The Effect and Mediators of Two Knowledge Translation Strategies

May 3, 2011 updated by: McMaster University

Defining the Effect and Mediators of Two Knowledge Translation Strategies Designed to Alter Knowledge, Intent and Clinical Utilization of Rehabilitation Outcome Measures

Purpose: This study will compare the effectiveness and mediators of two different knowledge transfer (KT) interventions in terms of their impact on changing knowledge and behavior (utilization and clinical reasoning) related to health outcome measures.

Study Overview

Status

Completed

Detailed Description

Interventions: Two different KT interventions with the same curriculum will be evaluated: 1. Stakeholder-Hosted Interactive Problem-Based Seminar (SHIPS), and 2. Online Problem-Based course (ePBL). SHIPs will consist of face-to-face PBL (Problem-based Learning) (2½ days) with outcome measure developers as facilitators, using 6 problems generated in consultation with participants. The ePBL will consist of a 6-week web-based course with 6 generic problems developed by content experts.

Outcome Measures: Baseline predictors including demographics, knowledge, attitudes/barriers regarding outcome measures and Readiness to Change will be assessed by self-report. Immediately post-intervention and 6 months later these will be re-administered. Primary qualitative and quantitative evaluations will be conducted 6-months post-intervention to assess the relative effectiveness of KT interventions and to identify elements that contribute to changing clinical behavior. Chart audits will determine the utilization of outcome measures (counts). Incorporation of outcome measures into clinical reasoning will be assessed using an innovative technique: chart-stimulated recall.

The Study Sample: Physical and Occupational Therapists (n=144; 80% power to detect an effect size of 0.5; alpha=0.05) will be recruited in partnership with the national professional associations.

Methods: SHIPS will be conducted in three urban centers in Canada. Participants will be block allocated by a minimization procedure to either of the two interventions to minimize any prognostic differences. Trained evaluators at each site will conduct chart audits and chart-stimulated recall. Trained interviewers will conduct semi-structured interviews focused on identifying critical elements in KT and implementing practice changes. Interviews will be transcribed verbatim.

Analyses: Analysis of covariance (ANCOVA), with baseline scores as a covariate, will be used to compare chart-stimulated recall scores at 6-months post-intervention. Secondary analyses will also use ANCOVA with the remaining potential predictors. Qualitative content analysis will be conducted iteratively until saturation is achieved.

Knowledge Impact and Transfer: A strategy for optimal transfer of health outcome measures into practice will be developed and shared with multiple disciplines involved in primary and specialty management of musculoskeletal and childhood disability. In addition, we will work with national professional organizations and Ministries of Health to use the knowledge from this study to support national initiatives on implementation and to assist with best KT practices in health service education.

Study Type

Interventional

Enrollment (Actual)

131

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Ontario
      • Hamilton, Ontario, Canada, L8S 1C7
        • McMaster University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • A valid license to practice physical or occupational therapy.
  • Ability to communicate in English will be required.

Exclusion Criteria:

  • Volunteers will be required to complete a knowledge pre-test in the format of a multiple-choice questionnaire. Those who are already knowledgeable, as determined by a score of 75% or greater, will be excluded to avoid ceiling effects.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: 1
SHIPS: Face-to-Face Workshop
Stakeholder-Hosted Interactive Problem-based Seminars
Other Names:
  • Face-to-Face workshop
Active Comparator: 2
ePBL: Online Problem-Based Course
Online Problem-Based Course

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Chart Audit Form (Utilization)
Time Frame: Up to 6 months post-intervention
Up to 6 months post-intervention
Chart Stimulated Recall Data Collection Form
Time Frame: Up to 6 months post-intervention
Up to 6 months post-intervention
Self-Efficacy Questionnaire
Time Frame: Up to 6 months post-intervention
Up to 6 months post-intervention

Secondary Outcome Measures

Outcome Measure
Time Frame
Readiness to Change Clinical Practice Scale
Time Frame: Up to 6 months post-intervention
Up to 6 months post-intervention
Knowledge Test
Time Frame: Up to 6 months post-intervention
Up to 6 months post-intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Joy C MacDermid, PhD, McMaster University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2007

Primary Completion (Actual)

December 1, 2010

Study Completion (Actual)

December 1, 2010

Study Registration Dates

First Submitted

March 1, 2006

First Submitted That Met QC Criteria

March 1, 2006

First Posted (Estimate)

March 3, 2006

Study Record Updates

Last Update Posted (Estimate)

May 4, 2011

Last Update Submitted That Met QC Criteria

May 3, 2011

Last Verified

May 1, 2011

More Information

Terms related to this study

Other Study ID Numbers

  • 152239

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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