Knowledge Dissemination Strategies Research Articles

Sustainability of Adoption of New Improved Rice Variety Innovation in West Kalimantan Coastal Areas: Review of Social and Cultural Aspects

As a staple food in Indonesia, rice has significant socio-economic value, especially in regions such as West Kalimantan. However, the variability of rice production poses a challenge to food security and economic stability. This study assesses the sustainability of the adoption of new improved rice varieties (VUBs) in West Kalimantan, focusing on social and cultural aspects using Multi-Aspect Sustainability Analysis (MSA). Focus group discussions and expert interviews were used to identify important factors affecting VUB adoption. The results indicated a sustainable adoption status (54.17%), with potential for improvement (58.33%) in the future. Farmer education emerged as the most sensitive factor, highlighting the need for educational interventions to improve technology access and adoption. In addition, farmers' knowledge of VUB, culture of mutual cooperation, the absence of social conflict, and positive consumer preference for VUB rice are also critical for adoption. Recommendations include targeted educational interventions, improved knowledge dissemination strategies, consideration of the cultural context, conflict management approaches, and market-oriented strategies to sustainably increase VUB adoption. Addressing these factors can contribute to sustainable agriculture and rural development in West Kalimantan and similar contexts, ensuring long-term benefits for farmers and food security.

An analysis of YouTube as a knowledge-sharing platform for mango cultivation

This research delved into the dynamics of knowledge-sharing on YouTube within the context of mango cultivation. Analyzing a diverse dataset of 153 videos, the impact of video originality, channel categories, and geographical locations on viewership and subscriber counts was investigated. While descriptive statistics suggested that, on average, original videos received more views, an ANOVA revealed a non-significant difference in viewership between original and non-original videos, indicating additional factors at play. Geographical locations demonstrated significant variations in subscriber counts, emphasizing the influence of location on mean views. Correlation analysis underscored strong positive associations between subscriber counts and views/likes, highlighting the key role of subscribers in measuring audience engagement. Utilizing Principal Components Analysis (PCA), we identified six components explaining 100% of the dataset variance. Component 1 represented overall video popularity, while Component 2 captured nuances of content quality and appreciation. In conclusion, this study offers valuable insights for content creators and researchers navigating YouTube's landscape for knowledge-sharing in mango cultivation. While originality and channel categories may not be the primary drivers of viewership, geographical location and subscriber counts emerged as crucial influencers. The PCA and correlation analyses reveal intricate aspects that contribute to video performance, enabling stakeholders to enhance content strategies for efficient knowledge dissemination on YouTube.

Implementing the principles of circular economy in the construction industry: exploratory and confirmatory factor analyses of strategies

Purpose This study aims to examine the strategies that can be adopted to enhance the practice of circular economy (CE) principles among built environment (BE) firms operating in the Ghanaian Construction Industry (GCI). Design/methodology/approach A structured questionnaire survey was used to solicit the views of 162 BE professionals working in construction, consulting, and developer firms on the issue under investigation. The questionnaire was developed through a review of related literature and complemented with a pilot review. Data were analysed by descriptive and inferential statistics. Findings The findings revealed four major categories of strategies (i.e. systems and technical related strategies, market orientation and operational strategies, knowledge dissemination and awareness-related strategies, and environmental and regulatory strategies) to promote the practice of the principles of CE among BE professionals in the GCI. Originality/value This study’s findings provide insights into an under-investigated topic in the construction industry, especially, in a developing country such as Ghana, and offer new and additional information and insights into the current state-of-the-art on CE implementation.

Intersecting HIV and mpox epidemics: more questions than answers.

Intersecting HIV and mpox epidemics: more questions than answers.

How to get your message across: designing an impactful knowledge transfer plan in a European project

Abstract. Academic research is largely characterized by scientific projects striving to advance understanding in their respective fields. Financial support is often subject to the fulfilllment of certain requirements, such as a fully developed knowledge transfer (KT) plan and dissemination strategy. However, the evaluation of these activities and their impact is rarely an easy path to clarity and comprehensiveness, considering the different expectations from project officers and funding agencies or dissemination activities and objectives. With this paper, based on the experience of the management and outreach team of the EU-H2020 APPLICATE project, we aim to shed light on the challenging journey towards impact assessment of KT activities by presenting a methodology for impact planning and monitoring in the context of a collaborative and international research project. Through quantitative and qualitative evaluations and indicators developed in 4 years of the project, this paper represents an attempt to build a common practice for project managers and coordinators and establish a baseline for the development of a shared strategy. Our experience found that an assessment strategy should be included in the planning of the project as a key framing step, that the individual project's goals and objectives should drive the definition and assessment of impact and that the researchers involved are crucial to implement a project's outreach strategy.

