Translation Of Scientific Knowledge Research Articles

Public science and environmental sustainability: a national culture framework for innovation ecosystems en route to net zero

Despite the proliferation of national environmental science worldwide, the erosion of environmental sustainability presents a problem for advanced economies with a substantial volume of scientific output. The worsening state of the natural environment presents a profound conundrum at the intersection of science and sustainability, characterised by conflicting pathways for the world’s nations. In this study, I confront this predicament by examining whether the influence of national culture moderates the transition of domestic scientific research into tangible CO2 emissions reduction. Drawing on a dataset spanning 30 nations renowned for their high scientific productivity over a 24-year period, I use a panel data model that incorporates lag time to analyse the nuanced impact of national cultures on sustainability. My findings reveal distinctive outcomes: those cultures characterised by high Power Distance (e.g., Eastern European) contribute to increased CO2 emissions via an industrial innovation pathway that prioritises economic growth, while those with high Individualism and high Uncertainty Avoidance (e.g., Western European) facilitate a reduction in CO2 emissions through the translation of scientific knowledge into public science that stimulates a societal innovation pathway and sustainability. In addition to these moderating effects, my investigation exposes that Gross Domestic Product (GDP) per capita exerts a direct positive influence on CO2 emissions, while an increase of GDP allocated to military expenditure (e.g., USA, China, Israel, South Korea) has detrimental effects on CO2 emissions, potentially hampering Net Zero aspirations. These findings hold significant implications for both theory and policymaking in the environmental arena.

Accelerating knowledge translation to improve cardiovascular outcomes and health services: Opportunities for bridging science and clinical practice.

Knowledge translation (KT) is the exchange between knowledge producers and users to understand, synthesise, share and apply evidence to accelerate the benefits of research to improve health and health systems. The practice of KT (activities/strategies to move evidence into practice) and the science of KT (study of the methods to promote the uptake of research) benefit from the use of conceptual thinking, the meaningful inclusion of patients, and the application of intersectionality. In spite of multiple barriers, there are opportunities to develop strong partnerships and evidence to drive an impactful research agenda and increase the uptake of cardiovascular research.

Potential social marketing applications for knowledge translation in healthcare: a scoping review protocol

IntroductionKnowledge translation has emerged as a practice and a science to bridge the gap between evidence and practice in healthcare. While the field has appropriately borrowed from other related fields...

Another implementation science is possible: engaging an ‘intelligent public’ in knowledge translation

ABSTRACT As the world contends with the COVID-19 pandemic, scientific expertise has permeated political discourse and the phrase ‘following the science’ is being used to build trust and justify government decision-making. This phrase reflects a problematic assumption that there is one objective science to follow and that the use of scientific knowledge in decision-making is inherently neutral. In this article, we examine more closely the dense and intricate relationships, values, politics, and interests that determine whose knowledge counts, who gets to speak, who is spoken for, and with what consequences, in the translation of scientific knowledge. Drawing key insights from Stengers’ Manifesto for Slow Science, we argue that implementation science has a central role to play in problematising the historic dominance of certain voices and institutional structures that have come to symbolise trust, rigour, and knowledge. Yet to date, implementation science has tended to overlook these economic, social, historical, and political forces. Fraser’s conception of social justice and Jasanoff’s ‘technologies of humility’ are introduced as useful frameworks to extend the capacity of implementation science to engage the broader public as an ‘intelligent public’ in the translation of knowledge, during and beyond the pandemic.

Knowledge translation theories in fall prevention and balance control: A scoping review.

