Associate Professor Harriet Hiscock Centre for Community Child Health

1. Beyond impact factors: making your research count through better translationClinical and Public Health Seminar April 2014 Associate Professor Harriet Hiscock Centre for Community Child Health Murdoch Childrens Research Institute The Royal Children's Hospital

2. What is research translation or translational research??

3. Terminology • Research translation • Knowledge transfer • Knowledge broker • Knowledge transfer and exchange • Knowledge exchange • Knowledge diffusion

4. Knowledge exchange: ‘the interaction between decision makers and researchers that results in mutual learning through the process of planning, producing, disseminating and applying existing or new research in decision making.’ -Canadian Healthy Services Research Foundation

5. Knowledge transfer: ‘the two way flow and uptake of ideas between the University of Melbourne and the broader community.’ (University of Melbourne) ‘the process through which one unit (eg group, department or division) is affected by the experience of another’ (Argote and Ingram, 1999)

6. Knowledge transfer and exchange: ‘An interactive process involving the interchange of knowledge between research users and research producers’ (Kiefer et al, 2005)

7. Difficulty in translating research findings • Researchers, policy makers and clinicians • Have different agendas • Have different time frames • Use different language • Appeal to different constituencies • Yet all have common goal of wanting to improve outcomes for children and families

8. Researchers and practitioners • Researchers and practitioners live in different worlds • Researchers - academic focus, peer review • Practitioners - want to do the right thing for the patient in front of them • Practitioners do not read peer reviewed journals • Researchers don’t work in community settings caring for patients

9. Researchers • Tend to be narrowly focused • Obtain information from peer reviewed journals and academic meetings • May have difficulty presenting technical or complex data in terms that non-scientists can readily grasp • Long term focus - takes a long time to do quality research

10. Practitioners • Broad focus - holistic view of child in context of family and community • Challenge to keep up to date - CME taps into variety of sources and activities • Need to understand relevance of research and policy to their practice and needs of patients • Operate in the ‘here and now’ - change in practice has immediate consequences

11. Policymakers • More broadly focused in their thinking • Obtain information from media, public opinion • Worry about pressure groups and sectional interests • Political imperative - short term benefits

12. Models of translation

14. P.Szilagyi. Translational Research and Pediatrics. Academic Pediatrics ; 9, 71-80

15. Knowledge to action cycle Knowledge Funnel: inquiry, synthesis and tools (developed with end users) Action cycle (critical element) - adapting knowledge to local context-testing the knowledge in a range of contexts to determine the most effective approach. Graham, I.D. et al. (2007) Lost in knowledge translation: Time for a map, pp. 13–24, http://www.chsrf.ca/publicationsandresources/pastseries/insightandaction/07-07-01/798756b3- 87af-4ede-9320-1880f32c790e.aspx

16. Knowledge exchange/transfer Communications strategy: the how Key Stakeholder committees: the who

17. The Toolkit 3 steps • Brief research over view • Identify stakeholders - Power & Impact matrix • Design stakeholder engagement - levels of engagement - advisory vs reference groups

20. Identifying Stakeholders

21. Power & Impact Matrix Department for Business, Enterprise and Regulatory Reform www.berr.gov.uk, http://www.bis.gov.uk/files/file40647.pdf

22. Stakeholder engagement

23. Translation Toolkit • Free resource available online • http://www.mcri.edu.au/research/core-facilities/clinical-research-development-office/other-research-resources/