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The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review

OBJECTIVES: The aim of this systematic review was to evaluate the effectiveness of toolkits as a knowledge translation (KT) strategy for facilitating the implementation of evidence into clinical care. Toolkits include multiple resources for educating and/or facilitating behaviour change. DESIGN: Sys...

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Autores principales: Yamada, Janet, Shorkey, Allyson, Barwick, Melanie, Widger, Kimberley, Stevens, Bonnie J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4401869/
https://www.ncbi.nlm.nih.gov/pubmed/25869686
http://dx.doi.org/10.1136/bmjopen-2014-006808
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author Yamada, Janet
Shorkey, Allyson
Barwick, Melanie
Widger, Kimberley
Stevens, Bonnie J
author_facet Yamada, Janet
Shorkey, Allyson
Barwick, Melanie
Widger, Kimberley
Stevens, Bonnie J
author_sort Yamada, Janet
collection PubMed
description OBJECTIVES: The aim of this systematic review was to evaluate the effectiveness of toolkits as a knowledge translation (KT) strategy for facilitating the implementation of evidence into clinical care. Toolkits include multiple resources for educating and/or facilitating behaviour change. DESIGN: Systematic review of the literature on toolkits. METHODS: A search was conducted on MEDLINE, EMBASE, PsycINFO and CINAHL. Studies were included if they evaluated the effectiveness of a toolkit to support the integration of evidence into clinical care, and if the KT goal(s) of the study were to inform, share knowledge, build awareness, change practice, change behaviour, and/or clinical outcomes in healthcare settings, inform policy, or to commercialise an innovation. Screening of studies, assessment of methodological quality and data extraction for the included studies were conducted by at least two reviewers. RESULTS: 39 relevant studies were included for full review; 8 were rated as moderate to strong methodologically with clinical outcomes that could be somewhat attributed to the toolkit. Three of the eight studies evaluated the toolkit as a single KT intervention, while five embedded the toolkit into a multistrategy intervention. Six of the eight toolkits were partially or mostly effective in changing clinical outcomes and six studies reported on implementation outcomes. The types of resources embedded within toolkits varied but included predominantly educational materials. CONCLUSIONS: Future toolkits should be informed by high-quality evidence and theory, and should be evaluated using rigorous study designs to explain the factors underlying their effectiveness and successful implementation.
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spelling pubmed-44018692015-04-29 The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review Yamada, Janet Shorkey, Allyson Barwick, Melanie Widger, Kimberley Stevens, Bonnie J BMJ Open Evidence Based Practice OBJECTIVES: The aim of this systematic review was to evaluate the effectiveness of toolkits as a knowledge translation (KT) strategy for facilitating the implementation of evidence into clinical care. Toolkits include multiple resources for educating and/or facilitating behaviour change. DESIGN: Systematic review of the literature on toolkits. METHODS: A search was conducted on MEDLINE, EMBASE, PsycINFO and CINAHL. Studies were included if they evaluated the effectiveness of a toolkit to support the integration of evidence into clinical care, and if the KT goal(s) of the study were to inform, share knowledge, build awareness, change practice, change behaviour, and/or clinical outcomes in healthcare settings, inform policy, or to commercialise an innovation. Screening of studies, assessment of methodological quality and data extraction for the included studies were conducted by at least two reviewers. RESULTS: 39 relevant studies were included for full review; 8 were rated as moderate to strong methodologically with clinical outcomes that could be somewhat attributed to the toolkit. Three of the eight studies evaluated the toolkit as a single KT intervention, while five embedded the toolkit into a multistrategy intervention. Six of the eight toolkits were partially or mostly effective in changing clinical outcomes and six studies reported on implementation outcomes. The types of resources embedded within toolkits varied but included predominantly educational materials. CONCLUSIONS: Future toolkits should be informed by high-quality evidence and theory, and should be evaluated using rigorous study designs to explain the factors underlying their effectiveness and successful implementation. BMJ Publishing Group 2015-04-13 /pmc/articles/PMC4401869/ /pubmed/25869686 http://dx.doi.org/10.1136/bmjopen-2014-006808 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Evidence Based Practice
Yamada, Janet
Shorkey, Allyson
Barwick, Melanie
Widger, Kimberley
Stevens, Bonnie J
The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review
title The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review
title_full The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review
title_fullStr The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review
title_full_unstemmed The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review
title_short The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review
title_sort effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review
topic Evidence Based Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4401869/
https://www.ncbi.nlm.nih.gov/pubmed/25869686
http://dx.doi.org/10.1136/bmjopen-2014-006808
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