Collaborative Ontology Construction Framework: An Attempt to Rationalize Effective Knowledge Dissemination

Ontologies are domain rich conceptualizations, which can be utilized for effective knowledge dissemination strategies. Knowledge dissemination plays a vital role in any industry. In this research, novel framework is designed and experimented for the collaborative ontology construction. With the iterative and incremental involvement of the domain specialists and ontologists rational process has been discussed and planned for the collaborative ontology construction. Additionally, existing shortcomings associated with the current ontology construction methodologies and frameworks also have been rigorously reviewed to identify the shortcomings. Henceforth the responses received from the domain specialists and ontologists, along with the gaps located from the literatures have been utilized as the backbone in designing this novel framework. Designed ontology increments have the potential of effective knowledge distribution once it`s coupled with technologies like chatbots. In this research, proposed framework has been deployed in three different domains and three different ontology increments have been created for each domain. Consequently, their efficacy have been tested with the involvement of domain specific stakeholders. Overall results have yielded an 82% of acceptance from the stakeholders.

70 Sharing Child Health Knowledge in an Urban Inuit Community: A Needs Assessment

Abstract Primary Subject area Public Health and Preventive Medicine Background It is well established that significant health disparities continue to affect Canadian Indigenous children living both in remote and urban areas. A critical component of health promotion is health knowledge dissemination. A 2011 Health Council of Canada study identified the need for better community knowledge of parenting and child health as intervention targets among Indigenous communities across Canada. Objectives In the present study, we aimed to explore the perspectives of Inuit parents and caregivers in one urban setting (Ottawa, Ontario) on the dissemination of child health knowledge specifically, with the intention of guiding future community-based child health promotion initiatives. Design/Methods Ottawa, being home to the largest Inuit population living outside Inuit Nunangat, provided an ideal study location. Many Inuit report relocating to Ottawa for employment, education, or for greater access to heath services. We therefore partnered with the Ottawa-based Inuuqatigiit Centre for Children, Youth, and Families, to design and conduct a needs assessment through a series of focus groups. Focus groups explored participants’ current sources of child health knowledge, child health topics of interest, and preferred formats for child health knowledge dissemination. Focus groups were held at Inuuqatigiit and included a meal of country food shared by study participants and research team members to support relationship-building and engagement. Focus groups were analyzed using an inductive approach to qualitative thematic analysis. Results 24 Inuit parents and caregivers participated in 4 focus groups. Factors affecting preferred sources of health knowledge included trustworthiness, fear of discrimination, cultural differences, and having a holistic approach. Participants identified several child health issues that should be the focus of future child health knowledge sharing initiatives, in particular those in which a sense of cultural dissonance was felt between traditional and Western approaches. In-person and online/interactive sessions were preferred over written materials. Many participants agreed that child health knowledge-sharing initiatives should be designed and delivered with involvement of the community. Participants also emphasized the importance of synthesizing traditional knowledge of Elders with that of health professionals. Conclusion There is a need for better child health knowledge dissemination strategies among the Ottawa Inuit community as a crucial aspect of health promotion. Special considerations when designing such initiatives must be given to historical dynamics of trust and mistrust of the health professions, to addressing cultural differences, and to the role of community members in the design and implementation of initiatives.

Exploring the Intersection Between Academic and Professional Practice During the COVID-19 Pandemic: Undergraduate and Graduate Nursing Students' Experiences.

BackgroundThe coronavirus disease-2019 (COVID-19) pandemic has implications for students who are also nurses.Purpose and MethodsThis qualitative descriptive study used a practice development approach to explore the intersection between academic and professional work experiences for undergraduate Post-Diploma Registered Practical Nurses bridging to Registered Nurse Bachelor of Science in Nursing students and Master of Nursing graduate nursing students during the first wave of the COVID-19 pandemic. The study incorporated critical aesthetic reflections that focused on the personal and aesthetic ways of knowing, as a data collection approach and knowledge dissemination strategy.ResultsAnalysis of the narrative component of participants’ reflections revealed the following themes: sensing a “call to duty,” experiencing a myriad of emotions, shifting societal and individual perceptions of nursing, and learning in an uncertain environment.ConclusionsThe results of the study can inform educational strategies and academic policies to support this unique nursing population, who are frontline practitioners as well as student learners.