Falls are a major problem all over the world. Falls may result in bone fractures, fear of falling, and reduced participation in activities of daily living and in social activities, thus, an increased cost of health care to the individual and the society. Falls occur as a result of compounding factors that combine and overwhelm an individual's ability to maintain or regain his or her balance. However, fall rates are often reported as high, suggesting the presence of a gap between clinical practices related to fall prevention and the knowledge of the best available evidence related to fall prevention. The science of knowledge translation (KT) offers a variety of theories that can facilitate the implementation of up-to-date knowledge among clinicians. Therefore, the aim of this study was to identify and review the use of knowledge translation theories, namely the Knowledge to Action Framework (KTA), Promoting Action on Research Implementation in Health Services framework (PARIHS), Consolidated Framework for Implementation Research (CFIR), and the Theoretical Domains Framework (TDF), in studies related to fall prevention and balance control. A scoping review was conducted to identify studies related to fall prevention and balance control that used one of these four KT theories. An extensive literature search was performed up to January 2021. Two independent reviewers conducted a study selection process followed by data extraction of the search results. Our results identified 16 studies that were related to the scope of our review, with three studies utilizing KTA, two studies using PARIHS, four studies using CFIR, and seven studies using the TDF. Overall, it appears that the use of KT theories is helpful to guide interventions for fall prevention and improve balance control. Future efforts are needed to facilitate the use of KT theories for guiding clinical practices related to fall prevention and balance control.

The Influence of Context on Implementation and Improvement: Protocol for a Mixed Methods, Secondary Analyses Study.

BackgroundCaring for the well-being of older adults is one of the greatest challenges in modern societies. Improving the quality of care and life for older adults and the work lives of their care providers calls for effective knowledge translation of evidence-based best practices.ObjectiveThis study’s purpose is to contribute to knowledge translation by better understanding the roles of organizational context (workplace environment) and facilitation (process or role) in implementation and improvement success. Our study has 2 goals: (1) to advance knowledge translation science by further developing and testing the Promoting Action on Research Implementation in Health Services framework (which outlines how implementation relies on the interplay of context, facilitation, and evidence) and (2) to advance research by optimizing implementation success via tailoring of modifiable elements of organizational context and facilitation.MethodsThis is secondary analyses of 15 years of longitudinal data from the Translating Research in Elder Care (TREC) program’s multiple data sources. This research is ongoing in long-term care (LTC) homes in western Canada. TREC data include the following: 5 waves of survey collection, 2 clinical trials, and regular ongoing outcome data for LTC residents. We will use a sequential exploratory and confirmatory mixed methods design. We will analyze qualitative and quantitative data holdings in an iterative process: (1) comprehensive reanalysis of qualitative data to derive hypotheses, (2) quantitative modeling to test hypotheses, and (3) action cycles to further refine and integrate qualitative and quantitative analyses. The research team includes 4 stakeholder panels: (1) system decision- and policy makers, (2) care home managers, (3) direct care staff, and (4) a citizen engagement group of people living with dementia and family members of LTC residents. A fifth group is our panel of external scientific advisors. Each panel will engage periodically, providing their perspectives on project direction and findings.ResultsThis study is funded by the Canadian Institutes of Health Research. Ethics approval was obtained from the University of Alberta (Pro00096541). The results of the secondary analyses are expected by the end of 2023.ConclusionsThe project will advance knowledge translation science by deepening our understanding of the roles of context, the interactions between context and facilitation, and their influence on resident and staff quality outcomes. Importantly, findings will inform understanding of the mechanisms by which context and facilitation affect the success of implementation and offer insights into factors that influence the implementation success of interventions in nursing homes.International Registered Report Identifier (IRRID)DERR1-10.2196/40611

Университетская философия в контексте философии науки

The purpose of the research is to analyse university philosophy as a complex multidimensional phenomenon in the context of the philosophy of science. Novelty of the research lies in the understanding of university philosophy as a form of organisation of scientific activities and translation of scientific knowledge. As a result, the researcher has identified the place that university philosophy occupies in the system of philosophical science and substantiated its characteristics from the standpoint of the philosophy of science on the basis of the Western European and Russian scientific tradition.

