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Using the Knowledge to Action Framework in practice: a citation analysis and systematic review

Overview of attention for article published in Implementation Science, November 2014
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (92nd percentile)
  • High Attention Score compared to outputs of the same age and source (84th percentile)

Mentioned by

26 tweeters


169 Dimensions

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600 Mendeley
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Using the Knowledge to Action Framework in practice: a citation analysis and systematic review
Published in
Implementation Science, November 2014
DOI 10.1186/s13012-014-0172-2
Pubmed ID

Becky Field, Andrew Booth, Irene Ilott, Kate Gerrish


BackgroundConceptual frameworks are recommended as a way of applying theory to enhance implementation efforts. The Knowledge to Action (KTA) Framework was developed in Canada by Graham and colleagues in the 2000s, following a review of 31 planned action theories. The framework has two components: Knowledge Creation and an Action Cycle, each of which comprises multiple phases. This review sought to answer two questions: `Is the KTA Framework used in practice? And if so, how?¿MethodsThis study is a citation analysis and systematic review. The index citation for the original paper was identified on three databases¿Web of Science, Scopus and Google Scholar¿with the facility for citation searching. Limitations of English language and year of publication 2006-June 2013 were set. A taxonomy categorising the continuum of usage was developed. Only studies applying the framework to implementation projects were included. Data were extracted and mapped against each phase of the framework for studies where it was integral to the implementation project.ResultsThe citation search yielded 1,787 records. A total of 1,057 titles and abstracts were screened. One hundred and forty-six studies described usage to varying degrees, ranging from referenced to integrated. In ten studies, the KTA Framework was integral to the design, delivery and evaluation of the implementation activities. All ten described using the Action Cycle and seven referred to Knowledge Creation. The KTA Framework was enacted in different health care and academic settings with projects targeted at patients, the public, and nursing and allied health professionals.ConclusionsThe KTA Framework is being used in practice with varying degrees of completeness. It is frequently cited, with usage ranging from simple attribution via a reference, through informing planning, to making an intellectual contribution. When the framework was integral to knowledge translation, it guided action in idiosyncratic ways and there was theory fidelity. Prevailing wisdom encourages the use of theories, models and conceptual frameworks, yet their application is less evident in practice. This may be an artefact of reporting, indicating that prospective, primary research is needed to explore the real value of the KTA Framework and similar tools.

Twitter Demographics

The data shown below were collected from the profiles of 26 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 600 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 6 1%
Malaysia 2 <1%
Switzerland 1 <1%
Sweden 1 <1%
Kenya 1 <1%
Canada 1 <1%
Mexico 1 <1%
Spain 1 <1%
Japan 1 <1%
Other 1 <1%
Unknown 584 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 131 22%
Student > Ph. D. Student 84 14%
Researcher 79 13%
Student > Doctoral Student 56 9%
Other 31 5%
Other 117 20%
Unknown 102 17%
Readers by discipline Count As %
Nursing and Health Professions 139 23%
Medicine and Dentistry 114 19%
Social Sciences 78 13%
Psychology 22 4%
Computer Science 19 3%
Other 93 16%
Unknown 135 23%

Attention Score in Context

This research output has an Altmetric Attention Score of 17. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 September 2020.
All research outputs
of 21,353,399 outputs
Outputs from Implementation Science
of 1,683 outputs
Outputs of similar age
of 346,521 outputs
Outputs of similar age from Implementation Science
of 170 outputs
Altmetric has tracked 21,353,399 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 92nd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,683 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.6. This one has done well, scoring higher than 76% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 346,521 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 170 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 84% of its contemporaries.