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Record W2006040831 · doi:10.1186/1748-5908-4-61

A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies

2009· article· en· W2006040831 on OpenAlexafffundabout
Maureen Dobbins, Steven Hanna, Donna Ciliska, Steve Manske, Roy Cameron, Shawna L. Mercer, Linda O’Mara, Kara DeCorby, Paula Robeson

Bibliographic record

VenueImplementation Science · 2009
Typearticle
Languageen
FieldHealth Professions
TopicHealth Policy Implementation Science
Canadian institutionsUniversity of WaterlooMcMaster University
FundersCanadian Institutes of Health ResearchInstitut National de Santé Publique du QuébecOntario Ministry of Health and Long-Term CareMcMaster University
KeywordsHealth administrationMedicineHealth services researchPublic healthKnowledge translationHealth informaticsRandomized controlled trialPsychological interventionHealth promotionHealth policyComparative effectiveness researchEvidence-based practiceImplementation researchEvidence-based medicinePromotion (chess)Health information exchangeIntervention (counseling)Medical educationFamily medicineNursingHealth careKnowledge managementAlternative medicineHealth informationSurgery

Abstract

fetched live from OpenAlex

CONTEXT: Significant resources and time are invested in the production of research knowledge. The primary objective of this randomized controlled trial was to evaluate the effectiveness of three knowledge translation and exchange strategies in the incorporation of research evidence into public health policies and programs. METHODS: This trial was conducted with a national sample of public health departments in Canada from 2004 to 2006. The three interventions, implemented over one year in 2005, included access to an online registry of research evidence; tailored messaging; and a knowledge broker. The primary outcome assessed the extent to which research evidence was used in a recent program decision, and the secondary outcome measured the change in the sum of evidence-informed healthy body weight promotion policies or programs being delivered at health departments. Mixed-effects models were used to test the hypotheses. FINDINGS: One hundred and eight of 141 (77%) health departments participated in this study. No significant effect of the intervention was observed for primary outcome (p < 0.45). However, for public health policies and programs (HPPs), a significant effect of the intervention was observed only for tailored, targeted messages (p < 0.01). The treatment effect was moderated by organizational research culture (e.g., value placed on research evidence in decision making). CONCLUSION: The results of this study suggest that under certain conditions tailored, targeted messages are more effective than knowledge brokering and access to an online registry of research evidence. Greater emphasis on the identification of organizational factors is needed in order to implement strategies that best meet the needs of individual organizations. TRIAL REGISTRATION: The trial registration number and title are as follows: ISRCTN35240937 -- Is a knowledge broker more effective than other strategies in promoting evidence-based physical activity and healthy body weight programming?

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.014
metaresearch head score (Gemma)0.036
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.986
Threshold uncertainty score0.075

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0140.036
Meta-epidemiology (narrow)0.0030.001
Meta-epidemiology (broad)0.0050.003
Bibliometrics0.0020.002
Science and technology studies0.0020.003
Scholarly communication0.0020.003
Open science0.0020.002
Research integrity0.0070.005
Insufficient payload (model declined to judge)0.0150.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.807
GPT teacher head0.772
Teacher spread0.035 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designRandomized trial
DomainMethods
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations339
Published2009
Admission routes3
Has abstractyes

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