Linking scientific research and energy innovation: A comparison of clean and dirty technologies

Despite the urgent case for bringing new energy technologies to the marketplace, the delivery of these innovations has been frustratingly slow, often taking several decades to develop even the most promising ideas into novel technologies that achieve a significant amount of market penetration. The pathway for delivering new energy technologies is frequently discussed in the literature in a vague and aggregated way, but innovation tends to consist of a series of partially overlapping processes consisting of: (1) the production of scientific and technological knowledge, (2) the translation of that knowledge into working technologies or artifacts, and (3) the introduction of the artifacts into the marketplace, where they are matched with users’ requirements. However, relatively little data is available showing how long each of these processes takes for energy technologies. Here we combine information from patent applications with bibliographic data to shine light on the second process—that is, the translation of scientific knowledge into working prototypes. Our results show that energy technologies take an average of approximately 10 years to pass through this phase. These findings will help policymakers to devise more effective mechanisms and strategies for accelerating the overall rate of technological change in this domain.

You're not alone: A public health response to immigrant/refugee distress in the current sociopolitical context.

Recent political events and policy changes in the United States have fueled antirefugee/immigrant rhetoric and an increase of xenophobic harassment and intimidation, which together present a significant threat to the physical and mental health of refugee/immigrant children and families. This article aims to provide an overview of how the current sociopolitical context threatens the public health of refugee and immigrant communities and to describe the role of psychologists in advocating for social justice and responding to this urgent public health need through interprofessional collaboration and translation of scientific knowledge into multilevel intervention development. The case study of the You're Not Alone (YNA) initiative describes swiftly mobilized advocacy efforts (e.g., press conference, webinars, resources development and dissemination) and participatory development and roll-out of community capacity-building trainings to address the needs of refugee/immigrant children and families. Trainings aimed to raise awareness of the refugee/immigrant experience and to equip refugee/immigrant community members and providers across a variety of public sectors to implement culturally responsive and trauma-informed strategies to promote resilience, respond to distress, and prevent mental health crises. Between March 2017 and June 2018, a total of 1,642 individuals attended 48 training events. The role of psychologists in future policy and advocacy efforts to promote mental health among refugee/immigrant families is discussed as well as implications for how other marginalized communities affected by the current sociopolitical climate might benefit from broadening the scope of this public health response. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Tracing the Linkages between Scientific Research and Energy Innovations: A Comparison of Clean and Dirty Technologies

The challenge of mitigating climate change has focused recent attention on basic scientific research feeding into the development of new energy technologies (Popp, 2017). Energy innovation tends to consist of a series of partially overlapping processes involving: (1) the production of scientific and technological knowledge, (2) the translation of that knowledge into working technologies or artifacts, and (3) the introduction of the artifacts into the marketplace, where they are matched with users’ requirements. However, relatively little data are available showing how long each of these processes takes for energy technologies. Here we combine information from patent applications with bibliographic data to shine light on the second process—that is, the translation of scientific knowledge into working prototypes. Our results show that “clean” energy technologies are more dependent on underlying science than “dirty” technologies, and that the average lag between publication of scientific findings and the incorporation of those findings in clean energy patents has risen from about five to about eight years since the 1980s. These findings will help policymakers to devise more effective mechanisms and strategies for accelerating the overall rate of technological change in this domain. Institutional subscribers to the NBER working paper series, and residents of developing countries may download this paper without additional charge at www.nber.org.

Gordon Tullock meets Phineas Gage: The political economy of lobotomies in the United States

Incentives affect the ways in which scientific research is disseminated and translated into practice. From 1936 to 1972, approximately fifty thousand lobotomies were performed in the US, with the majority occurring during the late 1940s and early 1950s. Curiously, the lobotomy's popularity coincided with a consensus within the medical community that the procedure was ineffective. To explain this paradox, we follow the framework developed by Tullock (2005) to examine how financial incentives within the scientific community affected how scientific research is used in practice. We argue that government funding for public mental hospitals and asylums expanded and prolonged the use of the lobotomy, despite mounting scientific evidence. We demonstrate that the lobotomy was used less in private mental hospitals and asylums. This paper provides an explanation for the use of scientifically discredited procedures due to the lack of responsiveness of government funding agencies. The results have implications for the dissemination and translation of scientific knowledge in practice.

