Translating a health service intervention into a rural setting: lessons learned

Dent, Elsa, Hoon, Elizabeth, Kitson, Alison, Karnon, Jonathan, Newbury, Jonathan, Harvey, Gillian, Gill, Tiffany K., Gillis, Lauren and Beilby, Justin (2016) Translating a health service intervention into a rural setting: lessons learned. BMC Health Services Research, 16 162: 1-9. doi:10.1186/s12913-016-1302-0


Author Dent, Elsa
Hoon, Elizabeth
Kitson, Alison
Karnon, Jonathan
Newbury, Jonathan
Harvey, Gillian
Gill, Tiffany K.
Gillis, Lauren
Beilby, Justin
Title Translating a health service intervention into a rural setting: lessons learned
Journal name BMC Health Services Research   Check publisher's open access policy
ISSN 1472-6963
Publication date 2016-02-18
Year available 2016
Sub-type Article (original research)
DOI 10.1186/s12913-016-1302-0
Open Access Status DOI
Volume 16
Issue 162
Start page 1
End page 9
Total pages 9
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2017
Language eng
Formatted abstract
Background
Limited research exists on the process of applying knowledge translation (KT) methodology to a rural-based population health intervention.

Methods
This study reports on the implementation and translational stages of a previously described Co-creating KT (Co-KT) framework in the rural town of Port Lincoln, South Australia (population: 14,000). The Co-KT framework involves five steps: (i) collecting local data; (ii) building stakeholder relationships; (iii) designing an evidence-based intervention incorporating local knowledge; (iv) implementation and evaluation of the intervention; and (v) translating the research into policy and practice. Barriers and enablers to the overall Co-KT implementation process were identified. Our intervention focused on musculoskeletal (MSK) conditions.

Results
Although the Co-KT framework was valuable in engaging with the community, translating the final intervention into daily clinical practice was prevented by a lack of an accessible policy or financial framework to anchor the appropriate intervention, a lack of continued engagement with stakeholders, access problems to general practitioners (GPs) and Allied Health Professionals; and the paucity of referrals from GPs to Allied Health Professionals. Consequently, while many aspects of the intervention were successful, including the improvement of both function and pain in study participants, the full implementation of the Co-KT framework was not possible.

Discussion
This study implemented and evaluated a Co-KT framework for a population with MSK conditions, linking locally generated health care system knowledge with academic input. Further policy, health system changes, and on-the-ground support are needed to overcome the identified implementation challenges in order to create sustainable and effective system change.
Keyword Rural health services/standards
South Australia
Rural health services/utilisation
Knowledge translation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Centre for Research in Geriatric Medicine Publications
 
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