Collaborative Knowledge Translation: Application of a Wiki Model for Primary Care Practitioners [4 Cr2 1530 Shachak]
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Collaborative Knowledge Translation: Application of a Wiki Model for Primary Care Practitioners [4 Cr2 1530 Shachak]

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  • 1. Shachak, A. et al.: Collaborative Knowledge Translation: Application of a Wiki Model for Primary Care Practitioners
    • This slideshow, presented at Medicine 2.0’08 , Sept 4/5 th , 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team
    • Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 ( www.medicine20congress.com )
    • Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php
  • 2. Collaborative Knowledge Translation: Application of a Wiki Model for Primary Care Practitioners Aviv Shachak, Steve Hockema, Jamie Meuser, Lena Salach, Tupper Bean, Noah Ivers, Mike Evans
  • 3. Presentation wiki
    • http://cep-kt.pbwiki.com /
  • 4. Knowledge Translation (KT) From: Lang et al., 2007
  • 5. The nature of knowledge and criticism of EBM
    • Knowledge is created through interaction
    • Knowledge is actionable
    • Expertise and tacit knowledge
    • The practice to research gap
    • Evidence is constantly changing
    • Difficult to implement EBM at the point of care
  • 6. A better model… From: Baumbusch et al., 2008
  • 7. Another step forward
    • Crossing traditional role boundaries: collaboration in the creation and dissemination of knowledge
    • Interprofessional
    • Wikis are ideal for this purpose: - online EBM resources are becoming the preferred option for answering clinical questions; - Creating an on-line community; - Multi- (or inter-)professional community, transcends traditional borders; - Constant updating
  • 8. Centre for Effective Practice
    • Focus: clinical care gaps in primary acre
    • NFP: close gaps by developing relevant, evidence-based interventions
    • Identify barriers to optimal practice & produce practical solutions
    • Relevant regardless of clinical setting, training or background
  • 9. Family Practice Sourcebook
    • Best selling textbook for primary care
    • Reference tool for residents and primary care providers (MDs, nurses, pharms, etc.)
    • Covers current approaches and controversies in the prevention and treatment
    • Evidence based but short shelf life
    • DFCM at U of T lead contributor: + 194 faculty, residents, and medical students contributed
  • 10. Collaborative Learning Tool (COLT)
    • Apply 2.0 models to facilitate knowledge translation by connecting researchers and health care practitioners (MDs, nurses, pharms)
    • Allows practitioners to participate in the synthesis of evidence and engage in an on-going discussion
    • Updated continuously, thereby fostering the faster creation and dissemination of knowledge.
  • 11. COLT
    • Offer the Sourcebook via a modified wiki to primary care practitioners
    • Content managed by a University led team (independent)
    • Endorsed by professional colleges and bodies
    • Provide current, valid, and relevant resources (tools, videos, patient info, etc.)
  • 12. Key Differences
    • Sustainable financial model (Gov’t and NGO support, CME, publishing, etc.)
    • Users are authenticated and must give credentials
    • Final decisions for revisions rest with “clinical editors” to ensure balance, evidence, validity, etc.
    • Consistent language, style and formatting will be maintained by a professional editor to ensure consistent voice, readability, etc .
  • 13. To Date….
    • Development server hosting source wiki software (Mediawiki)
    • Beta site/concept pages established
    • Finalizing the edit/access/approval framework and work flow
    • Focus groups, demonstrations, and qualitative testing have taken place
    • Identified a variety of operational and technical issues and will inform the further development
    • Establishing appropriate partnerships/funding agreements
  • 14. Current Version The list of subject areas follows the table of content from the Sourcebook for continuity and quick access.
  • 15. Current Version A page demonstrating a subject area: Women’s Gynecology – Endometriosis. A detailed table of contents for the subject area appears for the user to quickly see what is available (e.g., physician tools, tips and tricks, patient tools, videos, etc.)
  • 16. Proposed Version
  • 17. Benefits
    • Unlike standard textbooks that only are updated with each new edition, this will be constantly updated to reflect new research and local realities for best practice;
      • Encourage an active role for professionals in reviewing and sharing information;
      • Promote and disseminate proven KT tools to encourage best practices, with rapid feedback and revision aimed at making them better
      • Support interaction in different time scales (20 sec/20 min/2 hrs)
    • Comprehensive resource for all health practitioners engaged in primary care and will support interprofessional care
  • 18. Benefits
    • Develop a greater sense of interaction and community among members of the primary care community
    • Positive effect on the healthcare system through:
      • Fostering collaboration and engaging professionals in reviewing and sharing information
      • Improving access to current and relevant information, resources and tools
      • Building the concept of interprofessional care into the development of knowledge products (Guidelines, CME delivery etc.)
  • 19. Potential COLT Partners Founders Potential Content Supporters Infrastructure Quality management
  • 20. Partnership Involvement
    • Each organization will participate in:
      • Input into the design and structure;
      • Recruitment of content editors and champions;
      • Promotion and endorsement to potential funders, users, etc.;
      • Assistance in the recruitment of users;
      • Contribution to content and links of resources, applications, functions
      • Research and evaluation (surveys, interviews, focus groups, etc.)
  • 21. Research and Evaluation
    • Research questions:
      • How best practice resources are created and evolve collaboratively?
      • Contributors’ and users’ perceptions of the wiki’s usefulness, ease of use, Credibility, and impact on behavior;
      • Diffusion within the primary care community (e.g. rate of diffusion, barriers and enablers, adoption and post-adoption behavior)
  • 22. Research and Evaluation
    • Mixed methods research: - Discourse and content analysis, - Logfile analysis, - Key informant interviews - Focus groups, - Social network analysis, - Surveys
    • Interdisciplinary team, involving researchers, knowledge creators, users and decision makers
  • 23. Challenges
    • Difficult to measure impact on clinical behavior and patient outcomes.
    • Change is inherent (fluid environment)
    • Ethics