On the path to minimize plastic pollution: The perceived importance of education and knowledge dissemination strategies

Environmental awareness and education have been recognized as tools to help mitigate environmental issues. This study, performed in Portugal, aimed to describe perceived factors building environmental awareness on plastic pollution, study how perceptions are influenced by sociodemographic characteristics, and identify perceived priority targets for intervention. Results showed that participants recognize society's important role to raise awareness and to develop mitigation strategies. Higher perception was reported by women and participants with a higher level of school education. The more educated participants consider individuals possessing expert knowledge as a more reliable information source, whereas older and less schooled participants trust more in media messaging. Participants acknowledge that environmental education should be included in school plans, particularly in the first nine years of education (students with ages between 6 and 14, approximately). Data support the idea that target specific dissemination strategies should be planned according to variables like age, gender and education level.

Systematic literature search, review and dissemination methodology for the COVID-19 pandemic

Purpose of the studySARS-CoV-2 has caused healthcare systems globally to reorganise. A pandemic paradox emerged; while clinicians were desperate for information on a new disease, they had less time to...

Public cognition and response to earthquake disaster: from the 2008 Mw7.9 Wenchuan to the 2013 Mw6.6 Lushan earthquakes in Sichuan Province, China

China is one of the countries most affected by earthquakes. Improving public cognition and response to earthquake disaster (EDCR) is an effective means to reduce seismic risk and losses. The 2013 Lushan earthquake area was also stricken by the 2008 Wenchuan earthquake. Most of the residents in this area have been affected by both earthquakes, which provides a rare opportunity to gain insight into the interaction between public’s EDCR and their earthquake disaster experience. Using a questionnaire survey on over 200 local residents selected by stratified sampling method, this paper investigates the public’s cognition and response capability with regard to earthquake disaster in the 2013 Mw6.6 Lushan earthquake area, Sichuan Province, China, with a particular emphasis on exploration on the relationship between people’s earthquake disaster experience and their disaster cognition and response behaviors. The results show that the overall EDCR level of local residents is moderate—their average cognition and response score for earthquake disaster is only 0.60. The number of earthquakes experienced, education, and family income level are the three most important factors that significantly impact an individual’s overall EDCR capability. Those who have experienced more earthquakes better adapt to the impacts of disaster. Especially, the experience learned from the 2008 Mw7.9 Wenchuan earthquake played a positive role in the cognition and response of the public to the 2013 Lushan earthquake. In addition, people with higher education could master more knowledge of earthquake disaster and better control their emotions. Similarly, respondents with a higher family income had more resources and ways to engage in more reasonable response behaviors to manage disaster effects. Based on these findings, it is suggested that local policy-makers implement targeted earthquake disaster education and knowledge dissemination strategies, especially develop and expand various experiential learning modes (e.g., emergency exercise/drilling, situational learning, virtual reality, scenario approach, safety/disaster experience center, participatory activities) for the local public and beyond to more effectively strengthen their cognition of disaster and response capability.

Machine learning analysis to predict health outcomes among emergency department users in Southern Brazil: a protocol study.

Emergency services are essential to the organization of the health care system. Nevertheless, they face different operational difficulties, including overcrowded services, largely explained by their inappropriate use and the repeated visits from users. Although a known situation, information on the theme is scarce in Brazil, particularly regarding longitudinal user monitoring. Thus, this project aims to evaluate the predictive performance of different machine learning algorithms to estimate the inappropriate and repeated use of emergency services and mortality. To that end, a study will be conducted in the municipality of Pelotas, Rio Grande do Sul, with around five thousand users of the municipal emergency department. If the study is successful, we will provide an algorithm that could be used in clinical practice to assist health professionals in decision-making within hospitals. Different knowledge dissemination strategies will be used to increase the capacity of the study to produce innovations for the organization of the health system and services. A high performance predictive model may be able to help decisionmaking in the emergency services, improving quality of care.

