title: Development of theory-based knowledge translation interventions to facilitate the implementation of evidence-based guidelines on the early management of adults with traumatic spinal cord injury.
abstract: BACKGROUND
  Optimal, early management following a spinal cord injury (SCI) can limit individuals' disabilities and costs related to their care. Several knowledge syntheses were recently published to guide health care professionals with regard to early interventions in SCI patients. However, no knowledge translation (KT) intervention, selected according to a behaviour change theory, has been proposed to facilitate the use of SCI guidelines in an acute care setting.
  
  
  OBJECTIVE
  To develop theory-informed KT interventions to promote the application of evidence-based recommendations on the acute care management of SCI patients.
  
  
  METHODS
  The first four phases of the knowledge-to-action model were used to establish the study design. Knowledge selection was based on the Grading of Recommendations Assessment, Development and Evaluation system. Knowledge adaptation to the local context was sourced from the ADAPTE process. The theoretical domains framework oriented the selection and development of the interventions based on an assessment of barriers and enablers to knowledge application.
  
  
  RESULTS
  Twenty-nine recommendations were chosen and operationalized in measurable clinical indicators. Barriers related to knowledge, skills, perceived capacities, beliefs about consequences, social influences, and the environmental context and resources theoretical domains were identified. The mapping of behaviour change techniques associated with those barriers led to the development of an online educational curriculum, interdisciplinary clinical pathways as well as policies and procedures.
  
  
  CONCLUSIONS
  This research project allowed us developing KT interventions according to a thorough behavioural change methodology. Exposure to the generated interventions will support health care professionals in providing the best care to SCI patients.
authors.affiliation: Orthopaedics and Trauma, Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.|McGill University, Montreal, Quebec, Canada.
authors.forename: Mélanie
authors.initials: M
authors.lastname: Bérubé
authors.affiliation: Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.|Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Martin
authors.initials: M
authors.lastname: Albert
authors.affiliation: Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.|Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Chauny
authors.affiliation: Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Damien
authors.initials: D
authors.lastname: Contandriopoulos
authors.affiliation: Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
authors.forename: Anne
authors.initials: A
authors.lastname: DuSablon
authors.affiliation: Université de Montréal, Montreal, Quebec, Canada.|Hôtel Dieu de St-Jérôme, Montreal, Quebec, Canada.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Lacroix
authors.affiliation: Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
authors.forename: Annick
authors.initials: A
authors.lastname: Gagné
authors.affiliation: Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
authors.forename: Élise
authors.initials: É
authors.lastname: Laflamme
authors.affiliation: Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Boutin
authors.affiliation: Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Delisle
authors.affiliation: Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Pauzé
authors.affiliation: Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.|Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: MacThiong
mesh_terms: D019317:Evidence-Based Medicine / Q000379:methods*; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D017410:Practice Guidelines as Topic / Q000592:standards*; D013119:Spinal Cord Injuries / Q000628:therapy*; D057170:Translational Research, Biomedical / Q000458:organization & administration*; D014193:Trauma Centers
keywords: E-learning; acute care; clinical pathway; guidelines; knowledge translation; spinal cord injury; theory-informed interventions