Examining the Impact of Knowledge Translation Interventions on Uptake of Evidence‐Based Practices by Care Aides in Continuing Care

Abstract

Background: Dissemination of evidence-based practices has been a long-standing challenge for healthcare providers and policy makers. Research has increasingly focused on effective knowledge translation (KT) in healthcare settings.Aims: This study examined the effectiveness of two KT interventions, informal walkabouts and documentation information sessions, in supporting care aide adoption of new evidence-based practices in continuing care.Methods: The Sustaining Transfers through Affordable Research Translation (START) study examined sustainability of a new practice, the sit-to-stand activity completed with residents in 23 continuing care facilities in Alberta, Canada. At each facility, two informal walkabouts and two documentation information sessions were conducted with care aides during the first 4 months. To assess their effect, uptake of the sit-to-stand activity was compared 4 days prior to and 4 days after each intervention, as well as the entire first and fourth months of the study were compared. Data were analyzed using mixed linear regression models created to estimate the changes in uptake.Results: Data were collected from 227 residents. After controlling for age, sex, dementia, and mobility, a 5.3% (p = .09) increase in uptake of the mobility activity was observed during the day shift and 6.1% (p = .007) increase in uptake of the mobility activity during the evening shift. Site size had a significant effect on the outcome with medium-sized facilities showing a 12.6% (SE = .07) increase over small sites and a 18.2% (SE = .05) increase over large sites. These results suggest that repeated KT interventions and sufficient time are key variables in the successful implementation of new practices.Linking Evidence to Action: Consideration of time, repetition, and facility-specific variables such as size may generate simple, cost-effective KT interventions in healthcare settings.

Effectiveness of reminders to sustain practice change among direct care providers in residential care facilities: a cluster randomized controlled trial

“…This activity has been demonstrated to slow functional decline and improve mobility in older adults [9,[11][12][13]. Following the completion of the majority of their education sessions, each facility underwent a minimum of a 3-month run-in phase, the adoption monitoring period, where interventions were completed to optimize adoption of the sit-to-stand activity prior to randomization [14]. As this study relied on staff documentation for the primary outcome, the adoption monitoring period helped to mitigate potential information bias by offering CAs guidance about accurate documentation.…”

Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses

“…Existing evidence relating to IKT indicates that the involvement of stakeholders in a participatory research approach may strengthen the relevance of research evidence created and facilitate its uptake in practice [ 17 , 18 ]. But literature on such partnerships in NH settings is scarce [ 19 – 21 ]. Despite a rapidly growing body of implementation science in healthcare, we still know little about context-specific implementation in NHs [ 22 ].…”

Development of a video-based evidence synthesis knowledge translation resource: Drawing on a user-centred design approach

“…Previous research has shown that KT interventions can have beneficial effects on the provision of evidence-based care and patient knowledge and function. 11 , 12 Videos as explanatory resources have been previously shown to effectively communicate complex health information to audiences with different health literacy levels. 13 Spoken animated videos or video animations, in particular, are one of the most impactful ways of conveying information and show high levels of knowledge gain and retention over long periods.…”