Improving the care of people with traumatic brain injury through the Neurotrauma Evidence Translation (NET) program: protocol for a program of research

Implementation Science

Russell L Gruen³  Jeffrey V Rosenfeld¹  Veronica Pitt²  Marisa Chau²  Peter Bragge²  Emma J Tavender²  Denise A O’Connor⁴  Joanne E McKenzie⁴  Marije Bosch²  Sally E Green⁴ 

[1] Department of Surgery, Monash University / Department of Neurosurgery, The Alfred Hospital / National Trauma Research Institute, Melbourne, Australia;Department of Surgery, Monash University / National Trauma Research Institute, Melbourne, Australia;Department of Trauma, The Alfred Hospital / Department of Surgery, Monash University / National Trauma Research Institute, Melbourne, Australia;School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia

关键词: Traumatic brain injury;    Neurotrauma;    Study protocol;    Knowledge translation research;   

Others  :  828435
DOI  :  10.1186/1748-5908-7-74

 received in 2012-05-29, accepted in 2012-07-27,  发布年份 2012

【 摘 要 】

The Neurotrauma Evidence Translation (NET) program was funded in 2009 to increase the uptake of research evidence in the clinical care of patients who have sustained traumatic brain injury. This paper reports the rationale and plan for this five-year knowledge translation research program. The overarching aims of the program are threefold: to improve outcomes for people with traumatic brain injury; to create a network of neurotrauma clinicians and researchers with expertise in knowledge translation and evidence-based practice; and to contribute knowledge to the field of knowledge translation research. The program comprises a series of interlinked projects spanning varying clinical environments and disciplines relevant to neurotrauma, anchored within four themes representing core knowledge translation activities: reviewing research evidence; understanding practice; developing and testing interventions for practice change; and building capacity for knowledge translation in neurotrauma. The program uses a range of different methods and study designs, including: an evidence fellowship program; conduct of and training in systematic reviews; mixed method study designs to describe and understand factors that influence current practices (e.g., semi-structured interviews and surveys); theory-based methods to develop targeted interventions aiming to change practice; a cluster randomised trial to test the effectiveness of a targeted theory-informed intervention; stakeholder involvement activities; and knowledge translation events such as consensus conferences.

