Factors influencing the uptake of canadian research findings into the care of children with arthritis: A healthcare provider perspective

Benjamin Rose-Davis; Janet Curran; Julia Wright; Tania Cellucci; Ciarån M. Duffy; Lori B. Tucker; Michelle Batthish; Adam M. Huber; Bianca Lang; Deborah M. Levy; Dax G. Rumsey; Karen N.Watanabe Duffy; Elizabeth Stringer

doi:10.3899/jrheum.180282

Factors influencing the uptake of canadian research findings into the care of children with arthritis: A healthcare provider perspective

Benjamin Rose-Davis, Janet Curran, Julia Wright, Tania Cellucci, Ciarån M. Duffy, Lori B. Tucker, Michelle Batthish, Adam M. Huber, Bianca Lang, Deborah M. Levy, Dax G. Rumsey, Karen N.Watanabe Duffy, Elizabeth Stringer

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

1 Cita (Scopus)

Resumen

Objective. To determine barriers and facilitators to the uptake of findings from the Research in Arthritis in Canadian Children emphasizing Outcomes (ReACCh-Out) study into clinical care by pediatric rheumatologists (PR) and allied health professionals (AHP) caring for children with juvenile idiopathic arthritis (JIA) in Canada. Methods. PR and AHP participated in this qualitative study through telephone interviews. Interview guides were developed using the Theoretical Domains Framework and focused on the use of information from the ReACCh-Out study in the practice of counseling patients and families. A directed content analysis approach was used for coding. Results. Nineteen interviews (8 PR and 11 AHP) were completed. All PR had knowledge of the ReACCh-Out study. Three major themes were identified: (1) both groups are motivated to use information from research in clinical care; (2) volume and emotional effect of information on families are barriers; and (3) specific timepoints in care trigger providing this information. AHP had less knowledge of the ReACCh-Out study, did not feel it was their primary role to provide this information, and have a desire for more opportunity to participate in academic forums related to research. Conclusion. We have described a comprehensive overview of the barriers and facilitators perceived by healthcare providers in the translation of knowledge from JIA research into use in clinical practice. These findings provide a foundation for the development of knowledge translation strategies in the care of children with JIA and other rheumatic diseases.

Idioma original	English
Páginas (desde-hasta)	294-300
Número de páginas	7
Publicación	Journal of Rheumatology
Volumen	46
N.º	3
DOI	https://doi.org/10.3899/jrheum.180282
Estado	Published - mar. 2019
Publicado de forma externa	Sí

Nota bibliográfica

Funding Information:
From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children’s Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children’s Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children’s Hospital and University of Alberta, Edmonton, Alberta, Canada. Supported by a Canadian Initiative for Outcomes in Rheumatology cAre (CIORA) grant. B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children’s Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children’s Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children’s Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children’s Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre. Address correspondence to Dr. E. Stringer, Division of Rheumatology, IWK Health Centre, 5850 University Ave., Halifax, Nova Scotia B3K 6R8, Canada. E-mail: Elizabeth.stringer@iwk.nshealth.ca Accepted for publication September 6, 2018.

Publisher Copyright:
© 2019 Journal of Rheumatology. All rights reserved.

ASJC Scopus Subject Areas

Immunology and Allergy
Rheumatology
Immunology

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10.3899/jrheum.180282

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Rose-Davis, B., Curran, J., Wright, J., Cellucci, T., Duffy, C. M., Tucker, L. B., Batthish, M., Huber, A. M., Lang, B., Levy, D. M., Rumsey, D. G., Duffy, K. N. W., & Stringer, E. (2019). Factors influencing the uptake of canadian research findings into the care of children with arthritis: A healthcare provider perspective. Journal of Rheumatology, 46(3), 294-300. https://doi.org/10.3899/jrheum.180282

Rose-Davis, B, Curran, J, Wright, J, Cellucci, T, Duffy, CM, Tucker, LB, Batthish, M, Huber, AM, Lang, B, Levy, DM, Rumsey, DG, Duffy, KNW & Stringer, E 2019, 'Factors influencing the uptake of canadian research findings into the care of children with arthritis: A healthcare provider perspective', Journal of Rheumatology, vol. 46, n.º 3, pp. 294-300. https://doi.org/10.3899/jrheum.180282

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title = "Factors influencing the uptake of canadian research findings into the care of children with arthritis: A healthcare provider perspective",

abstract = "Objective. To determine barriers and facilitators to the uptake of findings from the Research in Arthritis in Canadian Children emphasizing Outcomes (ReACCh-Out) study into clinical care by pediatric rheumatologists (PR) and allied health professionals (AHP) caring for children with juvenile idiopathic arthritis (JIA) in Canada. Methods. PR and AHP participated in this qualitative study through telephone interviews. Interview guides were developed using the Theoretical Domains Framework and focused on the use of information from the ReACCh-Out study in the practice of counseling patients and families. A directed content analysis approach was used for coding. Results. Nineteen interviews (8 PR and 11 AHP) were completed. All PR had knowledge of the ReACCh-Out study. Three major themes were identified: (1) both groups are motivated to use information from research in clinical care; (2) volume and emotional effect of information on families are barriers; and (3) specific timepoints in care trigger providing this information. AHP had less knowledge of the ReACCh-Out study, did not feel it was their primary role to provide this information, and have a desire for more opportunity to participate in academic forums related to research. Conclusion. We have described a comprehensive overview of the barriers and facilitators perceived by healthcare providers in the translation of knowledge from JIA research into use in clinical practice. These findings provide a foundation for the development of knowledge translation strategies in the care of children with JIA and other rheumatic diseases.",