The CCGHR Principles for Global Health Research: Centering equity in research, knowledge translation, and practice

Medical geography and global health share a fundamental concern for health equity. Both fields operate within similar multiple intersecting funding, academic, health systems, and development landscapes to produce scholarship. Both reflect complex interactions and partnerships between people, communities and institutions of unequal power. The Canadian Coalition of Global Health Research Principles for Global Health Research evolved from deep concern about the absence of standards for how Canadians engage in this field. They can serve as a broadly relevant framework to guide how to integrate equity considerations into everyday research, knowledge translation, and practice activities. Comprised of six principles (authentic partnering, inclusion, shared benefits, commitment to the future, responsiveness to causes of inequities, and humility), they are an aspirational and reflective frame that can elevate equity as a central procedural goal and outcome. In this commentary, we describe each of the six principles and offer examples of how they are being applied to guide research practices, inform knowledge translation science and build capacity. We invite collective reflection about moving our field toward more meaningful health equity research and action, using the CCGHR Principles for Global Health Research to spark dialogue about how to align our practices with desire for a more equitable world.

Lessons Learned from a Cancer Knowledge Translation Grants Program: Results of an Evaluation

A novel way to build capacity in knowledge translation (kt) is through kt-focused grant competitions. Since 2009, the Knowledge Translation Research Network (KT-Net) has had a cancer-related kt grants program. We undertook an evaluation of the program to determine if KT-Net was achieving its aims of building capacity in cancer kt, advancing the science of kt, building partnerships, and leveraging funding. An adapted framework guided the evaluation. Nine funded studies from 4 competitions were included. Semi-structured telephone interviews were held with researchers, stakeholders (including knowledge users), members of grant review panels, and experts in kt. Interview transcripts were audio-recorded, transcribed, and analyzed thematically. A review of proposal and report documents was also conducted. Funded researchers indicated that the grant competition was an essential funding program for cancer kt research. Competitions were perceived to build capacity in cancer kt among early-career researchers and to encourage innovative cancer kt research for which alternative funding sources are limited. The grants program resulted in incremental gains in advancing the science of kt. Suggestions to improve the program included stronger partnerships between the funder and the provincial cancer-system organization to optimize the application of research that is relevant to the organization's strategic objectives. The grants program met many of its aims by providing cancer researchers with an opportunity to gain capacity in cancer kt and by making incremental advances in kt science. Suggestions to improve the program included closer partnerships between the funder and the cancer-system organization.

Diagnosis of forest soil sensitivity to harvesting residues removal – A transfer study of soil science knowledge to forestry practitioners

Abstract Forest biomass is a source of renewable energy that can contribute to meeting international targets for reducing greenhouse gas emissions. However, removing forest harvesting residues may cause important nutrient losses. Because negative effects of increased nutrient removal are not systematic, forest managers need tools for soil sensitivity assessment, to decide whether they can or not increase biomass harvesting without impairing long term forest productivity and health. This study follows two goals: (i) define forest ecosystem sensitivity indicators derived from soil physico-chemical analyses and (ii) build and test a simplified tool that predicts such soil sensitivity. After screening international literature, nutrient concentration in the topsoil was chosen as the simplest and currently most accurate indicator of soil sensitivity. With a consolidated database on French forest soils, we built diagnostic keys that predict soil sensitivity using only five parameters: humus form, topsoil texture, depth of CaCO3 apparition, ecological region, and rooting depth. We performed a statistical evaluation of the simplified tool on independent data sets and evaluated it in the field with potential users. As compared with the existing French forest soils sensitivity indicator, our diagnosis tool displayed lower high and low sensitivities classification errors and allowed to differentiate sensitivity into five elemental ones (Ca, Mg, K, P and N). All participating end users agreed with the necessity of such indicator and appreciated the simplicity of diagnosis with our tool. This study shows a complete research and development process, from the translation of scientific knowledge into an indicator of sustainable forest management to the simplification for assimilation.

