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

Shachak, A. et al.: Collaborative Knowledge Translation: Application of a Wiki Model for Primary Care Practitioners

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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

Presentation wiki

http://cep-kt.pbwiki.com /

Knowledge Translation (KT) From: Lang et al., 2007

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

A better model… From: Baumbusch et al., 2008

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

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

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

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.

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.)

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 .

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

Current Version The list of subject areas follows the table of content from the Sourcebook for continuity and quick access.

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.)

Proposed Version

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

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.)

Potential COLT Partners Founders Potential Content Supporters Infrastructure Quality management

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.)

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)

Research and Evaluation

Mixed methods research: - Discourse and content analysis, - Logfile analysis, - Key informant interviews - Focus groups, - Social network analysis, - Surveys