BMJ Open: Can we streamline the concepts of knowledge translation, dissemination and implementation for lay stakeholders? A perspective

30 March, 2023

Below are the citation and abstract of a new paper in BMJ Ope, with thanks to HIFA country representative Irina Ibraghimova and LRC Network. Full text: https://bmjopen.bmj.com/content/13/3/e068946.long

CITATION: Can we streamline the concepts of knowledge translation, dissemination and implementation for lay stakeholders? A perspective

Lubna Daraz1, Khondoker Golam Morshed2

Correspondence to Dr Lubna Daraz; lubna.daraz@umontreal.ca

ABSTRACT

Objective: To initiate a critical dialogue within the evidence-based practice (EBP) communities regarding the necessity of clear and accessible concepts that bridge the gap between research and practical use for non-expert stakeholders.

Key arguments: There has been consistent evidence of failure to translate high-quality biomedical and health research findings into clinical practice and policy implementation. Research findings are not making their way into practice in a timely fashion and are believed to take two decades before an intervention can make its way to patients’ bedsides. Numerous concepts, models and theories have been developed to address this research application gap to guide experts in effectively applying research outcomes to practice. Unfortunately, there are no simplified descriptions of these concepts for use by lay stakeholders, such as patient representatives who may contribute meaningfully to clinical and other health research. To address this gap, as a first step towards developing and validating user-friendly concepts, we propose definitions for three commonly used concepts: knowledge translation, dissemination and implementation in a lay language. We also offer a simplified framework that connects these concepts. The suggested definitions and framework need refinement and confirmation from a broad range of non-expert stakeholders.

Conclusion: Insufficient simplified definitions to explain research in practical terms have led to confusion among stakeholders with limited expertise in EBP. In this context, scientific knowledge that is easy to comprehend and use is vital for non-experts to engage meaningfully and speed up the application of clinical research outcomes in patient care.

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The authors' proposed definitions are:

Knowledge generation: ‘The creation of evidence-based new knowledge or intervention based on a systematic method to translating or synthesising existing scientific evidence’...

Dissemination: ‘The well-thought distribution of new knowledge or intervention to the relevant stakeholders who will benefit from the knowledge’...

Implementation: ‘The application or adoption of new knowledge using different strategies based on the stakeholders’ preferences in specific settings’...

Best wishes, Neil

HIFA profile: Neil Pakenham-Walsh is coordinator of HIFA (Healthcare Information For All), a global health community that brings all stakeholders together around the shared goal of universal access to reliable healthcare information. HIFA has 20,000 members in 180 countries, interacting in four languages and representing all parts of the global evidence ecosystem. HIFA is administered by Global Healthcare Information Network, a UK-based nonprofit in official relations with the World Health Organization. Email: neil@hifa.org