author = "Benjamin Rose-Davis and Janet Curran and Julia Wright and Tania Cellucci and Duffy, {Ciar{\aa}n M.} and Tucker, {Lori B.} and Michelle Batthish and Huber, {Adam M.} and Bianca Lang and Levy, {Deborah M.} and Rumsey, {Dax G.} and Duffy, {Karen N.Watanabe} and Elizabeth Stringer",

note = "Funding Information: From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children{\textquoteright}s Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children{\textquoteright}s Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children{\textquoteright}s Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children{\textquoteright}s Hospital and University of Alberta, Edmonton, Alberta, Canada. Supported by a Canadian Initiative for Outcomes in Rheumatology cAre (CIORA) grant. B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children{\textquoteright}s Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children{\textquoteright}s Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children{\textquoteright}s Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children{\textquoteright}s Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre. Address correspondence to Dr. E. Stringer, Division of Rheumatology, IWK Health Centre, 5850 University Ave., Halifax, Nova Scotia B3K 6R8, Canada. E-mail: Elizabeth.stringer@iwk.nshealth.ca Accepted for publication September 6, 2018. Publisher Copyright: {\textcopyright} 2019 Journal of Rheumatology. All rights reserved.",

year = "2019",

month = mar,

doi = "10.3899/jrheum.180282",

language = "English",

volume = "46",

pages = "294--300",

journal = "Journal of Rheumatology",

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TY - JOUR

T1 - Factors influencing the uptake of canadian research findings into the care of children with arthritis

T2 - A healthcare provider perspective

AU - Rose-Davis, Benjamin

AU - Curran, Janet

AU - Wright, Julia

AU - Cellucci, Tania

AU - Duffy, Ciarån M.

AU - Tucker, Lori B.

AU - Batthish, Michelle

AU - Huber, Adam M.

AU - Lang, Bianca

AU - Levy, Deborah M.

AU - Rumsey, Dax G.

AU - Duffy, Karen N.Watanabe

AU - Stringer, Elizabeth

N1 - Funding Information: From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children’s Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children’s Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children’s Hospital and University of Alberta, Edmonton, Alberta, Canada. Supported by a Canadian Initiative for Outcomes in Rheumatology cAre (CIORA) grant. B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children’s Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children’s Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children’s Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children’s Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre. Address correspondence to Dr. E. Stringer, Division of Rheumatology, IWK Health Centre, 5850 University Ave., Halifax, Nova Scotia B3K 6R8, Canada. E-mail: Elizabeth.stringer@iwk.nshealth.ca Accepted for publication September 6, 2018. Publisher Copyright: © 2019 Journal of Rheumatology. All rights reserved.

PY - 2019/3

Y1 - 2019/3

N2 - Objective. To determine barriers and facilitators to the uptake of findings from the Research in Arthritis in Canadian Children emphasizing Outcomes (ReACCh-Out) study into clinical care by pediatric rheumatologists (PR) and allied health professionals (AHP) caring for children with juvenile idiopathic arthritis (JIA) in Canada. Methods. PR and AHP participated in this qualitative study through telephone interviews. Interview guides were developed using the Theoretical Domains Framework and focused on the use of information from the ReACCh-Out study in the practice of counseling patients and families. A directed content analysis approach was used for coding. Results. Nineteen interviews (8 PR and 11 AHP) were completed. All PR had knowledge of the ReACCh-Out study. Three major themes were identified: (1) both groups are motivated to use information from research in clinical care; (2) volume and emotional effect of information on families are barriers; and (3) specific timepoints in care trigger providing this information. AHP had less knowledge of the ReACCh-Out study, did not feel it was their primary role to provide this information, and have a desire for more opportunity to participate in academic forums related to research. Conclusion. We have described a comprehensive overview of the barriers and facilitators perceived by healthcare providers in the translation of knowledge from JIA research into use in clinical practice. These findings provide a foundation for the development of knowledge translation strategies in the care of children with JIA and other rheumatic diseases.

AB - Objective. To determine barriers and facilitators to the uptake of findings from the Research in Arthritis in Canadian Children emphasizing Outcomes (ReACCh-Out) study into clinical care by pediatric rheumatologists (PR) and allied health professionals (AHP) caring for children with juvenile idiopathic arthritis (JIA) in Canada. Methods. PR and AHP participated in this qualitative study through telephone interviews. Interview guides were developed using the Theoretical Domains Framework and focused on the use of information from the ReACCh-Out study in the practice of counseling patients and families. A directed content analysis approach was used for coding. Results. Nineteen interviews (8 PR and 11 AHP) were completed. All PR had knowledge of the ReACCh-Out study. Three major themes were identified: (1) both groups are motivated to use information from research in clinical care; (2) volume and emotional effect of information on families are barriers; and (3) specific timepoints in care trigger providing this information. AHP had less knowledge of the ReACCh-Out study, did not feel it was their primary role to provide this information, and have a desire for more opportunity to participate in academic forums related to research. Conclusion. We have described a comprehensive overview of the barriers and facilitators perceived by healthcare providers in the translation of knowledge from JIA research into use in clinical practice. These findings provide a foundation for the development of knowledge translation strategies in the care of children with JIA and other rheumatic diseases.

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Factors influencing the uptake of canadian research findings into the care of children with arthritis: A healthcare provider perspective

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