Knowledge Translation in HealthWestern Health Sciences

Current Projects

Kothari Projects

Accelerating public health systems research in Ontario: building an agenda

Team: Kothari, A. (Co-PI), Regan, S. (Co-PI), Garcia, J., Manson, H,. O'Mara, L,. and Valaitis, R.

Funder: Canadian Institutes of Health Research

Timeline: 2012-2013

Description: In the wake of SARS, Ontario has been engaged in a major public health systems renewal process. This age of restructuring provides a prime opportunity to strengthen, implement, and evaluate the public health services that play an important role in the delivery of public health programs. The purpose of this proposal is to hold an invitational Think Tank. We propose to bring together a group of key stakeholders with an interest and expertise in public health systems research to engage in discussion and debate about research priorities at the provincial level and develop a long-term research agenda. An environmental scan to identify external opportunities and challenges will be carried out in advance of the meeting. As well, an on-line survey will be conducted with an array of stakeholders to take into account broad input on public health systems research priorities. Both the scan and the survey findings will be distributed to participants as preparatory material for the Think Tank. Our team is composed of researchers from three Ontario universities, six public health units, a governmental Ministry and Public Health Ontario. We believe that the activities described in this proposal will be successful, and subsequently taken up for the longer term, precisely because the political climate related to public health restructuring is eager for rigorous models of collaboration and capacity building. We anticipate a high level of sustainability given our previous working relationship, the strong support from the relevant Ontario Ministry, the individual health units, and Public Health Ontario, and the roles that members of the research team continue to play in the public health system (i.e., related to research, policy, teaching, and practice).

Dissemination:

CIHR team in public health services renewal

Team:Hancock, T (Co-PI); MacDonald, M. (Co-PI), Pauly, B. (Co-PI), Best, A,. Bruce, T,. Dobbins, M., Eisler, G., George, A., Kothari, A., Mitton, C., O’Mara, L., Pennock, M., Regan, S., Riley, B., Sangster-Gormley, E., Valaitis, R., Wharf Higgins, J., Wong, S.

Funder: Canadian Institutes of Health Research

Timeline: 2009-2014

Description: The purpose of this program of research is to conduct a set of studies that compare the implementation and impact of the BC Core Public Health Functions framework and the Ontario Public Health Standards.

The specific objectives of our program of research are:

  1. To explore and understand the implementation of and contextual factors influencing public health renewal in BC and Ontario.
  2. To examine and understand the impact and outcomes of public health renewal at organizational, systems, and population levels in both BC and Ontario.
  3. To explore the implications of public health renewal for public health human resources planning related to workforce competency, skill development, and basic and continuing education.
  4. To apply and contribute to the development of new, innovative and appropriate methods for: a) mapping the context of public health renewal, b) identifying the complex causal processes that link public health renewal to outcomes, and c) analyzing and describing the relationships and collaborations between primary care and public health practitioners and systems.
  5. To assess the nature and extent to which an equity lens has been integrated into public health renewal policies and programs in BC and Ontario and to critically analyze the application of an equity lens in relation to the reduction of inequities drawing on previously developed analytic tools.
  6. To engage in an innovative knowledge translation and exchange (KTE) process to strengthen and improve services and their linkage with other health services in BC and Ontario.

 

Knowledge to action processes in SHRTN collaborative communities of practice

Team: Conklin, J. (Co-PI), Kothari, A. (Co-PI), Stolee, P. (Co-PI), Chambers, L., Forbes, D., and Le Clair, K.

Funder: Canadian Institutes of Health Research

Timeline: 2010-2013

Description: This research will help us to understand how a Community of Practice (defined as a group of people who work together to identify innovations, translate evidence and help implement changes to improve care) creates and shares knowledge in ways that improve quality of healthcare and quality of life for seniors. The investigators will work with the leaders and members of Ontario's Seniors Health Research Transfer Network Collaborative, which is a network of networks that includes the Seniors Health Research Transfer Network Knowledge Exchange, the Alzheimer Knowledge Exchange and the Ontario Research Coalition. The collaborative facilitates the sharing of knowledge through a library service, knowledge brokers, local implementation teams, collaborative technology, and, most importantly, Communities of Practice (CoPs). The research will help us to understand the types of activities and organizations that are most successful at bringing new innovations to the frontlines of Canadian healthcare. Over a three year period, the investigators will focus on at least nine detailed case studies that demonstrate how important new research findings and best practices are identified, confirmed, and then shared with frontline caregivers. By studying these cases, the research team will learn how to support the development of these communities of practice, and what factors are needed to support the adoption of better caregiving practices. They will also gain a better understanding of the importance of having everybody who participates in the creation of new innovations (researchers, policy makers, caregivers and others) involved throughout the knowledge generation process.

Dissemination:

 

West Virginia University Injury Control Research Center

Team: Coben, J. (PI), Kothari, A. (Co-I) and et. al.

Funder: Centers for Disease Control and Prevention

Timeline: 2012-2017

Description: This research purports to explore knowledge translation and partnerships among members of the 'INJURY CONTROL RESEARCH CENTER' over a 5 year period through the administration of (1) a questionnaire that contains network indicators. The questionnaire will be administered annually and followed by semi-structured interviews. (2) A focus group that assesses the partner organizations’ ability to acquire and utilize research.

Sibbald Projects

Palliative Care Services and Practices for Patients with Non-Cancer Chronic Diseases

Team: Malik, S., Kim, G., Faulds, C., Licksai, C., Moist, L., & Ladoucer, D.

Funder: Centre for Studies in Family Medicine Trust Fund

Description: The purpose of this study is to inform the development of a framework for optimal practices in palliative care services for patients with COPD and other non-cancer chronic diseases. This mixed methods study involves: an environmental scan, scoping reviews and interviews with stakeholders and key informants. We are in the process of developing a deeper understanding of gaps in palliative care within Southwestern Ontario. Understanding the shortcomings of the current palliative models of care will help us work toward the development of a comprehensive framework that improves the patient’s experience of palliative care. We also hope to enhance the continuity of care they receive from their healthcare providers and support systems.

 

Implementation and Spread of a Local Integrated Lung Health Team

Team: Sibbald, S. (PI), Paciocco, S.

Timeline: 2019-2020

Description: Managing chronic health conditions such as Chronic Obstructive Pulmonary Disease (COPD) require complex approaches from multiple healthcare providers. Integrated care across healthcare professionals is the best way to make this happen. The purpose of this research is to assess the implementation of a new COPD management program at a family health team Southwestern Ontario and to determine the mediating factors that either facilitated or inhibited successful implementation.

The objectives of this project are:

  1. Determine factors that influence the spread of an integrated team-based model of care
  2. Examine the processes, mechanisms, and outcomes associated with a peer-to-peer approach to scaling a team-based model of care.
  3. Incorporate patient engagement to support spread of an integrated team-based model of care.
  4. This study can help inform the spread and implementation of other similar models of care. Future studies of the same type for purposes of comparison will be completed at the other implementation sites. When these findings are compared to results from other implementation sites, we may have a better understanding of implementation of these types of programs.