Abstract
Objectives
To (1) provide an overview of the use of the Knowledge-to-Action Cycle (KTA) to guide
a clinical implementation project; (2) identify activities performed in each phase
of the KTA; and (3) provide suggestions to improve KTA activities in physical medicine
and rehabilitation.
Data Sources
Google Scholar and PubMed were searched through December 31, 2019.
Study Selection
Two reviewers screened titles, abstracts, and full-text articles to identify published
studies that used the KTA to implement a project.
Data Extraction
Two reviewers examined full-text articles. Data extraction included activities performed
in each phase of the KTA, including measurements used to evaluate the project's effectiveness.
Data Synthesis
Commonly performed KTA activities were identified and country of study, area of rehabilitation,
and other factors related to the use of the KTA in rehabilitation were described.
A total of 46 articles that met the study’s inclusion criteria provided an overview
of the use of the KTA in rehabilitation. Strengths and weaknesses of the articles
are discussed and recommendations for improved KTA use are provided.
Conclusions
Implementation of evidence-based practice requires focused engineering and efforts.
This review provides an overview of the knowledge translation activities occurring
in physical medicine and rehabilitation and considerations to improve knowledge translation
research and practice.
Keywords
List of abbreviations:
AGREE II (Appraisal of Guidelines for Research and Evaluation II), KT (knowledge translation), KTA (Knowledge-to-Action Cycle), PM&R (physical medicine and rehabilitation)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 05, 2021
Footnotes
Supported by a grant from the Department of Health and Human Services, National Institute on Disability, Independent Living, and Rehabilitation Research (grant no. 90RT5027), the Southeastern Norway Regional Center for Knowledge Translation in Rehabilitation, and the Canadian Institutes of Health Research Foundation Grant recipient (Ian D. Graham, FDN #143237).
Disclosures: Ian D. Graham is an originator of the Knowledge-to-Action framework. The other authors have nothing to disclose.
This paper is part of a supplement from the American Congress of Rehabilitation Medicine.
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