Specialized and culture-bound knowledge dissemination through spoken tourism discourse: Multimodal strategies in guided tours and documentaries

The distinctive features of most instances of tourism discourse are their predominantly low specialization and their hybrid generic and semantic nature. Tourism discourse draws from a range of genres and specialized domains, including but not limited to art, history, economics, architecture, and geography to name but a few. Through its communicative strategies, it leads the tourists and their “tourist gaze” (Urry 2002) in their real or imaginary journey, it mediates the tourist experience and contributes to closing the gap between their culture and the destination’s culture. These leading and mediating operations are performed by making culture-specific knowledge and specialized concepts accessible to the general public (Cappelli 2016; Cappelli, Masi forthcoming). For this reason, tourism discourse offers an ideal vantage point to investigate popularization and knowledge dissemination strategies. Much linguistic research on written tourism discourse has been carried out over the past two decades. However, to the best of our knowledge, spoken genres remain largely unexplored with few exceptions. Our study intends to contribute to closing that gap by investigating the way in which multimodal semiotic resources are exploited in oral communication in tourism to make specialized and culture-bound concepts accessible to the audience. First, we present the data obtained by the analysis of a small sample of clips of guided tours and documentaries representing various domains. Then, we illustrate the way in which verbal and non-verbal strategies are used to create accessibility in a genre-specific way. Finally, we propose a classification of the data analysed as belonging to three strictly interconnected and yet distinct genres, namely documentaries, “docu-tours” and guided tours, and we provide some conclusions regarding the relevance of the study for professional development and pedagogical applications.

Dementia knowledge and associated demographic factors within a registry sample

AbstractBackgroundResearch on Alzheimer’s disease (AD) and related dementias is increasingly focused on prevention and identification of risk factors. In order to effectively disseminate knowledge about dementia risk, there is need to understand gaps in dementia knowledge (Carpenter et al., 2011, Cations et al., 2018). For example, education level, among other factors, may be associated with reduced knowledge about AD, which could impact engagement in early prevention strategies (Ayalon & Arean, 2004). We explored dementia knowledge and demographic variables in a community‐based registry sample to inform approaches to psychoeducation and intervention.MethodWe administered surveys via REDCap to participants enrolled in an online registry. Surveys included measures of dementia knowledge (subset of 13 questions from the Dementia Knowledge Assessment Scale (DKAS)), personality (Ten‐Item Personality Inventory), and demographic variables. Response rate was 42%. Participants were 292 clinically normal adults (mean age=67.4 (range: 50‐87); 65% women; 98% non‐Hispanic or Latino; 94% Caucasian; 81% with a bachelor’s degree or higher).ResultMost participants (77%) reported knowing “some” to “a good amount” about dementia, learned primarily via family/friends (27%), doctors (21%), and the internet (22%). Mean dementia knowledge on the DKAS was 14.4 (range=1‐26, out of 26 possible points). Dementia knowledge was weakly associated with age (r=‐.12, p=.045), with younger individuals showing higher knowledge. Controlling for age, self‐reported dementia knowledge correlated with objective dementia knowledge on the DKAS (r=.46, p<.01). Also controlling for age, dementia knowledge was higher among individuals with more education (F(1, 287)=8.6, p=.004) and among women (F(1, 285)=5.9, p=.016). Dementia knowledge was not associated with aspects of personality (ps>.08).ConclusionDementia knowledge was higher among younger individuals, as well as those with more education and among women, but did not relate to personality. Self‐reported dementia knowledge correlated with objective dementia knowledge, suggesting that participants accurately judged their own knowledge. Future work should examine these questions within a more diverse registry sample. Findings underscore the value of registries to examine dementia knowledge and inform dissemination and intervention strategies. By increasing psychoeducation about dementia among adults with lower baseline knowledge, we may facilitate early engagement in preventative strategies to reduce dementia risk.

