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Knowledge Translation in Child Welfare: Researcher-on-call tool

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Knowledge Translation in Child Welfare: Researcher-on-call tool

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Knowledge Translation in Child Welfare: Researcher-on-call tool

  1. 1. Knowledge Translation in ChildKnowledge Translation in Child Welfare: Researcher-on-call toolWelfare: Researcher-on-call tool Christine Wekerle, Ph.D. The University of Western Ontario cwekerle@uwo.ca Presented to Practice and Research Together (PART) Ontario June 2009 Visit the MAP Knowledge Translation Website directly Go to: www2.oacas.org
  2. 2. Graham et al. (2006)Graham et al. (2006)
  3. 3. Knowledge Translation (KT)Knowledge Translation (KT) - Definition of KT- Definition of KT • Canadian Institute of Health ResearchCanadian Institute of Health Research (CIHR, 2004):(CIHR, 2004): • The exchange, synthesis andThe exchange, synthesis and ethically-soundethically-sound application of research findings within a complexapplication of research findings within a complex set of interactions among researchers andset of interactions among researchers and knowledge usersknowledge users.. • transformation of knowledge for use in clinictransformation of knowledge for use in clinic practice and policypractice and policy
  4. 4. Importance of KTImportance of KT • Knowledge translation (KT) has taken the center stage in health (Bulletin of the World Health Organization, 2006) • Change in behaviour is the ultimate goal in KT (Schryer-Roy, 2005) What to change?
  5. 5. Purpose of KTPurpose of KT  KT addresses the gap between the large volume ofKT addresses the gap between the large volume of research production and its implementation intoresearch production and its implementation into practice – on MAP KT “mental health” most searchedpractice – on MAP KT “mental health” most searched on Google Scholar and Researcher-on-Callon Google Scholar and Researcher-on-Call  Need for:Need for: (1) quality assurance re: research(1) quality assurance re: research (2) integration of different research to(2) integration of different research to common conclusions on positive (what to do) andcommon conclusions on positive (what to do) and negative (what not to do) practicesnegative (what not to do) practices (3) translation to case-level(3) translation to case-level (4) quick turn-around to queries(4) quick turn-around to queries (5) archiving and search prior queries(5) archiving and search prior queries
  6. 6. Problems with Research to KTProblems with Research to KT  Moving from group-based data to single-case inMoving from group-based data to single-case in serviceservice  Lack of context: Population comparisons neededLack of context: Population comparisons needed  Lack of consistent operational definitionsLack of consistent operational definitions  Standardized measures not normed on child welfareStandardized measures not normed on child welfare populationpopulation  Gold-standard treatments not tested with childGold-standard treatments not tested with child welfare (multi-problem) groups or take into accountwelfare (multi-problem) groups or take into account maltreatment (trauma-context)maltreatment (trauma-context)  Lack of translation to practical strategies, andLack of translation to practical strategies, and conducting implementation researchconducting implementation research
  7. 7. Child Welfare Worker-Based Themes of Investigation* No. of Peer- reviewed Articles (General Youth Pop.) -PsycInfo- 1998-2008 No. of Peer- reviewed Articles (Child Welfare) -PsycInfo- 1998-2008 Mental Health and Substance Use (Prevalence, screening, intervention, treatment) 3012 126 Child Protection System Investigation --- 18 Pregnancy & Parenting, Recidivism 2765 36 Child Welfare System Characteristics Stats. --- 46 Foster Care --- 253 Custody, Legal Issues, Adpotion 3130 79 Youth Placement & Transition 1186 123 Child Protection Practices --- 5 Sexual Orientation, Aboriginal, Homelessness 1735 48 Education 3864 69 Workers-theme Google Scholar Search vs. ChildWorkers-theme Google Scholar Search vs. Child Welfare Research BaseWelfare Research Base Child Welfare Researcher-Based Themes of Investigation in the MAP Research Project No. of Peer- reviewed Articles (General Youth Pop.) -PsycInfo- 1998-2008 No. of Peer- reviewed Articles (Child Welfare) -PsycInfo- 1998-2008 Mental Health – Anxiety 2382 9 Mental Health – Depression 3977 19 Mental Health – PTSD 492 4 Self-harm / Suicide 1761 18 Self-esteem / Self-confidence 1634 10 Substance (Drug) Use 3228 25 Alcohol Use 3386 21 Dating Violence 167 2 Legal Issues 2468 43 Socioeconomic Status / Poverty 1269 9 Sexual Health / Sexual Behaviour 820 5 Physical / Medical Health 196 1 * CAS worker thems were derived by coding the worker-initiated searches on the MAP KT portal. All PsycInfo searches included “youth” and “adolescent” as an additive search term
