Evidence map›Paper›PMID 30728034›Full record

Trial reportHealth research policy and systems2019

Increasing the capacity of policy agencies to use research findings: a stepped-wedge trial.

Anna Williamson, Daniel Barker, Sally Green, Catherine D'Este, Huw T O Davies, Louisa Jorm, Anthony Shakeshaft, Sian Rudge, Sally Redman

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Health research policy and systems, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
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  12. Article
  13. Policymakers' Research Capacities, Engagement, and Use of Research in Public Health Policymaking.International journal of environmental research and public health · 2021
    Article
  14. Co-production of knowledge: the future.BMJ (Clinical research ed.) · 2021
    Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Anna WilliamsonThe Sax Institute, PO Box K617, Haymarket, Sydney, NSW, 1240, Australia. anna.williamson@saxinstitute.org.au.ORCID http://orcid.org/0000-0003-0897-4769
Daniel BarkerThe University of Newcastle, Newcastle, Australia.
Sally GreenAustralasian Cochrane Centre, Melbourne, Australia.
Catherine D'EsteThe University of Newcastle, Newcastle, Australia.
Huw T O DaviesUniversity of St Andrews, St Andrews, Scotland.
Louisa JormThe University of New South Wales, Sydney, Australia.
Anthony ShakeshaftThe University of New South Wales, Sydney, Australia.
Sian RudgeThe Sax Institute, PO Box K617, Haymarket, Sydney, NSW, 1240, Australia.
Sally RedmanThe Sax Institute, PO Box K617, Haymarket, Sydney, NSW, 1240, Australia.
Sax Institute · AUUniversity of Newcastle Australia · AUUNSW Sydney · AUMonash University · AUUniversity of St Andrews · GB

Funding

National Health and Medical Research Council APP1001436
6 · The paper itself

Abstract

backgroundThis paper describes the trial of a novel intervention, Supporting Policy In health with evidence from Research: an Intervention Trial (SPIRIT). It examines (1) the feasibility of delivering this kind of programme in practice; (2) its acceptability to participants; (3) the impact of the programme on the capacity of policy agencies to engage with research; and (4) the engagement with and use of research by policy agencies.

methodsSPIRIT was a multifaceted, highly tailored, stepped-wedge, cluster-randomised, trial involving six health policy agencies in Sydney, Australia. Agencies were randomly allocated to one of three start dates to receive the 1-year intervention programme. SPIRIT included audit, feedback and goal setting; a leadership programme; staff training; the opportunity to test systems to facilitate research use in policies; and exchange with researchers. Outcome measures were collected at each agency every 6 months for 30 months.

resultsParticipation in SPIRIT was associated with significant increases in research use capacity at staff and agency levels. Staff reported increased confidence in research use skills, and agency leaders reported more extensive systems and structures in place to support research use. Self-report data suggested there was also an increase in tactical research use among agency staff. Given the relatively small numbers of participating agencies and the complexity of their contexts, findings suggest it is possible to effect change in the way policy agencies approach the use of research. This is supported by the responses on the other trial measures; while these were not statistically significant, on 18 of the 20 different measures used, the changes observed were consistent with the hypothesised intervention effect (that is, positive impacts).

conclusionsAs an early test of an innovative approach, SPIRIT has demonstrated that it is possible to increase research engagement and use in policy agencies. While more work is needed to establish the replicability and generalisability of these findings, this trial suggests that building staff skills and organisational structures may be effective in increasing evidence use.

Indexed as

Capacity BuildingEvidence-Based PracticeHealth PolicyOrganizationsPolicy MakingResearchAustraliaHumansevidenceinterventionknowledge mobilisationknowledge translationPolicy

Identifiers

PMID30728034
PMCPMC6366302
OpenAlexW2914670330

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.