Journal of Pediatric Surgery: Effects of an automated social media strategy for knowledge dissemination

Background/PurposeWith increasing publications, it's hard to keep up with surgical literature. Social media is a valuable educational resource with global reach. We sought to analyze the impact of an automated social media strategy for the Journal of Pediatric Surgery (JPS). MethodsAnalytics for March–August 2019 were retrospectively reviewed for automated posts using a SocialPilot queue from the journal's RSS feed. Descriptive and inferential statistics were utilized to analyze performance, including journal article views. ResultsOne hundred sixty-five posts amassed 512,316 impressions and 9,795 article views. Facebook had greater overall impact (p < 0.01). Twitter was stronger when adjusted by number of followers (p < 0.01). Engagements and article views had strong correlation between platforms (p < 0.01). Day of the week had limited impact. Photographs were the preferred content format (p < 0.05). Topic had the highest effect on performance (p < 0.05) – with colorectal, EA/TEF, and general pediatric surgery leading to higher reach and engagement. ECMO/CDH was the least popular. Comments and shares were negligible. ConclusionsWe reached 3,105 users, with 59 article views per post. Topic had the strongest effect on performance. For comparison, custom infographics reached 7,368 users and averaged 101 article views. Alternative knowledge dissemination strategies are likely needed to foster online discussion and build more robust forums for collaboration. Type of StudyRetrospective, Non-clinical Study. Level of EvidenceLevel III.

Using mHealth to Increase the Reach of Local Guidance to Health Professionals as Part of an Institutional Response Plan to the COVID-19 Outbreak: Usage Analysis Study.

BackgroundThe ongoing coronavirus disease (COVID-19) pandemic forced health jurisdictions worldwide to significantly restructure and reorganize their medical activities. In response to the rapidly evolving body of evidence, a solid communication strategy is needed to increase the reach of and adherence to locally drafted and validated guidance to aide medical staff with COVID-19–related clinical decisions.ObjectiveWe present a usage analysis of a dedicated mobile health (mHealth) platform as part of an institutional knowledge dissemination strategy of COVID-19–related guidance to all health care workers (HCWs) in a large academic hospital.MethodsA multidisciplinary team of experts drafted local guidance related to COVID-19. In total, 60 documents and 17 external links were made available through the platform. Documents were disseminated using a recently deployed mHealth platform for HCWs. Targeted dissemination of COVID-19–related content began on March 22, 2020. Using a third-party statistics tool, data concerning user activity and content use was anonymously collected. A quantitative analysis of user activity was performed over a 4-month period, separated into 3 periods: 2 months before (Period A), 2 weeks after (Period B), and 6 weeks following (Period C) targeted dissemination. Regional epidemiological data (daily new COVID-19 cases and total COVID-19–related hospitalizations) was extracted from an official registry.ResultsDuring the study period, the platform was downloaded by 1233 new users. Consequently, the total number of users increased from 1766 users before Period A to a total of 2999 users at the end of Period C. We observed 27,046 document views, of which 12,728 (47.1%) were COVID-19–related. The highest increase in activity occurred in Period B, rapidly following targeted dissemination, with 7740 COVID-19–related content views, representing 71.2% of total content views within the abovementioned period and 550 daily views of COVID-19–related documents. Total documents consulted per day increased from 117 (IQR 74-160) to 657 (IQR 481-1051), P<.001. This increase in activity followed the epidemiological curbing of newly diagnosed COVID-19 cases, which peaked during Period B. Total active devices doubled from 684 to 1400, daily user activity increased fourfold, and the number of active devices rose from 53 (IQR 40-70) to 210 (IQR 167-297), P<.001. In addition, the number of sessions per day rose from 166 (IQR 110-246) to 704 (IQR 517-1028), P<.001. A persistent but reduced increase in total documents consulted per day (172 [IQR 131-251] versus 117 [IQR 74-160], P<.001) and active devices (71 [IQR 64-89] versus 53 [IQR 40-70]) was observed in Period C compared to Period A, while only 29.8% of the content accessed was COVID-19–related. After targeted dissemination, an immediate increase in activity was observed after push notifications were sent to users.ConclusionsThe use of an mHealth solution to disseminate time-sensitive medical knowledge seemed to be an effective solution to increase the reach of validated content to a targeted audience.

La reformulation intratextuelle et ses marqueurs dans les arrêts de la Cour de justice de l’Union européenne

As a knowledge dissemination and popularization strategy, intratextual reformulation plays a significant role in explaining, defining and describing concepts in informative and explicatory texts. In judicial rulings, however, intratextual reformulations may serve interpretative and argumentative functions, given that judges address legal professionals with whom they assume shared specialist knowledge. The purpose of this paper, therefore, is to concentrate on the interpretative and argumentative functions of intratextual reformulation, as realized in the judicial rulings, via conceptual refinement, definition and characterization of legal notions and legal objects. The main emphasis then lies on the one hand on the collection and analysis of reformulation connectives and, more particularly, on the mechanisms that prompt an interpretative and argumentative function of reformulation in the corpus.

