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Kengne Talla P, Robillard C, Ahmed S, Guindon A, Houtekier C, Thomas A. Clinical research coordinators' role in knowledge translation activities in rehabilitation: a mixed methods study. BMC Health Serv Res 2023; 23:124. [PMID: 36750836 PMCID: PMC9903418 DOI: 10.1186/s12913-023-09027-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 01/03/2023] [Indexed: 02/09/2023] Open
Abstract
BACKGROUND Clinical research coordinators (CRCs) facilitate the interaction between researchers and knowledge users in rehabilitation centres to promote and sustain evidence-informed practices. Despite their presence in rehabilitation settings in Quebec for over 20 years, little is known about their profiles and knowledge translation (KT) activities nor how they can best enact their role. This study explored CRCs' roles and perspectives on the barriers, enablers, and strategies for improving KT activities in rehabilitation settings. METHODS We conducted a multi-centre, participatory sequential mixed methods study. In the descriptive quantitative phase, we collected data via an online survey to determine CRCs' role in research and KT. In the subsequent qualitative phase, we conducted an in-person focus group to elicit CRCs' perspectives regarding factors influencing their work in KT, and potential solutions for overcoming these challenges. We used a descriptive and an inductive content analysis approach for the data analysis. The data synthesis was inspired by the Promoting Action on Research Implementation in Health Services framework. RESULTS All nine CRCs from five partner health regions of a large rehabilitation research centre agreed to participate in the study. The data suggest that CRCs are like knowledge brokers and boundary spanners. As information managers, linkage agents and facilitators, CRCs play a pivot role in diffusion, dissemination, synthesis and tailoring of knowledge to improve evidence informed practices and quality of care in rehabilitation. The factors influencing CRCs' KT activities are mostly linked to the context such as the receptivity of the organization as well as the lack of time and resources, and limited understanding of their roles by stakeholders. Two main suggestions made to enhance CRCs' contribution to KT activities include the harmonisation of expectations between the large research centre and their partner health regions, and better promotion of their role to clinical and research teams. CONCLUSIONS This study provides valuable insights into the scope of CRCs' role. The results shed light on the challenges that they face and potential solutions to overcome them. The knowledge generated in this study can be used to implement this role with similar duties in rehabilitation settings or other health care domains.
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Affiliation(s)
- P. Kengne Talla
- grid.14709.3b0000 0004 1936 8649School of Physical and Occupational Therapy, McGill University, Montreal, Canada ,grid.459278.50000 0004 4910 4652Integrated University Health and Social Services Centre for West-Central Montreal (CIUSSS du Centre-Ouest-de-L’Île-de-Montréal), Montreal, Canada ,grid.459278.50000 0004 4910 4652Integrated University Health and Social Services Centre for South-Central Montreal (Institut Universitaire Sur La Réadaptation en Déficience Physique de Montréal, CIUSSS du Centre-Sud-de-L’Île-de-Montréal), Montreal, Canada ,grid.420709.80000 0000 9810 9995Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Canada
| | - C. Robillard
- grid.459278.50000 0004 4910 4652Integrated University Health and Social Services Centre for West-Central Montreal (CIUSSS du Centre-Ouest-de-L’Île-de-Montréal), Montreal, Canada ,grid.420709.80000 0000 9810 9995Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Canada ,grid.38678.320000 0001 2181 0211Department of Sexology, Université du Québec À Montréal (UQAM), Montreal, Canada
| | - S. Ahmed
- grid.14709.3b0000 0004 1936 8649School of Physical and Occupational Therapy, McGill University, Montreal, Canada ,grid.459278.50000 0004 4910 4652Integrated University Health and Social Services Centre for West-Central Montreal (CIUSSS du Centre-Ouest-de-L’Île-de-Montréal), Montreal, Canada ,grid.420709.80000 0000 9810 9995Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Canada
| | - A. Guindon
- grid.459278.50000 0004 4910 4652Integrated University Health and Social Services Centre for West-Central Montreal (CIUSSS du Centre-Ouest-de-L’Île-de-Montréal), Montreal, Canada ,grid.420709.80000 0000 9810 9995Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Canada
| | - C. Houtekier
- grid.420709.80000 0000 9810 9995Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Canada ,Integrated Health and Social Services Centre of Montérégie-Centre (CISSS de La Montérégie-Centre), Institut Nazareth Et Louis-Braille, Montreal, Canada
| | - A. Thomas
- grid.14709.3b0000 0004 1936 8649School of Physical and Occupational Therapy, McGill University, Montreal, Canada ,grid.420709.80000 0000 9810 9995Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Canada ,grid.14709.3b0000 0004 1936 8649Institute of Health Sciences Education, McGill University, Montreal, Canada ,Integrated Health and Social Services Centre of Laval, CISSS de Laval, Montreal, Canada
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Guindon A, Ni R, Bian Z, Andersen G. The effects of fog and aging on the ability to detect collisions. J Vis 2010. [DOI: 10.1167/9.8.1062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Guindon A, Rossi P, Bagneres D, Aissi K, Demoux AL, Bonin-Guillaume S, Cloarec N, Giraud F, Timponne S, Le Dolley Y, Fenerol M, Dales JP, Frances Y, Granel B. [Pericarditis: a giant cell arteritis manifestation]. Rev Med Interne 2007; 28:326-31. [PMID: 17335942 DOI: 10.1016/j.revmed.2007.01.023] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2006] [Accepted: 01/27/2007] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Temporal arteritis is a vasculitis in which inflammatory manifestations mainly involve the external carotid artery area but not exclusively. Through a clinical observation and a review of the literature, we suggest that inflammatory pericarditis could represent a manifestation of temporal arteritis. EXEGESIS A 75-year-old-woman was admitted for progressive physical deterioration which had been evolving for three months, associated with fever, frontotemporal cephalalgia and severe biological inflammatory syndrome. Chest X-ray reveals a cardiomegaly and suggests a pericarditis, which was rapidly confirmed by echocardiogram. Temporal artery biopsy concludes to the diagnosis of a giant cell arteritis. Steroids treatment is prescribed, leading to a rapid regression of the inflammatory state and the pericarditis without relapse after 6 months of follow-up. CONCLUSION Only prospective studies on systematic echocardiography when faced with the diagnosis of giant cell arteritis, whatever clinical symptoms, will enable to appreciate the prevalence and prognosis value of this manifestation. Moreover, temporal artery analysis seems to be justified when faced with a sub-acute or chronic "idiopathic" inflammatory pericarditis occurring in the elderly patient. Physiopathogeny is unknown but some hypothesis can be proposed: inflammatory cytokines storm, immune complexes deposition, giant cell vasculitis of pericardial arteries or inflammatory interstitial lesion of the pericardium with or without granuloma.
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Affiliation(s)
- A Guindon
- Service de médecine interne, hôpital Nord, Assistance publique-Hôpitaux de Marseille (APHM), chemin des Bourrelys, 13915 Marseille, France
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