【 授权许可】

   
2012 Green et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Maas AI, Stocchetti N, Bullock R: Moderate and severe traumatic brain injury in adults. Lancet Neurol 2008, 7(8):728-741.
• [2]Abelson-Mitchell N: Epidemiology and prevention of head injuries: literature review. J Clin Nurs 2008, 17(1):46-57.
• [3]Gururaj G, Kolluri S, Chandramouli B, Subbaskrishna D, Kraus J: Traumatic Brain Injury. In National Institute of Mental Health & Neuro Sciences, Publication no. 61. India: Banglore, 560029; 2005.
• [4]Leibson CL, Brown AW, Ransom JE, Diehl NN, Perkins PK, Mandrekar J, Malec JF: Incidence of traumatic brain injury across the full disease spectrum: a population-based medical record review study. Epidemiology 2011, 22(6):836-844.
• [5]TBI statistics. https://www.braintrauma.org/tbi-faqs/tbi-statistics/ webcite
• [6]Summers CR, Ivins B, Schwab KA: Traumatic brain injury in the United States: an epidemiologic overview. Mt Sinai J Med 2009, 76(2):105-110.
• [7]Faux S, Sheedy J: A prospective controlled study in the prevalence of posttraumatic headache following mild traumatic brain injury. Pain Med 2008, 9(8):1001-1011.
• [8]Polinder S, Meerding WJ, Mulder S, Petridou E, van Beeck E: Assessing the burden of injury in six European countries. Bull World Health Organ 2007, 85(1):27-34.
• [9]Faul M, Wald MM, Rutland-Brown W, Sullivent EE, Sattin RW: Using a cost-benefit analysis to estimate outcomes of a clinical treatment guideline: testing the Brain Trauma Foundation guidelines for the treatment of severe traumatic brain injury. J Trauma 2007, 63(6):1271-1278.
• [10]Bragge P, Chau M, Pitt VJ, Bayley M, Eng JJ, Teasell R, Wolfe DL, Gruen RL: An overview of published research about the acute care and rehabilitation of traumatic brain injured and spinal cord injured patients. J Neurotrauma 2012. [Epub ahead of print]
• [11]Morris ZS, Wooding S, Grant J: The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med 2011, 104(12):510-520.
• [12]Woolf SH: The meaning of translational research and why it matters. JAMA 2008, 299(2):211-213.
• [13]Grol R, Wensing M: What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aust 2004, 180(6 Suppl):S57-S60.
• [14]Shortell SM, Singer SJ: Improving patient safety by taking systems seriously. JAMA 2008, 299(4):445-447.
• [15]Straus SE, Tetroe J, Graham ID: Knowledge to action: what it is and what it isn't. In Knowledge translation in health care: moving from evidence to practice. Edited by Straus SE, Tetroe J, Graham ID. Chichester: Blackwell Publishing Ltd; 2009.
• [16]Khan F, Baguley IJ, Cameron ID: 4: Rehabilitation after traumatic brain injury. Med J Aust 2003, 178(6):290-295.
• [17]Trevena L, Cameron I: Traumatic brain injury - long term care of patients in general practice. Aust Fam Physician 2011, 40(12):956-961.
• [18]O'Callaghan AM, McAllister L, Wilson L: Sixteen years on: has quality of care for rural and non-compensable traumatic brain injury clients improved? Aust J Rural Health 2009, 17(3):119-123.
• [19]Graham ID, Tetroe J: How to translate health research knowledge into effective healthcare action. Healthc Q 2007, 10(3):20-22.
• [20]Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map? J Contin Educ Health Prof 2006, 26(1):13-24.
• [21]Straus SE, Tetroe J, Graham I: Defining knowledge translation. CMAJ 2009, 181(3–4):165-168.
• [22]Bragge P, Clavisi O, Turner T, Tavender E, Collie A, Gruen RL: The global evidence mapping initiative: scoping research in broad topic areas. BMC Med Res Methodol 2011, 11:92. BioMed Central Full Text
• [23]Sitzia J: Barriers to research utilisation: the clinical setting and nurses themselves. Intensive Crit Care Nurs 2002, 18(4):230-243.
• [24]Short J, McDonald S, Turner T, Martis R: Improving capacity for evidence-based practice in South East Asia: evaluating the role of research fellowships in the SEA-ORCHID Project. BMC Med Educ 2010, 10:37. BioMed Central Full Text
• [25]Chau M, Pitt V, Bragge P, Green S, Gruen R: Mentoring clinicians in conducting systematic reviews through a clinical fellowship program. Abstracts of the 19th Cochrane Colloquium. October 19-22, 2011, Madrid, Spain. Cochrane Database Syst Rev 2011, Suppl 3:CD000003.
• [26]Phillips K, Pitt V, O'Connor D, Gruen R: Interventions for managing skeletal muscle spasticity following traumatic brain injury (Protocol). Cochrane Database Syst Rev 2011., (Issue 1. Art. No)
• [27]Gauden AJ, Pitt V, Gruen RL: Excitatory amino acid inhibitors for traumatic brain injury (Protocol). Cochrane Database Syst Rev 2012., (Issue 2. Art. No)
• [28]McAlister FA, van Diepen S, Padwal RS, Johnson JA, Majumdar SR: How evidence-based are the recommendations in evidence-based guidelines? PLoS Med 2007, 4(8):e250.
• [29]O'Connor CM, Fiuzat M, Swedberg K, Caron M, Koch B, Carson PE, Gattis-Stough W, Davis GW, Bristow MR: Influence of global region on outcomes in heart failure beta-blocker trials. J Am Coll Cardiol 2011, 58(9):915-922.
• [30]Marshall MN, Shekelle PG, McGlynn EA, Campbell S, Brook RH, Roland MO: Can health care quality indicators be transferred between countries? Qual Saf Health Care 2003, 12(1):8-12.
• [31]Raine R, Sanderson C, Hutchings A, Carter S, Larkin K, Black N: An experimental study of determinants of group judgments in clinical guideline development. Lancet 2004, 364(9432):429-437.
• [32]Bosch M, Tavender E, Bragge P, Gruen R, Green S: How to define 'best practice' for use in knowledge translation research: a practical, stepped and interactive process. J Eval Clin Pract 2012. [Epub ahead of print]
• [33]Tavender EJ, Bosch M, Green S, O'Connor D, Pitt V, Phillips K, Bragge P, Gruen RL: Quality and consistency of guidelines for the management of mild traumatic brain injury in the emergency department. Acad Emerg Med 2011, 18(8):880-889.
