TRiaDS:AStandardisedFrameworkforKnowledge

TranslationlinkedtoaNationalGuidanceInitiative
JanClarkson1,3,CraigRamsay2,LindaYoung3,PaulaElouafkaoui1,3andHeatherCassie1,3
PresentedonbehalfoftheTRiaDSMethodologyGroup
1.NHSEducationforScotland;2.HSRU,UniversityofAberdeen;3.DHSRU,UniversityofDundee.

BACKGROUND TRiaDSFRAMEWORK
Thetranslationofknowledgeintoroutineclinicalpracticeisaslow
SDCEP Guidance Define Scope
and haphazard process. One common strategy to promote
knowledgetranslation(KT)istheproductionofclinicalguidance. TRiaDS Inform Scope

Measure variation in
Itiswellknown,howeverthatthepublicationofguidancealoneis
+
Measure stakeholders attitudes towards
professional behaviour using
proposed guidance topic routine or bespoke data
unlikelytooptimisepractice.

SDCEP Guidance Develop Consultation Draft

Inordertosupportthetranslationofnationalclinicalguidancefor
dentistry in Scotland, TRiaDS, a multidisciplinary research
collaboration,developedastandardisedKTframeworkembedded
TRiaDS Define Professional Behaviour Outcomes
SDCEP Guidance Development Group identify and prioritise
Professional behaviour outcomes to assess best practice

withintheguidancedevelopmentprocess. SDCEP Guidance Consultation Period

TRiaDS Diagnostic Analysis

AIM
+
Identify barriers and enablers to Measure variation in
best practice using questionnaires and professional behaviour using
interviews with GDPs/DCPs routine or bespoke data
To improve the quality of healthcare in Scotland through the
development of a framework for the timely evaluation of the Identify criteria to determine if knowledge translation is required
Identify theoretical domains and possible knowledge translation interventions
translation of national clinical guidance to establish the need for
andchoiceoftheoreticallyinformedKTinterventions. SDCEP Guidance Publication and Dissemination Period

TRiaDS Determine the Need for and Design of Knowledge Translation Intervention

Identify trend and step changes

METHODS following publication of guidance

A diagnostic analysis process is undertaken at the start of each Apply criteria for intervention

guidancedevelopmentproject.
TRiaDS - Evaluation

Information is gathered about current practice. Key

recommendations and associated behaviours are identified and Intervention Required
Intervention Not Required
Develop and test guidance
Knowledge translation intervention Monitor professional behaviour outcomes
prioritised. Stakeholder questionnaires and interviews are
conductedtoidentifybarriersandenablers.
TRiaDS Collect data from steps above and collate with each guidance experience to synthesise
what is known about changing each set of behaviours
Where possible, routinely collected data are used to measure
compliance with the guidance and to inform decisions about
whetheraKTinterventionisrequired.

RESULTS CONCLUSIONS
The TRiaDS framework has been applied to eleven guidance TheembeddingofaKTframeworkwithinanationalprogrammeof
projects. Findings have informed the guidance development guidance development offers aunique opportunity to inform and
processforall. influenceguidancedevelopmentandknowledgetranslation.

For three (decontamination, oral health assessment and drug
prescribing)KTinterventionshavebeeninformedbythediagnostic
analysis and evaluated in randomised controlled trials embedded
withinroutineservicedelivery.
The framework informs dental practitioners, policymakers and
patientsonhow best to translate nationalrecommendations into
routineclinicalactivities.
Whilstcurrentlyfocusedondentalguidance,thisKTframeworkis
generalisable across disciplines. Future work will explore its
translation to other primary healthcare setting such as pharmacy
andoptometry.

Formoreinformationcontact:
DrLindaYoung,ProgrammeResearchManager
Telephone:(01382)740913
Email:TRiaDS@nes.scot.nhs.uk