Multimedialità e traduzione nei rapporti di Greenpeace Dirty Laundry e Panni Sporchi

The scientific investigations commissioned by Greenpeace in the context of the Detox my Fashion campaign have identified a series of toxic chemicals that are commonly used in the fashion industry and regularly discharged into public waterways. In the light of these findings, Greenpeace has challenged top fashion brands to eliminate all hazardous chemicals across their entire supply chain; moreover, it has also aimed at raising awareness at the grassroots level by expounding chemistry and toxicology concepts for the benefit of world consumers. The study focuses on the three editions of the Dirty laundry reports and also investigates their translations into Italian, entitled Panni sporchi ; the corpus, composed of source texts (STs) and their respective target texts (TTs), thus, provides material to study activist discourse not only in a monolingual perspective, but also considering its translational implications. A mixed-method approach relying on Multimodal Discourse Analysis, drawing on the literature on popularisation and building on the concept of translation as rewriting is adopted to examine the extent to which the knowledge dissemination strategies enacted in the STs are reproduced into the TTs. The findings suggest that, together with cultural and linguistic barriers, multimodality often renders translation problematic; while English-language idioms generally appear to be replaced by their Italian equivalents, their interplay with pictures often does not survive the translation process and results in the choice to relinquish pictures in favour of words. The occasional presence of anglicisms and semantic calques shows that the TTs are subject to source-language interference and further points to the fact that they present themselves as abridged and “depleted” versions of STs, that nevertheless succeed in getting the activist message across.

Addressing Learning Needs on the Use of Metagenomics in Antimicrobial Resistance Surveillance.

One Health surveillance of antimicrobial resistance (AMR) depends on a harmonized method for detection of AMR. Metagenomics-based surveillance offers the possibility to compare resistomes within and between different target populations. Its potential to be embedded into policy in the future calls for a timely and integrated knowledge dissemination strategy. We developed a blended training (e-learning and a workshop) on the use of metagenomics in surveillance of pathogens and AMR. The objectives were to highlight the potential of metagenomics in the context of integrated surveillance, to demonstrate its applicability through hands-on training and to raise awareness to bias factors1. The target participants included staff of competent authorities responsible for AMR monitoring and academic staff. The training was organized in modules covering the workflow, requirements, benefits and challenges of surveillance by metagenomics. The training had 41 participants. The face-to-face workshop was essential to understand the expectations of the participants about the transition to metagenomics-based surveillance. After revision of the e-learning, we released it as a Massive Open Online Course (MOOC), now available at https://www.coursera.org/learn/metagenomics. This course has run in more than 20 sessions, with more than 3,000 learners enrolled, from more than 120 countries. Blended learning and MOOCs are useful tools to deliver knowledge globally and across disciplines. The released MOOC can be a reference knowledge source for international players in the application of metagenomics in surveillance.

Lumbosacral Spinal Imaging for Patients Presenting to the Emergency Department With Nontraumatic Low Back Pain.

Choosing Wisely Canada (CWC) guidelines recommend that in the absence of clinical indicators suggestive of serious underlying pathology, physicians should not order radiological imaging for patients presenting with nonspecific low back pain (LBP). Our aim was to determine how many patients presenting to the emergency department (ED) with nontraumatic LBP had spinal imaging before and after the release of the CWC guideline. We conducted a retrospective medical record review for patients aged 18-70years presenting to an academic tertiary care ED with nontraumatic LBP from April 1, 2014 to March 31, 2015 (pre-guideline) and April 1, 2017 to March 31, 2018 (post-guideline). One-thousand and sixty (545 pre-guideline, 515 post-guideline) patients were included. Pre-guideline, 45 patients (8.3%) had spinal imaging compared to 39 (7.6%) post-guideline (Δ 0.7%; 95% confidence interval [CI] -2.6% to 4.0%). Of the 84 patients (7.9%) who had spinal imaging, 4 (8.9%) had pathologic findings pre-guideline compared to 11 patients (28.2%) post-guideline (Δ 19.3%; 95% CI 2.7% to 35.8%). CWC guidelines did not appear to alter the rate of imaging for patients presenting to the ED with nontraumatic LBP. Future clinical recommendations should consider active knowledge dissemination and education strategies to help facilitate guideline adoption.