Programme theory development and formative evaluation of a provincial knowledge translation unit

BackgroundResearch shows a significant gap between healthcare research and evidence-based healthcare policy and practice. Knowledge translation (KT) has an important role in addressing this gap by bolstering evidence-informed healthcare. Canada’s Strategy for Patient-Oriented Research (SPOR) is a nationally mandated and supported initiative developed to respond to the gap between research and practice. One aspect of SPOR is the provincial/territorial SUpport for People and Patient-Oriented Research and Trials (SUPPORT) Units, intended to assist local health researchers and systems to reach the goal of improving the quality and quantity of patient-oriented research in Canada. This article presents the programme theory development and a formative evaluation of the KT Platform in Alberta’s SPOR SUPPORT Unit.MethodsWe used a mixed-methods approach to develop the KT Platform’s programme theory and subsequently conducted the formative evaluation. An extensive needs assessment, comprised of 59 qualitative interviews with researchers and health systems employees in Canada with an interest in KT, served as the basis for our programme theory design. Three years after launching the KT Platform, we hired an evaluation consultant to conduct a formative evaluation of the Platform’s programme theory and operations. The evaluation was performed by conducting nine interviews with KT Platform service users (n = 6) and KT experts acting in advisory capacities to the KT Platform (n = 3).ResultsThe KT Platform developed a ‘4C Model’ as a summary of the Platform’s programme theory. This model is designed to meet local needs for capacity-building, a community of practice, consultation services, and contributions to KT science. This suite of services was found to help the local health system implement health evidence with measurable positive health outcomes. However, the community remains hesitant about their capacity as individuals to design and perform important KT activities independently.ConclusionsWith the mandate and support provided by SPOR, the KT Platform was able to design a strong programme theory based on evidence from an extensive needs assessment of the local community. The resulting 4C Model has provided a framework for KT work to assist in improving local health outcomes and can be considered by others designing KT programmes as a useful model to follow. Ongoing monitoring and assessment are required to continue to identify and respond to local needs.

Cochrane Rehabilitation blogshots: a modern method to spread Cochrane Evidence.

The translation of scientific knowledge into clinical practice is still not consistently achieved and the Cochrane Knowledge Translation (KT) Strategy, has been developed in response to this issue, as key step in moving from knowledge to action. "Blogshots" are a new means of presenting evidence in a way that can be easily accessed and understood. They are a form of infographic, which presents key information from a Cochrane Reviews. Cochrane Rehabilitation has begun to produce blogshots of Cochrane Reviews relevant to rehabilitation in collaboration with Cochrane UK and others within Cochrane, as one of knowledge translation activity performed by the field.

Tailoring and field-testing the use of a knowledge translation peer support shared decision making strategy with First Nations, Inuit and M\xe9tis people making decisions about their cancer care: a study protocol