  8. 8. Leung et al. (in press) KT paperLeung et al. (in press) KT paper  A significant association in the contingencyA significant association in the contingency between 1) workers’ judgment on the presencebetween 1) workers’ judgment on the presence of mental health difficulty and youth self-reportof mental health difficulty and youth self-report on scoring above clinical cut-off on the BSI theon scoring above clinical cut-off on the BSI the past 7 days at initial MAP testing and 2) thepast 7 days at initial MAP testing and 2) the decrease in incidence of scoring above clinicaldecrease in incidence of scoring above clinical cut-off on the BSI from initial to 6-monthcut-off on the BSI from initial to 6-month follow-up testingsfollow-up testings
  9. 9. Current KT websitesCurrent KT websites Links to Various Institutes or Organizations Active in the Field - World Health Organization http://www.who.int/kms/en/ - Canadian Institute of Health Research (CIHR) http://www.cihr-irsc.gc.ca/ -Centres of Excellence for Children’s Well-being (CECW) http://www.cecw-cepb.ca/ - Child Welfare Information Gateway http://www.childwelfare.gov/ - Canadian Health Services Research Foundation http://www.chsrf.ca/home_e.php - Research in Practice in United Kingdom (R.I.P.) http://www.rip.org.uk/ - Knowledge Translation Program, Faculty of Medicine - University of Toronto http://www.ktp.utoronto.ca/
  10. 10. MAP KT PortalMAP KT Portal
  11. 11. Researcher-on-callResearcher-on-call
  12. 12. 10 13 8 13 5 15 5 Article Request Assessment Tool EducationOutcome/PolicyRelated Case Management Parenting TreatmentOutcome YouthJustice/Legal Issues Researcher-on-callResearcher-on-call (Requests)(Requests) # requests filed: 60 # of total questions asked: 73 # single-time requesters: 26 # of repeat requesters: 9
  13. 13. ReferencesReferences  Canadian Institute of Health Research (CIHR). 2004.Canadian Institute of Health Research (CIHR). 2004. The CIHR KnowledgeThe CIHR Knowledge Translation Strategy 2004-2009: Innovation in Action.Translation Strategy 2004-2009: Innovation in Action. Ottawa, ON: CanadianOttawa, ON: Canadian Institutes of Health Research.Institutes of Health Research.  Lomas, J. (2000).Lomas, J. (2000). Knowledge Translation: Basic Theories, Approaches andKnowledge Translation: Basic Theories, Approaches and Applications.Applications. Retrieved August 28, 2008, from: http://www.idrc.ca/research-Retrieved August 28, 2008, from: http://www.idrc.ca/research- matters/ev-90105-201-1-DO_TOPIC.htmlmatters/ev-90105-201-1-DO_TOPIC.html  National Center for the Dissemination of Disability Research. (2008).National Center for the Dissemination of Disability Research. (2008). What isWhat is knowledge translation?.knowledge translation?. (Technical Brief. No. 10). Retrieved August 28, 2008, from:(Technical Brief. No. 10). Retrieved August 28, 2008, from: http://www.ncddr.org/kt/products/focus/focus10/http://www.ncddr.org/kt/products/focus/focus10/  Schryer-Roy, A.-M., (2005).Schryer-Roy, A.-M., (2005). Knowledge translation: Basic theories, approaches andKnowledge translation: Basic theories, approaches and applications.applications. Ottawa, ON: Canadian Institutes of Health Research. Retrieved AugustOttawa, ON: Canadian Institutes of Health Research. Retrieved August 28, 2008, from: http://www.chsrf.ca/kte_docs/Knowledge_Translation_-28, 2008, from: http://www.chsrf.ca/kte_docs/Knowledge_Translation_- _Basic_Theories,_Approaches_and_Applications_-_May_2006.pdf_Basic_Theories,_Approaches_and_Applications_-_May_2006.pdf  World Health Organization. (2006).World Health Organization. (2006). Bridging the “know-do” gap: Meeting onBridging the “know-do” gap: Meeting on knowledge translation in global health.knowledge translation in global health. Retrieved December 3, 2007, from:Retrieved December 3, 2007, from: http://www.who.int/kms/WHO_EIP_KMS_2006_2.pdfhttp://www.who.int/kms/WHO_EIP_KMS_2006_2.pdf

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