Effectiveness of knowledge translation and knowledge appropriation of clinical practice guidelines for patients and communities, a systematic review
Introduction: Knowledge translation and knowledge appropriation social interventions apply knowledge to improve health services and outcomes. These interventions can be implemented routinely to improve patient adherence to clinical practice guidelines. Objective: To assess the effectiveness of knowl...
Published in: | Biomédica |
---|---|
Main Authors: | , , |
Format: | Article in Journal/Newspaper |
Language: | English Spanish |
Published: |
Instituto Nacional de Salud
2018
|
Subjects: | |
Online Access: | https://doi.org/10.7705/biomedica.v38i0.3991 https://doaj.org/article/7cf24cfd41b34350b0932400ee60fedd |
id |
ftdoajarticles:oai:doaj.org/article:7cf24cfd41b34350b0932400ee60fedd |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:7cf24cfd41b34350b0932400ee60fedd 2023-05-15T15:13:40+02:00 Effectiveness of knowledge translation and knowledge appropriation of clinical practice guidelines for patients and communities, a systematic review Nathaly Garzón-Orjuela Javier Eslava-Schmalbach Nathalie Ospina 2018-06-01T00:00:00Z https://doi.org/10.7705/biomedica.v38i0.3991 https://doaj.org/article/7cf24cfd41b34350b0932400ee60fedd EN ES eng spa Instituto Nacional de Salud https://www.revistabiomedica.org/index.php/biomedica/article/view/3991 https://doaj.org/toc/0120-4157 0120-4157 doi:10.7705/biomedica.v38i0.3991 https://doaj.org/article/7cf24cfd41b34350b0932400ee60fedd Biomédica: revista del Instituto Nacional de Salud, Vol 38, Iss 2, Pp 253-266 (2018) guías de práctica clínica como asunto transferencia de experiencia conocimiento pacientes participación de la comunidad Medicine R Arctic medicine. Tropical medicine RC955-962 article 2018 ftdoajarticles https://doi.org/10.7705/biomedica.v38i0.3991 2022-12-30T23:45:05Z Introduction: Knowledge translation and knowledge appropriation social interventions apply knowledge to improve health services and outcomes. These interventions can be implemented routinely to improve patient adherence to clinical practice guidelines. Objective: To assess the effectiveness of knowledge translation interventions to improve patient and community adherence to clinical practice guidelines. Materials and methods: We performed a systematic review of these interventions compared with classical interventions for patients and/or communities. We searched the following electronic databases up to April 2017: Medline (Ovid), Embase, Scopus, Central (Ovid), Web of Science, LILACS, Academic Search, and Scielo. Two independent raters qualified the relevance, risk of bias, and quality of included studies. Results: Eight studies were included. Patient adherence to recommendations was observed in two studies. There was high heterogeneity due to the variability of the population, types of guidelines, and types of measurement tools. The risk of bias was high: a 60% risk of performance bias, 50% risk of attrition bias, 25% risk of selection and reporting bias, and 15% risk of detection bias. The quality of evidence was moderate for the outcomes of adherence and mortality. The interventions that used a combination of strategies, such as with the group of health professionals, could improve some clinical outcomes in the patients (Average deviation: -3.00; 95% IC: -6.08-0.08). Conclusions: Knowledge translation interventions might have a slight positive effect on patient adherence and some short-term clinical outcomes, particularly within mixed interventions (patients and health professionals). However, future studies with less heterogeneity are necessary to confirm these results. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Biomédica 38 2 253 266 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish |
topic |
guías de práctica clínica como asunto transferencia de experiencia conocimiento pacientes participación de la comunidad Medicine R Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
guías de práctica clínica como asunto transferencia de experiencia conocimiento pacientes participación de la comunidad Medicine R Arctic medicine. Tropical medicine RC955-962 Nathaly Garzón-Orjuela Javier Eslava-Schmalbach Nathalie Ospina Effectiveness of knowledge translation and knowledge appropriation of clinical practice guidelines for patients and communities, a systematic review |
topic_facet |
guías de práctica clínica como asunto transferencia de experiencia conocimiento pacientes participación de la comunidad Medicine R Arctic medicine. Tropical medicine RC955-962 |
description |
Introduction: Knowledge translation and knowledge appropriation social interventions apply knowledge to improve health services and outcomes. These interventions can be implemented routinely to improve patient adherence to clinical practice guidelines. Objective: To assess the effectiveness of knowledge translation interventions to improve patient and community adherence to clinical practice guidelines. Materials and methods: We performed a systematic review of these interventions compared with classical interventions for patients and/or communities. We searched the following electronic databases up to April 2017: Medline (Ovid), Embase, Scopus, Central (Ovid), Web of Science, LILACS, Academic Search, and Scielo. Two independent raters qualified the relevance, risk of bias, and quality of included studies. Results: Eight studies were included. Patient adherence to recommendations was observed in two studies. There was high heterogeneity due to the variability of the population, types of guidelines, and types of measurement tools. The risk of bias was high: a 60% risk of performance bias, 50% risk of attrition bias, 25% risk of selection and reporting bias, and 15% risk of detection bias. The quality of evidence was moderate for the outcomes of adherence and mortality. The interventions that used a combination of strategies, such as with the group of health professionals, could improve some clinical outcomes in the patients (Average deviation: -3.00; 95% IC: -6.08-0.08). Conclusions: Knowledge translation interventions might have a slight positive effect on patient adherence and some short-term clinical outcomes, particularly within mixed interventions (patients and health professionals). However, future studies with less heterogeneity are necessary to confirm these results. |
format |
Article in Journal/Newspaper |
author |
Nathaly Garzón-Orjuela Javier Eslava-Schmalbach Nathalie Ospina |
author_facet |
Nathaly Garzón-Orjuela Javier Eslava-Schmalbach Nathalie Ospina |
author_sort |
Nathaly Garzón-Orjuela |
title |
Effectiveness of knowledge translation and knowledge appropriation of clinical practice guidelines for patients and communities, a systematic review |
title_short |
Effectiveness of knowledge translation and knowledge appropriation of clinical practice guidelines for patients and communities, a systematic review |
title_full |
Effectiveness of knowledge translation and knowledge appropriation of clinical practice guidelines for patients and communities, a systematic review |
title_fullStr |
Effectiveness of knowledge translation and knowledge appropriation of clinical practice guidelines for patients and communities, a systematic review |
title_full_unstemmed |
Effectiveness of knowledge translation and knowledge appropriation of clinical practice guidelines for patients and communities, a systematic review |
title_sort |
effectiveness of knowledge translation and knowledge appropriation of clinical practice guidelines for patients and communities, a systematic review |
publisher |
Instituto Nacional de Salud |
publishDate |
2018 |
url |
https://doi.org/10.7705/biomedica.v38i0.3991 https://doaj.org/article/7cf24cfd41b34350b0932400ee60fedd |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Biomédica: revista del Instituto Nacional de Salud, Vol 38, Iss 2, Pp 253-266 (2018) |
op_relation |
https://www.revistabiomedica.org/index.php/biomedica/article/view/3991 https://doaj.org/toc/0120-4157 0120-4157 doi:10.7705/biomedica.v38i0.3991 https://doaj.org/article/7cf24cfd41b34350b0932400ee60fedd |
op_doi |
https://doi.org/10.7705/biomedica.v38i0.3991 |
container_title |
Biomédica |
container_volume |
38 |
container_issue |
2 |
container_start_page |
253 |
op_container_end_page |
266 |
_version_ |
1766344196787011584 |