Description of an evidence-to-practice gap 

There are two assessment tasks about your evidence-to-practice gap. The first assessment task is a presentation, the second task is a written assignment. For your presentation and written paper (10 pages maximum), identify and describe an evidence-to-practice gap that you would like to address. You will be using the evidence-to-practice gap that you outline in this assignment for subsequent assignments, so choose an area of clinical practice that you are prepared to explore in detail throughout the course. Structure your assignment as follows:

• Describe an evidence-to-practice gap relevant to health care in the context of primary care for musculoskeletal conditions. 
• Choose either:
  • 1) an intervention that has high level evidence that is not being appropriately implemented (i.e. an implementation problem); or
  • 2) a clinical practice that is currently occurring that is not supported by evidence (i.e. a de-implementation problem).
• Critically appraise the evidence that documents this evidence-to-practice gap.

If you choose an implementation problem, synthesise and critically appraise the evidence that supports the intervention that is not being implemented; if you choose a de-implementation problem, synthesise and critically appraise the evidence that supports that the clinical practice should not be implemented widely.

This is second of two assessment tasks about your identified evidence-to-practice gap, this being the written assignment. See above (Evidence-to-practice gap #1) for a description of these two assessment tasks.

Intervention mapping activity

Complete the template provided (available on iLearn):

• Complete the template ‘Steps for developing a theory-informed knowledge translation intervention’ to further develop your plan to design a knowledge translation intervention to improve the evidence-to practice gap that you have identified in assignment #1 and #2.
• Describe the possible barriers and facilitators to adopting the evidence using the Theoretical Domains Framework as outlined in the template.
• Map the barriers and facilitators to possible intervention components that would overcome the barriers and enhance the facilitators.
• Combine the intervention components you have chosen and describe your proposed behaviour change intervention.

Knowledge translation plan to implement the solution and evaluate the implementation process

There are two assessment tasks about your knowledge translation plan to close the evidence-to-practice gap you identified in Assessment tasks #1 and #2. The first assessment task about your knowledge translation plan is a presentation, the second task is a written assignment. For your presentation and written paper (20 pages maximum), using the information you have covered in this course, describe your knowledge translation plan to address the evidence-to-practice gap you outlined in Assignment #1 and #2. Address the following points:

• Evidence-to-practice gap: Briefly summarise the clinical practice problem including the quality and strength of evidence for your proposed solution (revised and brief version of assignment #2);
• KT goals: Clearly describe your KT goals for your KT plan;
• Theoretical framework: Describe the theoretical framework/s you will be using to guide the implementation of your proposed solution and provide a rationale for its/their use;
• Context, barriers and facilitators: Describe the context, important barriers and facilitators to this implementation problem considering the perspectives of relevant stakeholders and provide a summary of known barriers/facilitators from the literature (with relevant citations);
• Stakeholders: Identify the important stakeholders in solving this implementation problem and discuss their role in the process, and how you will engage the stakeholders;
• Knowledge translation intervention: Describe your proposed solution to address this problem. What is the proposed intervention(s) to implement the solution that will overcome the identified barriers and/or support the facilitators? What is the research evidence to support your interventions?
• Evaluation: Describe your evaluation plan to assess whether the proposed knowledge translation intervention had the desired practice change. What are your evaluation objectives? What are your key indicators (process and outcome) for assessing whether the proposed knowledge translation intervention(s) to implement the solution has had the desired effects on practice. What is your evaluation design?
• Sustainability: How can such a change be sustained or scaled up to address the problem on a larger scale (if demonstrated to be effective).

This is second of two assessment tasks about your knowledge translation plan, this being the written assignment. See above (Knowledge translation plan #1) for a description of these two assessment tasks.