What do we know about health-related knowledge translation in the Circumpolar North? Results from a scoping review.
BACKGROUND
Health research knowledge translation (KT) is important to improve population health outcomes. Considering social, geographical and cultural contexts, KT in Inuit communities often requires different methods than those commonly used in non-Inuit populations.


OBJECTIVE
To examine the extent, range and nature of literature about health-related KT in Inuit communities.


METHODS
A scoping review was conducted. A search string was used to search 2 English aggregator databases, ProQuest and EBSCOhost, on 12 March 2015. Study selection was conducted by 2 independent reviewers using inclusion and exclusion criteria. To be included, studies had to explicitly state that KT approaches were used to share human health research results in Inuit communities in the Circumpolar North. Articles that evaluated or assessed KT approaches were thematically analysed to identify and characterize elements that contributed to KT success or challenges.


RESULTS
From 680 unique records identified in the initial search, 39 met the inclusion criteria and were retained for analysis. Of these 39 articles, 17 evaluated the KT approach used; thematic analysis identified 3 themes within these 17 articles: the value of community stakeholders as active members in the research process; the importance of local context in tailoring KT strategies and messaging; and the challenges with varying and contradictory health messaging in KT. A crosscutting gap in the literature, however, included a lack of critical assessment of community involvement in research. The review also identified a gap in assessments of KT in the literature. Research primarily focused on whether KT methods reflected the local culture and needs of the community. Assessments rarely focused on whether KT had successfully elicited its intended action.


CONCLUSIONS
This review synthesized a small but burgeoning area of research. Community engagement was important for successful KT; however, more discussion and discourse on the tensions, challenges and opportunities for improvement are necessary.
Department of Population Medicine, University of Guelph, Guelph, ON, Canada; harpers@uoguelph.caellenmcdonald09@gmail.com.
M Ellen
ME
McDonald
Department of Population Medicine, University of Guelph, Guelph, ON, Canada.
Andrew
A
Papadopoulos
Department of Population Medicine, University of Guelph, Guelph, ON, Canada.
Victoria L
VL
Edge
Department of Geography, McGill University, Montréal, QC, Canada.
James
J
Ford
Department of Population Medicine, University of Guelph, Guelph, ON, Canada.
Alison
A
Sumner
Department of Population Medicine, University of Guelph, Guelph, ON, Canada; harpers@uoguelph.caellenmcdonald09@gmail.com.
Sherilee L
SL
Harper
D001110:Arctic Regions; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination; D008297:Male; D017063:Outcome Assessment, Health Care; D057170:Translational Research, Biomedical
Circumpolar North; Inuit; dissemination; health; knowledge exchange; knowledge transfer; knowledge translation; public health messaging; results sharing; scoping review