Four questions to guide arts-based knowledge translation

By Tiina Kukkonen and Amanda Cooper

tiina-kukkonen
Tiina Kukkonen (biography)

Arts-based knowledge translation refers to the process of using artistic approaches to communicate research findings to target audiences. Arts-based knowledge translation continues to grow in popularity among researchers and knowledge mobilisers, particularly in the health sector, because of its capacity to reach and engage diverse audiences through the arts. But how might researchers, with or without experience in the arts, actually go about planning and implementing arts-based knowledge translation?

Read more

Let’s stop measuring and start improving

By Louise Locock

louise-locock
Louise Locock (biography)

When we’re trying to improve the experience of health care, social care and other services users, is there a fast, rigorous way to include their perspectives that doesn’t involve repeatedly collecting new data from them and their families?

Measuring, understanding and improving people’s experience of services has become a priority. There is now an international focus (at least in the West) on person-centred care. The English National Health Service has led the way among health systems by introducing the first nationally mandated patient survey.

Despite the strong political and organisational focus on improving care, reports of unsatisfactory experience continue in even the best funded care systems.

Read more

Four best practices for scaling up effective innovations

By Amanda Fixsen, Karen Blase and Dean Fixsen

What is involved in effective scaling up of innovations in order to achieve social impact? Here are four best practices, drawn from our experience in scaling up human services innovations and programs for children and families. We also provide definitions of the key terms used.

1. Understand the target audiences

Effectively scaling innovations first requires attention to defining the denominator, or population of interest for the scale-up effort, as well as the numerator, or the number of children and families who are receiving the innovation with fidelity and good outcomes.

2. Purposeful design leads to high-fidelity use

Human service systems are legacy systems comprised of an accumulation of fragments of past mandates, good ideas, beliefs, and ways of work that evolved over many decades as legislators, leaders, and staff have come and gone. These legacy systems can be fragmented, siloed and inefficient.

To realize social impact, organizations and systems need to be designed, or re-designed, on purpose to produce and sustain high-fidelity use of effective innovations.

3. Focus on scaling proven programs

Attempts to scale ineffective or harmful programs are a waste of time, money and opportunity, so programs must reliably produce positive outcomes for the population of interest.

Given that we are focused on scaling interaction-based programs that require service providers to use the program within a larger systems context, there is a great deal of complexity involved in “scaling up.” It may be difficult to assess the quality of the program for the children and families who are receiving it, as good fidelity measures for programs are not common.

amanda-fixsen
Amanda Fixsen (biography)

karen-blase
Karen Blase (biography)

dean-fixsen
Dean Fixsen (biography)

Read more

Scaling up amidst complexity

By Ann Larson

ann-larson
Ann Larson (biography)

How can new or under-utilized healthcare practices be expanded and institutionalized to achieve audacious and diverse global health outcomes, ranging from eliminating polio to reversing the rise in non-communicable diseases? How can complex adaptive systems with diverse components and actors interacting in multiple ways with each other and the external environment best be dealt with? What makes for an effective scale-up effort?

Four in-depth case studies of scale-up efforts were used to explore if there were different pathways to positively change a complex adaptive system.

Read more

Impacts of social learning in transformative research

By Flurina Schneider, Lara M. Lundsgaard-Hansen, Thoumthone Vongvisouk, and Julie G. Zähringer

flurina-schneider
Flurina Schneider (biography)

How can science truly support sustainability transformations?

In our research projects we often find that the very process of co-producing knowledge with stakeholders has transformative impacts. This requires careful design and implementation. Knowledge co-production in transdisciplinary and other research leads to social learning and can make a difference in the lives of those involved.

Read more

Successful implementation demands a great liaison person: Nine tips on making it work

By Abby Haynes on behalf of CIPHER (Centre for Informing Policy in Health with Evidence from Research)

cipher-group
CIPHER Sub-group (Participants)

When external providers deliver a complex program in an organisation, it is crucial that someone from that organisation—a liaison person—gives ‘insider’ advice and acts as a link between their organisation and the program providers. What are the characteristics to look for in filling that role? And how can liaison people best be supported?

