Research to Action
The ultimate purpose of research is to inform actions that enhance society by advancing knowledge. Many terms have been used to describe the process of putting research into action - knowledge translation, research translation, implementation research - to mention a few. These vary slightly in their definitions, but all ultimately demonstrate the intention of studying how to efficiently push research into action in order to improve health, provide more effective health services and products. Successfully bringing research to action can strengthen the health care system and provide long term solutions that benefit society.
In many health areas the knowledge exists to address and treat preventable health problems and diseases, yet preventable diseases continue to affect a large part of the world’s population due to the knowledge not being translated to action. Evidence has proven that conducting research and publishing the results is not enough for an intervention or innovation to be implemented into policy and practice. More needs to be done. Thankfully there are ways to accelerate the time for translating research into real-world action by knowing what challenges might appears along the way.
Moving research into policy and practice can be a complex process. It requires the researcher to strategically plan, consider context in all aspects of the research – the design, the data collection, the dissemination, packaging, and communication. Researchers must network and get to know the system they are working in - including its social, economic and political features. This takes both time and effort. It’s a common occurrence that researchers do not plan for the translation process early enough, but rather once they have results from their work. Hopefully, this toolkit will help you start your process for translating evidence to practice.
Evidence-based research is of little use if findings are not implemented – the potential of evidence must be strategically unleashed to produce sustainable health outcomes.
By reviewing literature and case studies, some common barriers and facilitators to achieve research to action have been identified and categorized into four groups. They can be summarised as follows:
Make sure you have the evidence that your research findings hold and the necessary skills to implement it. Use appropriate methods to help you stay on track and make sure you are
connected to the environment where your research is going to have an impact.
We have used the above categories (evidence, skills, methods, and environment) and in each, relevant tools and guidelines have been compiled to assist you, whether you are a researcher or policymaker, to do things differently.
As mentioned by several experts in the field, in the best of worlds, research should be conducted with actionable outcomes in mind from the very beginning – rather than as an add- on at the end. So, remember to start early on!
The Toolkit
The “Research to Action” toolkit provides some important aspects to consider for truly effective research implementation. The challenges are not to be addressed in a linear manner. We suggest engaging with the tools throughout the research process – from knowledge creation to dissemination.
All the shortlisted tools within the four challenges are built up in the same way, with an introduction to the topic and several suggestions on tools that can be used to tackle this area. Some of the listed tools are more theoretical while some are more hands-on.
All quotes below are from a case study report, “Using Research to Inform Health Policy: Barriers and Strategies in Developing Countries, done in four developing countries on the dissemination and uptake of health research into policy and program delivery”.
“Policymakers may not understand research. They feel that it may take years to get an outcome, they are interested in outputs for today. There might be a lack of vision on the part of the policymaker”.
Researcher, Tanzania
Having a clear understanding of the evidence to be translated into action is of crucial importance but can be challenging due to multiple factors. Perhaps the evidence is not ‘ready’, and more studies are needed to determine causality, or perhaps there is need for more thorough systematic reviewing, or dissemination planning before next steps should be considered. Strategies to tackle evidence related challenges include acknowledging these factors and taking the time to make sure all components are in place before implementation. Having a clear understanding of the evidence, and a well-planned out dissemination process will facilitate a sustainable outcome.
Some common obstacles:
- The sheer volume of research evidence currently produced
- Access to research evidences
- Time to read and the skills to appraise
- Understand and apply research evidence
- Research findings/results can be conflicting and do not always provide the clarity that policy makers need
- Research that is not aligned with or informed by policy and action (therefore is not relevant to decision making)
- Unactionable research findings
- Poor timing and timeliness of research or its finding
SHORTLISTED TOOLS
Evidence – Systematic and rapid reviews
Evidence – Dissemination plan
“It is the how part, how you can change things, what you should do. Researchers usually don’t do that, they put the research on the table and say now you figure out what to do”.
Policymaker, India
As the quote above demonstrates, there needs to be communication and collaboration between the stakeholders, in this case the researcher and policymaker. The community that should be served by the intervention cannot be expected to alone figure out the most suitable method for implementation. Just as the researcher must engage with the end users and context to better determine suitable approaches for implementation, the community that is being affected must be aware of the research implications and understand the added benefit of the intervention for them. If mutual understanding, respect and trust are present, there is a much larger chance of collaborating on the best suited methods as well as best suited monitoring, evaluation and adaptation plans.
Some common obstacles:
- Trouble finding the right implementation methods
- Lack of coordination between researcher/policymaker
- Lack of stakeholder involvement
- Scientists often lack the training and therefore necessary skill to carry out dissemination efforts
- Often lack of focus on how to distribute the research to end user/public
- Operate within a small organisation or specific areas and do not engage outside their fields<
- General focus on passive dissemination approaches (write papers etc.)
- Lack of Internet access
SHORTLISTED TOOLS
Method – Monitor and evaluate
Method – Implementation strategies
“As a programmer, if I am involved in the research I will be able to understand it better, similarly if a researcher can participate in the policymaking level then he will be able to make an impact in a better way”.
Policymaker, India
The benefits of effective stakeholder engagement, as demonstrated in the above quote, should be acknowledged by all wishing to make a true impact from research. It can be a challenging and time-consuming effort and therefore it is highly recommended to reflect on this early on. Perhaps certain relevant organisational and/or personal skills linked to, for example, adaptation, packaging and collaboration need to be internally developed or taken onboard from a different sector. Either way it can be well worth acquiring the needed skills for a smooth and sustainable implementation of evidence-based research.
Some common obstacles:
- Lack of adapting or customizing the knowledge to the local context
- Communication problems - Policymakers and researchers do not always understand each other’s terminology and way of communicating
- Poor packaging and indexing of research findings
- Poor understanding of the decision-making process and the public system the researcher wants to engage with
SHORTLISTED TOOLS
Skill – Adapt to local context
Skill – Assess and manage barriers and facilitators
Skill – Stakeholder communication and engagement
“Some researchers may recommend one way which may be the most effective but not the cheapest – so we cannot implement it. In developing countries need cheap and effective recommendations”.
Policymaker, Tanzania
Barriers to implementation of research findings in real-world settings can sometimes be related to external factors that seem to be out of our control. As the above quote demonstrates, the lack of financial means can be what ultimately hinders the implementation of an otherwise well thought through strategy. It is therefore important to collaborate with other sectors and learn as much as possible about the lived reality on ground and become aware of political, financial, cultural and motivational aspects that may influence the chosen method, the uptake or the sustainability of the intervention.It is equally important to adapt to changing environments, engage with stakeholders and monitor continuously.
Some common obstacles:
- Lack of finance
- Lack of facilities or/and equipment
- Bad timing of the research output and the policy agenda
- Geographic barriers to easily implement research and discuss with colleagues
- Political barriers; unstable regime, conflict
- Lack or weak relationship with stakeholders and partners
- Ownership of the research findings
- Poor involvement of decision makers/implementors early on in the research
- Decision making structures that do not provide for research input pathways
SHORTLISTED TOOLS
Environment – Understanding the baseline
Environment – Assessing the local context
Want to know more?
There are many other recommended literature as references when you are digitalising the data. We have compiled a deep dive for you who like to read up more on the link below.
We wish you the best of luck digitalising your information and data!
DOWNLOAD FULL LIST OF REFERENCES
Operated by Karolinska Institutet in Sweden
and Makerere University in Uganda