Plain English summaryTailoring and testing a peer support decision making strategy with First Nations, Inuit and Métis people making decisions about their cancer care: A study protocol.First Nations, Inuit and Métis (FNIM) people face higher risks for cancer compared to non-FNIM populations. They also face cultural barriers to health service use. Within non-FNIM populations an approach to health decision making, called shared decision making (SDM), has been found to improve the participation of people in their healthcare. Peer support with SDM further improves these benefits. The purpose of this study is to tailor and test a peer support SDM strategy with community support workers to increase FNIM people’s participation in their cancer care.This project has two phases that will be designed and conducted with a Steering Committee that includes members of the FNIM and cancer care communities. First, a peer support SDM strategy will be tailored to meet the needs of cancer system users who are receiving care in urban settings, and training in the SDM strategy developed for community support workers. Three communities will be supported for participation in the study and community support workers who are peers from each community will be trained to use the SDM strategy.Next, each community support worker will work with a community member who has a diagnosis of cancer or who has supported a family member with cancer. Each community support worker and community member pair will use the SDM strategy. The participation and experience of the community support worker and community member will be evaluated.The research will be used to develop strategies to support people who are making decisions about their health.Tailoring and field-testing the use of a knowledge translation peer support shared decision making strategy with First Nations, Inuit and Métis people making decisions about their cancer care: A study protocolBackgroundFirst Nations, Inuit and Métis (“FNIM”) people face increased cancer risks in relation to general populations and experience barriers to health service use. Shared decision making (SDM) has been found to improve peoples’ participation and outcomes in healthcare and peer support with SDM further improves these benefits. The purpose of this study is to tailor and then field test, by and with FNIM communities, a peer support SDM strategy for use in cancer care.MethodsThis project has 2 theory-driven phases and 5 stages (a-e). A core research team that includes members of the Aboriginal Cancer Control Unit of Cancer Care Ontario communities and academic researchers, will work with a Steering Committee. In phase 1, (stage a) a peer support SDM strategy will be tailored to meet the needs of cancer system users who are receiving care in urban settings and (stage b), training developed that will i) introduce participant communities to SDM, and ii) train community support workers (CSWs) within these communities. Next (stage c), three communities will be approached for voluntary participation in the study. These communities will be introduced to SDM in community meetings, and if in agreement then CSWs from each community will be recruited to participate in the study. One volunteer CSW from each community will be trained to use the peer support SDM strategy to enable phase 2 (field test of the peer support SDM strategy).During phase 2 (stage d), each CSW will be matched to a volunteer community member who has had a diagnosis of cancer or has supported a family member with cancer and is familiar with Ontario cancer systems. Each CSW-community member pair (3 to 4 pairs/community) will use the tailored peer support SDM strategy; their interaction will be audio-recorded and their participation and experience evaluated (total of 9 to 12 interviews). As well (stage e), data will be collected on health systems’ factors related to the use of the peer support SDM strategy.DiscussionFindings will develop peer support SDM strategies to enhance participation of FNIM people in cancer care decisions, advance knowledge translation science, and support a proposal to conduct a multi-site implementation trial.

The Role of Translation in Transnational Governance

One of the greatest challenges facing environmental governance is the interaction between science and governance. Translation is proposed as a means to analyze these interactions. To achieve some consensus on the quality of translations, norms and criteria must be developed in order to guide translation, namely through linkage institutions that promote productive misreadings of scientific information by governance authorities and permit judgments regarding the quality and utility of these misreadings. Given the multiplicity of sites – state and non-state – that have access to scientific and other environmentally relevant information, the structures and processes through which translation of scientific knowledge takes place will be subject to ongoing contestation. Nevertheless, the acknowledgment that scientific knowledge must be interpreted and its meaning reconstituted within governance systems may foster a healthier division of labor between science and governance, one in which political and legal authorities assume their responsibility to make judgments and decisions.

Knowledge translation tools for parents on child health topics: a scoping review

BackgroundAn emerging field of knowledge translation (KT) research has begun to focus on health consumers, particularly in child health. KT tools provide health consumers with research knowledge to inform health decision-making and may foster ‘effective consumers’. Thus, the purpose of this scoping review was to describe the state of the field of previously published effectiveness research on child health-related KT tools for parents/caregivers to understand the evidence-base, identify gaps, and guide future research efforts.MethodsA health research librarian developed and implemented search strategies in 8 databases. One reviewer conducted screening using pre-determined criteria. A second reviewer verified 10% of screening decisions. Data extraction was performed by one reviewer. A descriptive analysis was conducted and included patient-important outcome classification, WIDER Recommendation checklist, and methodological quality assessment.ResultsSeven thousand nine hundred fifty two independent titles and abstracts were reviewed, 2267 full-text studies were retrieved and reviewed, and 18 articles were included in the final data set. A variety of KT tools, including single- (n = 10) and multi-component tools (n = 10), were evaluated spanning acute (n = 4), chronic (n = 5) and public/population health (n = 9) child health topics. Study designs included: cross-sectional (n = 4), before-after (n = 1), controlled before-after (n = 2), cohort (n = 1), and RCTs (n = 10). The KT tools were evaluated via single primary outcome category (n = 11) and multiple primary outcome categories (n = 7). Two studies demonstrated significant positive effects on primary outcome categories; the remaining studies demonstrated mixed effects (n = 9) and no effect (n = 3). Overall, methodological quality was poor; studies lacked a priori protocols (n = 18) and sample size calculations (n = 13). Overall, intervention reporting was also poor; KT tools lacked description of theoretical underpinnings (n = 14), end-user engagement (n = 13), and preliminary research (n = 9) to inform the current effectiveness evaluation.ConclusionsA number of child health-related knowledge translation tools have been developed for parents/caregivers. However, numerous outcomes were used to assess impact and there is limited evidence demonstrating their effectiveness. Moreover, the methodological rigor and reporting of effectiveness studies is limited. Careful tool development involving end-users and preliminary research, including usability testing and mixed methods, prior to large-scale studies may be important to advance the science of KT for health consumers.

