Table 5 KTE research priorities for PTB
From: Preterm birth: the role of knowledge transfer and exchange
Thematic area | Individuals, families and communities | Providers | Policymakers | Across stakeholder groups |
|---|---|---|---|---|
Partner engagement | Identifying and engaging with key informants and panel members | Engage with providers at each referral stage as well as in training | Understand ‘climate’ for use of research evidence | n/a |
Improve communication pathways with providers and policymakers | Learn more about how providers engage with affected lay populations and policymakers | Understand political, cultural, economic and other factors | ||
Contextual research | Understand what the most important PTB outcomes are in this population | Assess provider knowledge of efficacious interventions for preventing PTB and caring for mothers and infants affected by PTB | Know the degree to which PTB is prioritised in the health agenda | Learn how these stakeholders understand PTB |
Know their views on the optimal way forward for changing government and other health policies to affect those outcomes | Understand provider knowledge, skills and attitudes to implement and promote KTE strategies to reduce PTB Know what barriers exist to implementing KTE strategies | Understand barriers and facilitators making it a high priority in the specific setting | Learn about overall barriers and facilitators to stakeholder uptake of PTB knowledge | |
KTE strategy research | For example:• Decision aids• Let pregnant women carry own case notes• Regular and frequent discussions between providers and pregnant women/mothers• Information campaigns• Evidence-based community discussions• Community-based strategies• Interactive computer-based health communication apps• Personalised risk communication• Communication before consultations | For example:• In-service training and educational meetings; educational outreach• Local opinion leaders• Audit and feedback• Tailored interventions• Computerised reminders | For example:• Evidence briefs• Deliberative dialogues based on evidence briefs• Systematic review-derived products• ‘One-stop shop’ of optimally-packaged systematic review products and other key data, online• ‘Rapid response units’• SUPPORT tools for evidence-informed health policymaking | Investigate best ways to engage in KTE across all stakeholder groups, collaborating in their respective ways for KTE around PTB |
Monitoring, learning and evaluation | Pre- and post-intervention impact in terms of: | Pre- and post-intervention impact in terms of: | Pre- and post-intervention impact in terms of: | Pre- and post-intervention impact in terms of: |
1) Access to systematic review evidence on PTB in community and from providers; 2) Changes in individual and community beliefs and norms in regard to cultural relevance and effectiveness; 3) Repeated data comparisons over the long-term; and 4) Overall changes in PTB outcomes | 1) Access to systematic review evidence on PTB and KTE; 2) Adoption of systematic review evidence into new practice; 3) Repeated data comparisons over the long term; and 4) Overall changes in PTB outcomes | 1) Access to systematic review evidence on PTB and KTE; 2) New policies informed by systematic review evidence; 3) Repeated comparisons of policies relevant to PTB and its determinants over the long term; and 4) Overall changes in PTB outcomes | Collaborative KTE efforts across stakeholder groups | |
Infrastructure | Science-based public education and outreach initiatives, especially with digital and social media platforms | PTB health evidence web portal for providers, with additional components for training and other services | ‘One-stop shop’ on PTB for policymakers that would include optimally packaged online systematic review products and other key data, as well as rapid response units and other capacities | n/a |