Abstract

BackgroundIntimate partner violence (IPV) and child maltreatment (CM) are major social and public health problems. Knowledge translation (KT) of best available research evidence has been suggested as a strategy to improve the care of those exposed to violence, however research on how best to promote the uptake and use of IPV and CM evidence for policy and practice is limited. Our research asked: 1) What is the extent of IPV/CM-specific KT research? 2) What KT strategies effectively translate IPV/CM knowledge? and 3) What are the barriers and facilitators relevant to translating IPV/CM-specific knowledge?MethodsWe conducted an integrative review to summarize and synthesize the available evidence regarding IPV/CM-specific KT research. We employed multiple search methods, including database searches of Embase, CINAHL, ERIC, PsycInfo, Sociological s, and Medline (through April, 2013). Eligibility and quality assessments for each article were conducted by at least two team members. Included articles were analyzed quantitatively using descriptive statistics and qualitatively using descriptive content analysis.ResultsOf 1230 identified articles, 62 were included in the review, including 5 review articles. KT strategies were generally successful at improving various knowledge/attitude and behavioural/behavioural intention outcomes, but the heterogeneity among KT strategies, recipients, study designs and measured outcomes made it difficult to draw specific conclusions. Four key themes were identified: existing measurement tools and promising/effective KT strategies are underused, KT efforts are rarely linked to health-related outcomes for those exposed to violence, there is a lack of evidence regarding the long-term effectiveness of KT interventions, and authors’ inferences about barriers, facilitators, and effective/ineffective KT strategies are often not supported by data. The emotional and sometimes contested nature of the knowledge appears to be an important barrier unique to IPV/CM KT.ConclusionsTo direct future KT in this area, we present a guiding framework that highlights the need for implementers to use/adapt promising KT strategies that carefully consider contextual factors, including the fact that content in IPV/CM may be more difficult to engage with than other health topics. The framework also provides guidance regarding use of measurement tools and designs to more effectively evaluate and report on KT efforts.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2458-14-862) contains supplementary material, which is available to authorized users.

Highlights

  • Intimate partner violence (IPV) and child maltreatment (CM) are major social and public health problems

  • The present research is designed to answer three key questions: 1) What is the extent of IPV- and CM-specific knowledge translation’ (KT) research? 2) What KT strategies effectively translate IPV and/or CM knowledge? and 3) What are the barriers and facilitators relevant to translating IPV- and CM-specific knowledge? Integrative review methodology [73,74] was used because it systematically summarizes and synthesizes literature to generate new knowledge in an area of study and can reveal gaps in the literature to highlight future research priorities [75]

  • To our knowledge, this review is the most comprehensive synthesis of the IPV and CM KT literature to date, and takes a sufficiently broad definition of KT to provide guidance across a range of potential interventions targeting multiple types of users/audiences when compared to related reviews e.g., [72]

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Summary

Introduction

Intimate partner violence (IPV) and child maltreatment (CM) are major social and public health problems. Knowledge translation (KT) of best available research evidence has been suggested as a strategy to improve the care of those exposed to violence, research on how best to promote the uptake and use of IPV and CM evidence for policy and practice is limited. Data about the scope and impact of IPV and CM began to coalesce in the latter part of the 20th century, coinciding with the increased focus on evidence-based practice and policy in health and social services [12,13] It was not surprising, that the new millennium brought attention to the relative lack of evidence-based interventions available to decision-makers in IPV and CM across the spectrum from clinical care, social service provision, and policy development [14,15].

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