Sustainability and scalability of a volunteer-based primary care intervention (Health TAPESTRY): a mixed-methods analysis

BackgroundChronic diseases are a significant public health concern, particularly in older adults. To address the delivery of health care services to optimally meet the needs of older adults with multiple chronic diseases, Health TAPESTRY (Teams Advancing Patient Experience: Strengthening Quality) uses a novel approach that involves patient home visits by trained volunteers to collect and transmit relevant health information using e-health technology to inform appropriate care from an inter-professional healthcare team. Health TAPESTRY was implemented, pilot tested, and evaluated in a randomized controlled trial (analysis underway). Knowledge translation (KT) interventions such as Health TAPESTRY should involve an investigation of their sustainability and scalability determinants to inform further implementation. However, this is seldom considered in research or considered early enough, so the objectives of this study were to assess the sustainability and scalability potential of Health TAPESTRY from the perspective of the team who developed and pilot-tested it.MethodsOur objectives were addressed using a sequential mixed-methods approach involving the administration of a validated, sustainability survey developed by the National Health Service (NHS) to all members of the Health TAPESTRY team who were actively involved in the development, implementation and pilot evaluation of the intervention (Phase 1: n = 38). Mean sustainability scores were calculated to identify the best potential for improvement across sustainability factors. Phase 2 was a qualitative study of interviews with purposively selected Health TAPESTRY team members to gain a more in-depth understanding of the factors that influence the sustainability and scalability Health TAPESTRY. Two independent reviewers coded transcribed interviews and completed a multi-step thematic analysis. Outcomes were participant perceptions of the determinants influencing the sustainability and scalability of Health TAPESTRY.ResultsTwenty Health TAPESTRY team members (53% response rate) completed the NHS sustainability survey. The overall mean sustainability score was 64.6 (range 22.8–96.8). Important opportunities for improving sustainability were better staff involvement and training, clinical leadership engagement, and infrastructure for sustainability. Interviews with 25 participants (response rate 60%) showed that factors influencing the sustainability and scalability of Health TAPESTRY emerged across two dimensions: I) Health TAPESTRY operations (development and implementation activities undertaken by the central team); and II) the Health TAPESTRY intervention (factors specific to the intervention and its elements). Resource capacity appears to be an important factor to consider for Health TAPESTRY operations as it was identified across both sustainability and scalability factors; and perceived lack of interprofessional team and volunteer resource capacity and the need for stakeholder buy-in are important considerations for the Health TAPESTRY intervention. We used these findings to create actionable recommendations to initiate dialogue among Health TAPESTRY team members to improve the intervention.ConclusionsOur study identified sustainability and scalability determinants of the Health TAPESTRY intervention that can be used to optimize its potential for impact. Next steps will involve using findings to inform a guide to facilitate sustainability and scalability of Health TAPESTRY in other jurisdictions considering its adoption. Our findings build on the limited current knowledge of sustainability, and advances KT science related to the sustainability and scalability of KT interventions.