credible and trustworthy

‹The content must be perceived as relevant, usable, methodologically sound, and

comprehensive to users.

‹The dissemination source must be perceived as competent, credible and trustworthy

‹The content must be perceived as relevant, usable, methodologically sound, and

(7)

Knowledge Transfer

Knowledge Transfer

‹The medium must be timely, accessible, user-friendly and clearly understandable.

‹The intended user must perceive the relevance of the materials to their own needs, and understand the material in the context of their work.

‹The medium must be timely, accessible, user-friendly and clearly understandable.

‹The intended user must perceive the relevance of the materials to their own needs, and understand the material in the context of their work.

(8)

Evidence-based Communication

Evidence-based Communication

‹What is the role of the person receiving knowledge?

‹What decisions will be made?

‹Obtain and interpret research evidence

‹Communicate evidence in an understandable way

Tickle-Degnen, 2001

‹What is the role of the person receiving knowledge?

‹What decisions will be made?

‹Obtain and interpret research evidence

‹Communicate evidence in an understandable way

(9)

Communicating Evidence to:

Communicating Evidence to:

‹Clients and families?

‹Managers?

‹Decision-makers?

‹Clients and families?

‹Managers?

(10)

Methods of Knowledge Transfer

Methods of Knowledge Transfer

‹Continuing education courses (interactive/didactic)

‹Expert opinion

‹Journal articles/educational materials

‹Research summaries/abstracts

‹Audit and feedback

‹Educational outreach (academic detailing) ‹Educational influentials/opinion leaders

‹Clinical guidelines

‹Continuing education courses (interactive/didactic) ‹Expert opinion

‹Journal articles/educational materials ‹Research summaries/abstracts

‹Audit and feedback

‹Educational outreach (academic detailing) ‹Educational influentials/opinion leaders

(11)

Problem ‹ size/complexity of research ‹ developing evidence-based policy ‹ lack of access ‹ organizational barriers Problem ‹ size/complexity of research ‹ developing evidence-based policy ‹ lack of access ‹ organizational barriers Potential Solution ‹ abstract services/research summaries ‹ evidence-based guidelines ‹ information systems to integrate evidence and care guidelines

‹ administrative leadership

and incentives for EBP

Potential Solution

‹ abstract services/research

summaries

‹ evidence-based guidelines

‹ information systems to integrate evidence and care guidelines

‹ administrative leadership and incentives for EBP

(12)

Evidence-based

Transfer Model

Evidence-based

Transfer Model

(13)

Practicing Evidence Based OT?

‹ What should practitioners aim for?

Awareness Consultation

Judgement Creativity

(14)

Awareness

Awareness

‹Therapists must be aware of the evidence which has to do with their practice

‹This means finding effective ways of staying up-to-date with the new research happening in the field

‹Instead of awareness of everything without

comprehension, the goal is focused awareness, or a knowledge of where to look

‹It is important that each practitioner find their own ‘intuitive’ way to stay up-to-date

‹Therapists must be aware of the evidence which has to do with their practice

‹This means finding effective ways of staying up-to-date with the new research happening in the field ‹Instead of awareness of everything without

comprehension, the goal is focused awareness, or a knowledge of where to look

‹It is important that each practitioner find their own ‘intuitive’ way to stay up-to-date

(15)

Consultation

Consultation

‹ “Evidence based clinical practice is an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits that patient best”

Muir Gray, JA. (1997) Evidence-based healthcare: how to make health policy and

management decisions. London: Churchill Livingstone.

‹ An essential part of practitioners’ jobs is to be good communicators

‹ Practitioners who are able to discuss why they are

practicing evidence-based OT and what is happening to their clients will be the most successful

‹ “Evidence based clinical practice is an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits that patient best”

Muir Gray, JA. (1997) Evidence-based healthcare: how to make health policy and

management decisions. London: Churchill Livingstone.

‹ An essential part of practitioners’ jobs is to be good communicators

‹ Practitioners who are able to discuss why they are

practicing evidence-based OT and what is happening to their clients will be the most successful

(16)

Judgment

Judgment

‹There are problems inherent in the “evidence” used by EBP

‹Example: Meta Analyses which are successful for “average” randomized client may not apply to

specific cases, and can be misleading

‹Practitioners must possess good clinical judgment to tailor the evidence to the specifics of each

client’s situation.

‹There are problems inherent in the “evidence” used by EBP

‹Example: Meta Analyses which are successful for “average” randomized client may not apply to

specific cases, and can be misleading

‹Practitioners must possess good clinical judgment to tailor the evidence to the specifics of each

(17)

Creativity

Creativity

‹ Using the best evidence in the best way will not always be straightforward, and practitioners will have to use their creative skills to meet the challenges of real life.

‹ Evidence-based OT enables practitioners to ‘write their

own textbook’, and teach themselves what they need: this makes independent thinking essential.

‹ In short, all of EBP is somewhere both a science and an art, requiring creativity and insight to work correctly.

‹ Using the best evidence in the best way will not always be straightforward, and practitioners will have to use their creative skills to meet the challenges of real life.

‹ Evidence-based OT enables practitioners to ‘write their

own textbook’, and teach themselves what they need: this makes independent thinking essential.

‹ In short, all of EBP is somewhere both a science and an art, requiring creativity and insight to work correctly.

(18)

Knowledge Transfer Exercise

Knowledge Transfer Exercise

‹ Read the academic summary of the Family-Centred Service Survey research

‹ Write the results and implications of this research for:

™ practitioners

™ consumers/families

™ policy-makers/government

‹ Read the academic summary of the Family-Centred Service Survey research

‹ Write the results and implications of this research for: ™ practitioners

™ consumers/families

(19)

Partnership and evidence in practice

Partnership and evidence in practice

‹

Create the culture

‹

Prioritize

‹

Collaborate

‹

Question

‹

Create the culture

‹

Prioritize

‹

Collaborate

(20)

What will I do?

What will I do?

‹Read one journal article every week

‹Implement one outcome measure in your practice

‹Each month, select a client and do a literature review related to that person and their

occupational performance issues

‹Start a journal club

‹Include evidence when you communicate to clients, service providers, managers

‹Read one journal article every week

‹Implement one outcome measure in your practice ‹Each month, select a client and do a literature

review related to that person and their occupational performance issues

‹Start a journal club

‹Include evidence when you communicate to clients, service providers, managers

(21)

What will I do?

What will I do?

‹Develop an evidence-based work culture

‹Support courses that are evidence-based

‹Share evidence with colleagues

‹Link with your local university to develop evidence

‹Develop an evidence-based work culture ‹Support courses that are evidence-based ‹Share evidence with colleagues

References

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