• [34]Kitson A, Straus SE: The knowledge-to-action cycle: identifying the gaps. CMAJ 2010, 182(2):E73-77.
• [35]Grol RP, Bosch MC, Hulscher ME, Eccles MP, Wensing M: Planning and studying improvement in patient care: the use of theoretical perspectives. Milbank Q 2007, 85(1):93-138.
• [36]Ferlie EB, Shortell SM: Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Q 2001, 79(2):281-315.
• [37]Baker R, Camosso-Stefinovic J, Gillies C, Shaw EJ, Cheater F, Flottorp S, Robertson N: Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2010., (Issue 3. Art. No) 10.1002/14651858.CD005470.pub2.CD005470
• [38]Bosch M, van der Weijden T, Wensing M, Grol R: Tailoring quality improvement interventions to identified barriers: a multiple case analysis. J Eval Clin Pract 2007, 13(2):161-168.
• [39]The Improved Clinical Effectiveness through Behavioural Research Group (ICEBeRG): Designing theoretically-informed implementation interventions. Implement Sci 2006, 1:4.
• [40]Foy R, Ovretveit J, Shekelle PG, Pronovost PJ, Taylor SL, Dy S, Hempel S, McDonald KM, Rubenstein LV, Wachter RM: The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf 2011, 20(5):453-459.
• [41]Bruns JJ Jr, Jagoda AS: Mild traumatic brain injury. Mt Sinai J Med 2009, 76(2):129-137.
• [42]Cassidy JD, Carroll LJ, Peloso PM, Borg J, von Holst H, Holm L, Kraus J, Coronado VG: Incidence, risk factors and prevention of mild traumatic brain injury: results of the WHO collaborating centre task force on mild traumatic brain injury. J Rehabil Med 2004, (43 Suppl):28-60.
• [43]Consensus conference. Rehabilitation of persons with traumatic brain injury. NIH consensus development panel on rehabilitation of persons with traumatic brain injury JAMA 1999, 282(10):974-983.
• [44]Bellner J, Ingebrigtsen T, Romner B: Survey of the management of patients with minor head injuries in hospitals in Sweden. Acta Neurol Scand 1999, 100(6):355-359.
• [45]Miller L, Kent RM, Tennant A: Audit of head injury management in accident and emergency at two hospitals: implications for NICE CT guidelines. BMC Health Serv Res 2004, 4(1):7. BioMed Central Full Text
• [46]Shravat BP, Huseyin TS, Hynes KA: NICE guideline for the management of head injury: an audit demonstrating its impact on a district general hospital, with a cost analysis for England and Wales. Emerg Med J 2006, 23(2):109-113.
• [47]Stiell IG, Wells GA, Vandemheen K, Laupacis A, Brison R, Eisenhauer MA, Greenberg GH, MacPhail I, McKnight RD, Reardon M, et al.: Variation in ED use of computed tomography for patients with minor head injury. Ann Emerg Med 1997, 30(1):14-22.
• [48]Glaser BG, Strauss A: The discovery of grounded theory: strategies for qualitative research. IL: Aldine, Chicago; 1967.
• [49]Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A: Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care 2005, 14(1):26-33.
• [50]Singer BJ, Jegasothy GM, Singer KP, Allison GT, Dunne JW: Incidence of ankle contracture after moderate to severe acquired brain injury. Arch Phys Med Rehabil 2004, 85(9):1465-1469.
• [51]Wensing M, Bosch M, Grol R: Developing and selecting interventions for translating knowledge to action. CMAJ 2010, 182(2):E85-88.
• [52]French SD, Green SE, O'Connor DA, McKenzie JE, Francis JJ, Michie S, Buchbinder R, Schattner P, Spike N, Grimshaw JM: Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the theoretical domains framework. Implement Sci 2012, 7(1):38. BioMed Central Full Text
• [53]Eccles M, Grimshaw J, Walker A, Johnston M, Pitts N: Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. J Clin Epidemiol 2005, 58(2):107-112.
• [54]McKenzie JE, French SD, O'Connor DA, Grimshaw JM, Mortimer D, Michie S, Francis J, Spike N, Schattner P, Kent PM, et al.: IMPLEmenting a clinical practice guideline for acute low back pain evidence-based manageMENT in general practice (IMPLEMENT): cluster randomised controlled trial study protocol. Implement Sci 2008, 3:11. BioMed Central Full Text
• [55]McKenzie JE, O'Connor DA, Page MJ, Mortimer DS, French SD, Walker BF, Keating JL, Grimshaw JM, Michie S, Francis JJ, et al.: Improving the care for people with acute low-back pain by allied health professionals (the ALIGN trial): a cluster randomised trial protocol. Implement Sci 2010, 5:86. BioMed Central Full Text
• [56]Michie S, Johnston M, Francis J, Hardeman W, Eccles M: From theory to intervention: mapping theoretically derived behavioural determinants to behaviour change techniques. Appl Psychol: Int Rev 2008, 57(4):660-680.
• [57]Grimes DA, Schulz KF: An overview of clinical research: the lay of the land. Lancet 2002, 359(9300):57-61.
• [58]Glynn RJ, Brookhart MA, Stedman M, Avorn J, Solomon DH: Design of cluster-randomized trials of quality improvement interventions aimed at medical care providers. Med Care 2007, 45(10 Suppl 2):S38-43.
• [59]Edwards SJ, Braunholtz DA, Lilford RJ, Stevens AJ: Ethical issues in the design and conduct of cluster randomised controlled trials. BMJ 1999, 318(7195):1407-1409.
• [60]Walker AE, Campbell MK, Grimshaw JM: A recruitment strategy for cluster randomized trials in secondary care settings. J Eval Clin Pract 2000, 6(2):185-192.
• [61]Grimshaw JM, Zwarenstein M, Tetroe JM, Godin G, Graham ID, Lemyre L, Eccles MP, Johnston M, Francis JJ, Hux J, et al.: Looking inside the black box: a theory-based process evaluation alongside a randomised controlled trial of printed educational materials (the Ontario printed educational message, OPEM) to improve referral and prescribing practices in primary care in Ontario, Canada. Implement Sci 2007, 2:38. BioMed Central Full Text
• [62]Potter C, Brough R: Systemic capacity building: a hierarchy of needs. Health Policy Plan 2004, 19(5):336-345.