scholarly journals Identification of knowledge translation theories, models or frameworks suitable for health technology reassessment: a survey of international experts

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e042251
Author(s):  
Rosmin Esmail ◽  
Heather M Hanson ◽  
Jayna Holroyd-Leduc ◽  
Daniel J Niven ◽  
Fiona M Clement
Keyword(s):  
Knowledge Translation ◽  
Health Technology ◽  
Ease Of Use ◽  
Cross Sectional Survey ◽  
Full Spectrum ◽  
Cross Sectional ◽  
Knowledge To Action ◽  
Purposeful Sampling ◽  
International Experts ◽  
Health Technology Reassessment

ObjectiveHealth technology reassessment (HTR) is a field focused on managing a technology throughout its life cycle for optimal use. The process results in one of four possible recommendations: increase use, decrease use, no change or complete withdrawal of the technology. However, implementation of these recommendations has been challenging. This paper explores knowledge translation (KT) theories, models and frameworks (TMFs) and their suitability for implementation of HTR recommendations.DesignCross-sectional survey.ParticipantsPurposeful sampling of international KT and HTR experts was administered between January and March 2019.MethodsSixteen full-spectrum KT TMFs were rated by the experts as ‘yes’, ‘partially yes’ or ‘no’ on six criteria: familiarity, logical consistency/plausibility, degree of specificity, accessibility, ease of use and HTR suitability. Consensus was determined as a rating of ≥70% responding ‘yes’. Descriptive statistics and manifest content analysis were conducted on open-ended comments.ResultsEleven HTR and 11 KT experts from Canada, USA, UK, Australia, Germany, Spain, Italy and Sweden participated. Of the 16 KT TMFs, none received ≥70% rating. When ratings of ‘yes’ and ‘partially yes’ were combined, the Consolidated Framework for Implementation Research was considered the most suitable KT TMF by both KT and HTR experts (86%). One additional KT TMF was selected by KT experts: Knowledge to Action framework. HTR experts selected two additional KT TMFs: Co-KT framework and Plan-Do-Study-Act cycle. Experts identified three key characteristics of a KT TMF that may be important to consider: practicality, guidance on implementation and KT TMF adaptability.ConclusionsDespite not reaching an overall ≥70% rating on any of the KT TMFs, experts identified four KT TMFs suitable for HTR. Users may apply these KT TMFs in the implementation of HTR recommendations. In addition, KT TMF characteristics relevant to the field of HTR need to be explored further.

scholarly journals Characteristics of knowledge translation theories, models and frameworks for health technology reassessment: expert perspectives through a qualitative exploration

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rosmin Esmail ◽  
Fiona M. Clement ◽  
Jayna Holroyd-Leduc ◽  
Daniel J. Niven ◽  
Heather M. Hanson
Keyword(s):  
Knowledge Translation ◽  
Technology Implementation ◽  
Health Technology ◽  
Theory Model ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Patient Centered ◽  
Research Knowledge ◽  
Knowledge To Action ◽  
Health Technology Reassessment

Abstract Background Health Technology Reassessment (HTR) is a process that systematically assesses technologies that are currently used in the health care system. The process results in four outputs: increase use or decrease use, no change, or de-adoption of a technology. Implementation of these outputs remains a challenge. The Knowledge Translation (KT) field enables to transfer/translate knowledge into practice. KT could help with implementation of HTR outputs. This study sought to identify which characteristics of KT theories, models, and frameworks could be useful, specifically for decreased use or de-adoption of a technology. Methods A qualitative descriptive approach was used to ascertain the perspectives of international KT and HTR experts on the characteristics of KT theories, models, and frameworks for decreased use or de-adoption of a technology. One-to-one semi-structured interviews were conducted from September to December 2019. Interviews were audio recorded and transcribed verbatim. Themes and sub-themes were deduced from the data through framework analysis using five distinctive steps: familiarization, identifying an analytic framework, indexing, charting, mapping and interpretation. Themes and sub-themes were also mapped to existing KT theories, models, and frameworks. Results Thirteen experts from Canada, United States, United Kingdom, Australia, Germany, Spain, and Sweden participated in the study. Three themes emerged that illustrated the ideal traits: principles that were foundational for HTR, levers of change, and steps for knowledge to action. Principles included evidence-based, high usability, patient-centered, and ability to apply to the micro, meso, macro levels. Levers of change were characterized as positive, neutral, or negative influences for changing behaviour for HTR. Steps for knowledge to action included: build the case for HTR, adapt research knowledge, assess context, select interventions, and assess impact. Of the KT theories, models, and frameworks that were mapped, the Consolidated Framework for Implementation Research had most of the characteristics, except ability to apply to micro, meso, macro levels. Conclusions Characteristics that need to be considered within a KT theory, model, and framework for implementing HTR outputs have been identified. Consideration of these characteristics may guide users to select relevant KT theories, models, and frameworks to apply to HTR projects.

