Accelerating Client-driven Care: Pilot Study for a Social Interaction Approach to Knowledge Translation

Carol L. McWilliam, The University of Western Ontario
Anita Kothari, The University of Western Ontario
Beverly Leipert, The University of Western Ontario
Catherine Ward-Griffin, The University of Western Ontario
Dorothy Forbes, The University of Western Ontario
Mary Lou King, The University of Western Ontario
Marita Kloseck, The University of Western Ontario
Karen Ferguson, The University of Western Ontario
Abram Oudshoorn, The University of Western Ontario

Abstract

This study piloted a knowledge translation (KT) intervention promoting evidence-based home care through social interaction. A total of 33 providers organized into 5 heterogeneous, geographically defined action groups participated in 5 researcher-facilitated meetings based on the participatory action model. The KT evidence reflects an empowering partnership approach to service delivery. Exploratory investigation included quantitative pre-post measurement of outcomes and qualitative description of data, presented herein. The critical reflections of the groups reveal macro-, meso-, and micro-level barriers to and facilitators of KT as well as recommendations for achieving KT. Insights gleaned from the findings have informed the evolution of the KT intervention to engage all 3 levels in addressing barriers and facilitators, with a conscious effort to transcend "push" and "pull" tendencies and enact transformative leadership. The findings suggest the merit of a more prolonged longitudinal investigation with expanded participation.