Elizabeth Lindsay (University of Ottawa); Paul Hendry (University of Ottawa)
Synopsis
Theory and practice of knowledge translation (KT) with expertise from multiple professions were combined to address improvement in rates of diabetic retinopathy assessment. We will describe the development, application and short term results of an intervention using a “logic model” evaluation plan.
Abstract
The purpose of this project was to build and evaluate an intervention to address unacceptably low rates of diabetic retinopathy assessment, in our community and to evaluate the planning process that applied evidence-based KT and implementation science approaches to optimize CME/CPD.
Methods
The CIHR “Knowledge to Action” Framework served as a practical tool to guide the planning process.1 It requires a stepwise but iterative process that includes: identification of local barriers to uptake, use of behaviour change theory, and selection of evidence-based interventions. Through a facilitated, systematic process, an inter-professional working group from primary health care, optometry, ophthalmology and relevant community organizations identified barriers and local factors that would be the foundation for the intervention protocol. The intervention design matched objectives and formats to optimize potential impact.2 A “logic model”evaluation approach included data collection regarding the input, output and short term results of implementation of the intervention.
Results
The barrier analysis revealed gaps in practitioners’ knowledge, weak communication between health professionals and issues related to patient misunderstanding of their condition, as fundamental to developing an effective intervention strategy. We will report on the scope of the interventions strategy, formative evaluation of the educational tools, participation and perceptions of those attending group learning programs.
We conclude that application of the “Knowledge to Action” Framework” is feasible within a modified CPD planning process and that an inter-professional alliance to oversee this work can result in greater inclusion and participation levels than would have been attained applying traditional development processes.
References
- GrahamID,LoganJ,HarrisonMB,StraussSE,TetroeJetal.Lostinknowledgetranslation:timefor a map? J Contin Ed Health Prof 2006 Winter: (26 ): 13-24.
- Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A, on behalf of the “Psychological Theory” Group. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care 2005; 14: 26-33.