PP100 Characteristics To Consider In A Knowledge Translation Theory, Model Or Framework For Health Technology Reassessment

2021 ◽  
Vol 37 (S1) ◽  
pp. 18-19
Author(s):  
Rosmin Esmail ◽  
Heather M. Hanson ◽  
Jayna Holroyd-Leduc ◽  
Daniel J. Niven ◽  
Fiona M. Clement
Keyword(s):  
Knowledge Translation ◽  
Health Technology ◽  
Theory Model ◽  
Evidence Based ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Patient Centered ◽  
Research Knowledge ◽  
Knowledge To Action ◽  
Health Technology Reassessment

IntroductionHealth technology reassessment (HTR) is a structured evidence-based assessment of an existing technology in comparison to its alternatives. The process results in the following four outputs: (i) increased use; (ii) decreased use; (iii) no change; or (iv) de-adoption. However, implementing these outputs remains a challenge. Knowledge translation (KT) can be applied to implement findings from the HTR process. This study sought to identify which characteristics of KT theories, models, and frameworks (TMFs) could be useful, specifically for decreasing the use of or de-adopting a technology.MethodsA qualitative descriptive approach was used to ascertain the perspectives of international KT and HTR experts on the characteristics of KT TMFs for decreasing the use of or de-adopting a technology. One-to-one semi-structured interviews were conducted. Interviews were audio recorded and transcribed verbatim. Themes and sub-themes were deduced from the data through framework analysis using the following five distinctive steps: familiarization; identifying an analytic framework; indexing; charting; and mapping and interpretation. Themes and sub-themes were also mapped to existing KT TMFs.ResultsThirteen experts participated. The following three themes emerged as ideal characteristics of a KT TMF: (i) principles foundational for HTR: evidence-based, high usability, patient-centered, and ability to apply to micro, meso, and macro levels; (ii) levers of change: characterized as positive, neutral, or negative influences for changing behavior; and (iii) steps for knowledge to action: build the case for HTR, adapt research knowledge, assess context, select, tailor, and implement interventions, and assess impact. The Consolidated Framework for Implementation Research had the greatest number of ideal characteristics.ConclusionsApplication of KT TMFs to the HTR process has not been clearly established. This is the first study to provide an understanding of characteristics within KT TMFs that could be considered by users undertaking projects to decrease or de-adopt technologies. Characteristics to be considered within a KT TMF for implementing HTR outputs were identified. Consideration of these characteristics may guide users in choosing which KT TMF(s) to use when undertaking HTR projects.

scholarly journals Characteristics of Knowledge Translation Theories, Models and Frameworks for Health Technology Reassessment: Expert Perspectives Through a Qualitative Exploration

2020 ◽  
Author(s):  
Rosmin Esmail ◽  
Fiona M Clement ◽  
Jayna Holroyd-Leduc ◽  
Daniel J Niven ◽  
Heather M Hanson
Keyword(s):  
Knowledge Translation ◽  
Technology Implementation ◽  
Health Technology ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Patient Centered ◽  
Research Knowledge ◽  
Knowledge To Action ◽  
Health Technology Reassessment ◽  
Decrease Use

Abstract Background: Health Technology Reassessment (HTR) is a process that systematically assesses technologies that are currently used in the health care system. The process results in four outputs: increase use or decrease use, no change, or de-adoption of a technology. Implementation of these outputs remains a challenge. The Knowledge Translation (KT) field enables knowledge into practice. KT could help with implementation of HTR outputs. This study sought to identify which characteristics of KT theories, models, and frameworks (TMFs) could be useful, specifically for decrease use or de-adoption of a technology.Methods: A qualitative descriptive approach was used to ascertain the perspectives of international KT and HTR experts on the characteristics of KT TMFs for decrease use or de-adoption of a technology. One-to-one semi-structured interviews were conducted from September to December 2019. Interviews were audio recorded and transcribed verbatim. Themes and sub-themes were deduced from the data through framework analysis using five distinctive steps: familiarization, identifying an analytic framework, indexing, charting, mapping and interpretation. Themes and sub-themes were also mapped to existing KT TMFs.Results: Thirteen individuals from Canada, United States, United Kingdom, Australia, Germany, Spain, and Sweden participated in the study. Three themes emerged that illustrated the ideal traits of a KT TMF: principles that were foundational for HTR, levers of change, and steps for knowledge to action. Principles included evidence-based, high usability, patient-centered, and ability to apply to the micro, meso, macro levels. Levers of change were characterized as positive, neutral, or negative influences for changing behaviour for HTR. Steps for knowledge to action included: build the case for HTR, adapt research knowledge, assess context, select, tailor and implement interventions, and assess impact. Of the KT TMFs that were mapped, the Consolidated Framework for Implementation Research had most of the characteristics, except ability to apply to micro, meso, macro levels. Conclusions: Application of KT TMFs to HTR has not been clearly understood. Characteristics that need to be considered within a KT TMF for implementing HTR outputs have been identified. Consideration of these characteristics within KT TMFs may guide users undertaking HTR projects.

