The Effect and Mediators of Two Knowledge Translation Strategies

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00298727
Recruitment Status : Completed
First Posted : March 3, 2006
Last Update Posted : May 4, 2011
Canadian Institutes of Health Research (CIHR)
Information provided by:
McMaster University

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Knowledge Transfer Clinical Decision-making Behavioral: SHIPS Behavioral: ePBL Phase 3

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  (Clinical Trial)
Actual Enrollment : 131 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Official Title: Defining the Effect and Mediators of Two Knowledge Translation Strategies Designed to Alter Knowledge, Intent and Clinical Utilization of Rehabilitation Outcome Measures
Study Start Date : January 2007
Actual Primary Completion Date : December 2010
Actual Study Completion Date : December 2010

Arm Intervention/treatment
Active Comparator: 1
SHIPS: Face-to-Face Workshop
Behavioral: SHIPS
Stakeholder-Hosted Interactive Problem-based Seminars
Other Name: Face-to-Face workshop
Active Comparator: 2
ePBL: Online Problem-Based Course
Behavioral: ePBL
Online Problem-Based Course

Primary Outcome Measures :
  1. Chart Audit Form (Utilization) [ Time Frame: Up to 6 months post-intervention ]
  2. Chart Stimulated Recall Data Collection Form [ Time Frame: Up to 6 months post-intervention ]
  3. Self-Efficacy Questionnaire [ Time Frame: Up to 6 months post-intervention ]

Secondary Outcome Measures :
  1. Readiness to Change Clinical Practice Scale [ Time Frame: Up to 6 months post-intervention ]
  2. Knowledge Test [ Time Frame: Up to 6 months post-intervention ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00298727

Canada, Ontario
McMaster University
Hamilton, Ontario, Canada, L8S 1C7
Sponsors and Collaborators
McMaster University
Canadian Institutes of Health Research (CIHR)
Principal Investigator: Joy C MacDermid, PhD McMaster University

Responsible Party: Joy MacDermid, McMaster University Identifier: NCT00298727     History of Changes
Other Study ID Numbers: 152239
First Posted: March 3, 2006    Key Record Dates
Last Update Posted: May 4, 2011
Last Verified: May 2011

Keywords provided by McMaster University:
Knowledge transfer
Clinical decision-making
Outcome measures