Read more

Designing for impact in transdisciplinary research

By Cynthia Mitchell, Dena Fam and Dana Cordell

mitchell
Cynthia Mitchell (biography)

Starting with richly articulated pictures of where we would like to be at some defined point in the future has powerful consequences for any human endeavour. How can we use such “Outcome Spaces” to guide the conception, design, implementation, and evaluation of transdisciplinary research?

Our Outcome Spaces Framework (Mitchell et al., 2017) considers three essential impacts:

(1) improving the situation,
(2) generating relevant stocks and flows of knowledge, and
(3) mutual and transformational learning by the researcher/s and involved participants.

Read more

Improving health care services through Experience-based Co-design

By Glenn Robert and Annette Boaz

authors_glenn-robert_annette-boaz
1. Glenn Robert (biography)
2. Annette Boaz (biography)

There is lots of talk about the potential of co-creation as an approach to improving public services, but what does it actually look like (and do) in practice?

We describe one specific approach that has been used extensively for improving the quality of health care services: Experience-based Co-design.

Key Features and Stages

Experience-based Co-design draws on elements of participatory action research, user-centred design, learning theory and narrative-based approaches to change.

The key features of Experience-based Co-design are that it:

  1. places patients at the heart of a quality improvement effort working alongside staff to improve services
  2. maintains a focus on designing experiences (not just systems or processes).

It has six stages.

Stage 1 involves establishing the governance and project management arrangements.

Read more

Six lessons about change that affect research impact

By Gabriele Bammer

gabriele-bammer
Gabriele Bammer (biography)

What do researchers need to know about change to help our research have greater impact? What kind of impact is it realistic to expect? Will understanding change improve the ways we assess research impact?

The six lessons described here illustrate some of the complexities inherent in understanding and trying to influence change.

#1. Research findings enter a dynamic environment, where everything is changing all the time

As researchers we often operate as if the world is static, just waiting for our findings in order to decide where to head next. Instead, for research to have impact, researchers must negotiate a constantly changing environment.

Read more

From fountain to firehose

By David Feldon

david-feldon
David Feldon (biography)

As scholars working within disciplines, we ascribe to certain theories, assumptions, and tools that position us within an intellectual community. As scholars working within fields, we focus our inquiry on specific interactions between the natural world and elements of human endeavor.

Being situated within these two spheres – as translational ecologists and other translational scientists are – carries with it certain tensions that can be challenging to navigate: Ultimately, who constitutes our target audience? How do we balance contribution to discipline through the development of theory with contribution to the field through recommendations for practice? Perhaps most importantly, how do we maximize our impact?

Read more

Designing applied research for impact

By Andrew Campbell

andrew-campbell
Andrew Campbell (biography)

How can we get the three critical groups in transdisciplinary research—researchers, end users of research, and funders of research—to work together in designing applied research for impact? As Roux and colleagues (2010) pointed out:

A key characteristic of transdisciplinary research is that the domains of science, management, planning, policy and practice are interactively involved in issue framing, knowledge production and knowledge application.”

A critical challenge is that each of the three groups is likely to have different perspectives on the goals of a given research project or program and how to achieve them, and therefore likely to define success differently.

Read more

Research impact: Six kinds of change

By Gabriele Bammer

Gabriele Bammer (biography)

What kinds of change can implementation of research findings contribute to? Sometimes the aim is to make change happen, while at other times research implementation is in response to particular proposed or ongoing change.

Making change happen

Two ways of making change happen that are important for research impact are: 1) contributing to the on-going quest for improvement and 2) combatting practices or behaviours that have negative outcomes for individuals or society.

Examples of contributing to the quest for ongoing improvement include technological research such as invention of thinner lenses to revolutionise cameras and social research such as development and implementation of a disability insurance scheme.

Read more