scholarly journals A study of students’ attitudes towards using ICT in a social constructivist environment

2016 ◽  
Author(s):  
Yang Silin ◽  
David Kwok
Keyword(s):  
Technology Acceptance ◽  
Qualitative Data ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Survey Study ◽  
Learning Tools ◽  
Perceived Ease Of Use ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Students Attitudes

This study aims to examine the factors that support or hinder students’ attitudes towards using information and communication technology (ICT) in problem-based learning (PBL) using the technology acceptance model (TAM) (Davis, 1989) among polytechnic students. A total of 737 first-year polytechnic students in Singapore participated in the cross-sectional survey study by completing a questionnaire (The assessment of attitude and intention to use ICT tools among polytechnic students), which gathered both quantitative and qualitative data. Based on the analysis of the quantitative data, perceived usefulness and perceived ease of use are found to be significantly and positively correlated with attitudes towards using ICT. Results from the analysis of the qualitative data suggest five major themes (engagement, communication, information gathering, collaboration and efficiency) on what students enjoyed most about using ICT. On the other hand, Internet connectivity, usability, technical issues and ICT competency are the four other themes that categorised the difficulties students faced using ICT. An important implication is to develop polytechnic lecturers’ competency in the use of ICT-enabled learning tools as a priority to enable them to successfully integrate ICT in their PBL lessons. 

The Most Commonly Treated Acupuncture Indications in the United States: A Cross-Sectional Study

2018 ◽  
Vol 46 (07) ◽  
pp. 1387-1419 ◽  
Author(s):  
Haiyi Wang ◽  
Guanhu Yang ◽  
Shaobai Wang ◽  
Xin Zheng ◽  
Wei Zhang ◽  
...  
Keyword(s):  
United States ◽  
Health Management ◽  
Frozen Shoulder ◽  
Gastrointestinal Diseases ◽  
The United States ◽  
Therapeutic Effects ◽  
Cross Sectional Survey ◽  
Full Spectrum ◽  
Cross Sectional ◽  
Medical Specialties

Acupuncture has been a popular alternative medicine in the United States for several decades. Its therapeutic effects on pain have been validated by both basic and clinical researches, and it is currently emerging as a unique non-pharmaceutical choice for pain against opioid crisis. However, the full spectrum of acupuncture indications remains unexplored. In this study, we conducted a cross-sectional survey among 419 acupuncturists nation-wide to investigate the top 10 and top 99 acupuncture indications in private clinics in the United States. We found the top 10 indications to be: lower back pain, depression, anxiety, headache, arthritis, allergies, general pain, female infertility, insomnia, neck pain and frozen shoulder. Among the top 99 indications, pain represents the largest category; and mental health management, especially for mood disorders, is in greatest demand. The following popular groups are: immune system dysfunctions, gastrointestinal diseases, gynecology and neurology. In addition, specialty index, commonality index, and the potential to become medical specialties were estimated for each indication. Demographic analysis suggests that China trained acupuncturists tend to have broader indication spectrums, but the top conditions treated are primarily decided by local needs. Also, gender, resident states, age and clinical experience all affect indication distributions. Our data for the first time outlines the profile of acupuncture treatable conditions in the US and is valuable for strategic planning in acupuncture training, healthcare administration and public education.

scholarly journals Coding Public Health Interventions for Health Technology Assessments: A Pilot Experience With WHO's International Classification of Health Interventions (ICHI)

2021 ◽  
Vol 9 ◽  
Author(s):  
Markus Wübbeler ◽  
Sebastian Geis ◽  
Jovana Stojanovic ◽  
Lise Elliott ◽  
Iñaki Gutierrez-Ibarluzea ◽  
...  
Keyword(s):  
Public Health ◽  
Health Technology ◽  
International Classification ◽  
Health Interventions ◽  
Public Health Interventions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Technologies ◽  
Prevention Interventions

