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Biomedical subjects

Dale Butterill

Publications and source records attributed to Dale Butterill.

5 recordsLinked to original sources

Consulting as a strategy for knowledge transfer.

Academic researchers who work on health policy and health services are expected to transfer knowledge to decision makers. Decision makers often do not, however, regard academics' traditional ways of doing research and disseminating their findings as relevant or useful. This article argues that consulting can be a strategy for transferring knowledge between researchers and decision makers and is effective at promoting the "enlightenment" and "interactive" models of knowledge use. Based on three case studies, it develops a model of knowledge transfer-focused consulting that consists of six stages and four types of work. Finally, the article explores how knowledge is generated in consulting and identifies several classes of factors facilitating its use by decision makers.

Data Collection↗

Residential crisis units. Are we missing out on a good idea?

Residential Crisis Units (RCU) are non-hospital-based facilities that provide mental health crisis intervention. This paper reviews the RCU literature base and finds good evidence of the ability of RCUs to function as alternatives to hospitalization for many consumers, with equivalent effectiveness and for significantly less cost. Despite this promising research, the RCU model has not been widely adopted. Using two crisis units as case examples as well as key informant interviews, this paper explores factors affecting the lack of dissemination and potential barriers to the growth of the RCU model.

Canada↗

Applying a 'stages of change' model to enhance a traditional evaluation of a research transfer course.

The aim of this study was to utilize an evaluation tool based on Prochaska's model of change in order to assess behaviour change as part of an evaluation process for a research transfer training programme (RTTP). The RTTP was a training programme offered to scientists in a psychiatry department and research institute to gain skills in research transfer. In addition to a traditional course evaluation framework evaluating overall satisfaction with the course and whether or not learning objectives were met, an additional 'stages of change' evaluation tool designed to assess change along a continuum was utilized. This instrument measured change in participants' attitudes, intentions and actions with respect to research transfer practice and consisted of a 12-question survey completed by participants prior to taking the course and 3 months post-course. In two out of the three categories, attitudes and intention to practice, there was positive change from pre- to post-course (P < 0.05). Although there was a trend of increased RT-related action, this was less robust and did not reach significance. For the RTTP transfer course, a 'stages of change' model of evaluation provided an enhanced understanding by showing changes in participants that would otherwise have been overlooked if only changes in RT behaviour were measured. Additionally, evaluating along a change continuum specifically identifies areas for improvement in future courses. The instrument developed for this study could also be used as a pre-course, participant needs assessment to tailor a course to the change needs of participants. Finally, this 'stages of change' approach provides insight into where barriers to change may exist for research transfer action.

Behavior↗

Development of a framework for knowledge translation: understanding user context.

OBJECTIVE: To develop a framework that researchers and other knowledge disseminators who are embarking on knowledge translation can use to increase their familiarity with the intended user groups. METHODS: The framework was derived from a review and analysis of the knowledge translation literature and from the authors' own experience with a variety of user groups. RESULTS: The framework consists of five domains: the user group, the issue, the research, the knowledge translation relationship, and dissemination strategies. Within each domain, the framework includes a series of questions. The questions provide the researcher with a way of organizing what he or she already knows about the user group and the knowledge translation project, of identifying what still is unknown, and of flagging what is important to learn. CONCLUSIONS: Most researchers wishing to engage in knowledge translation are moving out of their own familiar contexts. By using this framework, researchers will learn about the new contexts in which they find themselves. The insights they gain will increase their familiarity with the user group, thus aiding in the implicit goal of the interactive model of knowledge translation: making the researcher a part of the user group context.

Evidence-Based Medicine↗

Linkage and exchange at the organizational level: a model of collaboration between research and policy.

This paper describes an organization-level initiative designed to promote linkage and exchange between a research unit and the mental health policy branch of Ontario's provincial government. Using a framework that conceptualizes four tiers--inter-organizational relationship, interactive research projects, dissemination and policy formation--in the application of linkage and exchange to the research and policy development processes, we present an example in order to explore the issues that arise in each tier. We conclude that while such initiatives enhance the relevance of research in the policy development process, they also present challenges that must be recognized and managed.

Cooperative Behavior↗