Abstract
The Neurotrauma Evidence Translation (NET) program was funded in 2009 to increase the uptake of research evidence in the clinical care of patients who have sustained traumatic brain injury. This paper reports the rationale and plan for this five-year knowledge translation research program. The overarching aims of the program are threefold: to improve outcomes for people with traumatic brain injury; to create a network of neurotrauma clinicians and researchers with expertise in knowledge translation and evidence-based practice; and to contribute knowledge to the field of knowledge translation research. The program comprises a series of interlinked projects spanning varying clinical environments and disciplines relevant to neurotrauma, anchored within four themes representing core knowledge translation activities: reviewing research evidence; understanding practice; developing and testing interventions for practice change; and building capacity for knowledge translation in neurotrauma. The program uses a range of different methods and study designs, including: an evidence fellowship program; conduct of and training in systematic reviews; mixed method study designs to describe and understand factors that influence current practices (e.g., semi-structured interviews and surveys); theory-based methods to develop targeted interventions aiming to change practice; a cluster randomised trial to test the effectiveness of a targeted theory-informed intervention; stakeholder involvement activities; and knowledge translation events such as consensus conferences.
Highlights
Traumatic Brain Injury (TBI) is an important global health problem
Even mild TBI, which accounts for 80% to 90% of all TBIs, can cause long-term cognitive problems that may affect a person’s ability to perform daily activities and to return to work [7]
Neurotrauma Evidence Translation (NET) evidence fellowship program Knowledge of current research evidence combined with clinical experience and patient preference is pivotal to evidence-based practice
Summary
Traumatic Brain Injury (TBI) is an important global health problem. It is defined as injuries caused by external mechanical force to the head, e.g., in motor vehicle accidents, falls, sporting accidents, violent assaults, or blast injuries [1]. TBI can result in long term or lifelong physical, cognitive, behavioural, and emotional consequences. As a result of these consequences, TBI is one of the most disabling injuries [4] and the leading cause of death and disability in children and adults from ages 1 to 44 [5]. The US Centre for Disease Control and Prevention estimates at least 3.17 million Americans, approximately 1.1% of the US population, are living with long-term disability as a result of TBI [6]. The lifetime cost per case of severe TBI is estimated at $396,331 USD, with disability and lost productivity costs outweighing medical and rehabilitation costs by a factor of 4 to 1 ($330,827 / $65,504) [9]
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