[co_inspiracion] Fwd: [EQ] Critical examination of knowledge-to-action models and implications for promoting health equity

  • From: Mario Parada <mario.parada@xxxxx>
  • To: co_inspiracion@xxxxxxxxxxxxx
  • Date: Wed, 15 May 2013 13:42:33 -0400

---------- Forwarded message ----------
From: Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia@xxxxxxxx>
Date: 2013/5/15
Subject: [EQ] Critical examination of knowledge-to-action models and
implications for promoting health equity
To: EQUIDAD@xxxxxxxxxxxxxxxxx


** ** ** ** ** ** **

*Critical examination of knowledge-to-action models and implications for
promoting health equity

*

Davison, C.M. & National Collaborating Centre for Determinants of Health.
(2013). Antigonish, NS:
*National Collaborating Centre for Determinants of Health, St. Francis
Xavier University. Canada*

ISBN: 978-1-926823-50-8

****

Available online at: http://bit.ly/ZVrvZo ****

** **

The purpose of this paper was to review and critically examine the
usefulness of existing knowledge to action models for promoting health
equity.
Dramatic inequalities in health and social circumstances across ****Canada**
** are well documented. Knowledge and effective interventions exist to
address many of these inequities. However, awareness, uptake, and the use
of interventions can be poor and poorer still with respect to interventions
to improve the health of disadvantaged populations.
This gap between knowledge and action to improve health equity is of
increasing concern to public health researchers and practitioners, globally.
****


What we did****

We conducted a comprehensive literature search to identify pre-existing
knowledge to action (KTA) models. Models were critiqued and given a health
equity support score.

****

What we found****

We identified forty-eight pre-existing models. Using the health equity
score, six models scored between 8 and 10 of a maximum 12 points. ****

These six promising models all mentioned equity, justice or a similar
concept. Attention to multisectoral approaches or actions were the factor
often lacking in the identified models.
The concepts of knowledge brokering, integrative processes, such as those
in indigenous health research, and Ecohealth applied to KTA all emerged as
areas of possible promise.****


Models****

• Knowledge Brokering Frameworks****

• Framework for Research Transfer****

• Joint Venture Model of Knowledge Utilization****

• Translational Research Framework to Address Health Disparities****

• Model of Knowledge Translation and Exchange with Northern Aboriginal
Communities****

• Ecohealth Model applied to knowledge translation

****

** **

Conclusions****

Existing models can help guide knowledge translation to support action on
the social determinants of health and health equity. There is a need to
further develop and test models. This process should be informed by
Ecohealth approaches, participatory, and integrative research.****


Implications for public health ****

• Existing knowledge translation models can help guide the application of
knowledge to inform public health action to improve health equity. The six
models identified are promising examples of knowledge to action models that
can support action on the social determinants of health.****

• The most relevant models are those with principles and values reflective
of equity and social justice. ****

• Use of these models will enable public health organizations working
towards addressing the social determinants of health to:****

• Identify equity as a goal;****

• Involve stakeholders;****

• Prioritize multisectoral engagement;****

• Draw knowledge from multiple sources;****

• Recognize the importance of contextual factors; and****

• Have a proactive or problem-solving approach.

****

• There is room to develop and test more robust equity supporting models.
This conversation will require attention to the criteria proposed in this
paper…..”****

** **

** **

*KMC/2013/SDE
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