Introduction: An important requirement for successful public health interventions is a standardized classification in order to make these health technologies comparable in all contexts and recognized by all parties. The WHO International Classification of Health Interventions (ICHI), including an integrated public health component, has been developed to propose such an international standard.Methods: To test (a) the translation of public health interventions to ICHI codes and (b) the technical handling and general coding in public health, we used a set of public health interventions from a recent cross-sectional survey among Health Technology Assessment professionals.Results: Our study showed that handling of the ICHI interface is stable, that there is a need for specificity and adequate detail of intervention descriptions and desired outcomes to code adequately with ICHI and that the professional background of the coder, as well as his/her sex might influence the selection of codes.Conclusion: International Classification of Health Interventions provides a good coverage of public health interventions. However, the broader character of system wide interventions, often involving a variety of institutions and stakeholders, may present a challenge to the application of ICHI coding. Based on this experience, we would tailor future surveys more specifically to the needs of the classification and we advise training for health professionals before coding with ICHI. Standards of reporting will likely strengthen insights about the efficiency of primary prevention interventions and thus benefit long-term health of populations and structured HTA reporting process.

scholarly journals Mobile and Connected Health Technology Needs for Older Adults Aging in Place: Cross-Sectional Survey Study

JMIR Aging ◽  
10.2196/13864 ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. e13864 ◽  
Author(s):  
Jing Wang ◽  
Yan Du ◽  
Deidra Coleman ◽  
Michelle Peck ◽  
Sahiti Myneni ◽  
...  
Keyword(s):  
Older Adults ◽  
Aging In Place ◽  
Health Technology ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Connected Health

Determinants of Electronic Library Resources Access in Saudi Arabia Higher Institutions

2021 ◽  
Vol 17 (1) ◽  
pp. 32-41
Author(s):  
Bilal Ahmad Ali Al-khateeb
Keyword(s):  
Saudi Arabia ◽  
Ease Of Use ◽  
Cross Sectional Survey ◽  
Electronic Library ◽  
Cross Sectional ◽  
Correlation And Regression Analysis ◽  
Higher Institution ◽  
Library Resources ◽  
Higher Institutions ◽  
The Relationship

Electronic library resources are believed to be recent development in the world of internet. However, access to electronic library resources appears to be lacking, and thus has become a major issue of concern among electronic libraries resources users, particularly the students. As a result, this study investigates the determinants of electronic library resources access in Saudi Arabia higher institutions. Specifically, it examined the relationship between two key variables and electronic library resources among the students of Imam Mohammad Ibn Saud Islamic University. Cross-sectional survey forms the research design while the population of the study covered all the students in Imam Mohammad Ibn Saud Islamic University. The sample size was determined using the formula by Tabachnick and Fidell (2001) with a sample of 128. The data collection was conducted using email procedure while the collected quantitative data was analysed using both correlation and regression analysis techniques. The findings revealed that the relationship between electronic library resources availability and electronic library resources access is statistically significant. Also, the finding shows that ease of use is statistically related to electronic library resources access among the students in higher institution. Therefore, the study concludes that electronic library resources availability significantly affects electronic library resources access among the students. Secondly, it is concluded that ease of use has a lot of impacts on the electronic library resources access among the students. The study offers several implications and suggestions for future studies.

Awareness and Acceptance of Use of Mobile Authentication Service by Patients

2019 ◽  
Vol 1 (1) ◽  
pp. 30-36
Author(s):  
A. Akinleye ◽  
◽  
A.A. Ogunbameru ◽  
O.O. Oyetunde ◽  
◽  
...  
Keyword(s):  
Technology Acceptance ◽  
Strong Association ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
University Teaching ◽  
Perceived Ease Of Use ◽  
National Agency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mobile Authentication

Background: Nigeria is one of the countries with the highest burden of fake and counterfeit drugs. Interventions such as Mobile Authentication Service (MAS) is being deployed by the National Agency for Food and Drug Administration and Control (NAFDAC) to assist patients in confirming the authenticity of their medications. Therefore, this study evaluates the acceptance of Nigerian patients of MAS. Objective: To investigate awareness and acceptance of MAS among patients visiting the outpatient pharmacy of the Lagos University Teaching Hospital.Method: This is a cross-sectional survey. The study was conducted in the outpatient pharmacy department of the Lagos University Teaching Hospital, Lagos State from May, 2017 – August, 2017. A structured questionnaire, developed using the Technology Acceptance Model (TAM) concept (α = 0.74), was used to assess acceptance of MAS among patients. Linear regression and correlation statistics wereused to determine predictors of MAS acceptance. Results: Significant association exist between Awareness of MAS and Use (X = 69.116, p = 0.000), Procurement at licensed community stores and Use (X =14.456, p = 0.001) as well as Acquisition at Hospital Pharmacy and Use (X = 46.053, p = 0.000). Also, Perceived Usefulness (PU) and Perceived Ease of Use (PEOU) had a strong association with respondents’ Attitude to Use (ATT) {PU and ATT, r = 0.719, p < 0.005; PEOU and ATT, r = 0.806, p < 0.005}. Conclusion: Though awareness and acceptance of mobile authentication service is high, its use is moderate in practice. Further studies on how to improve the use of this service among the Nigerian populace is necessary.

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