Evidence map›Paper›PMID 40835269›Full record

SynthesisNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition2025

Application of the Knowledge-to-Action framework in translating nutrition and dietetic knowledge into practice: A systematic review.

Chamathi Kossinna, Chak Lam Lau, Hannah L Mayr, Shelley A Wilkinson, Adrienne M Young, Nina Meloncelli, Ashley Cameron, Roshan R Rigby, Ingrid J Hickman

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Application of the Knowledge-to-Action framework in translating nutrition and dietetic knowledge into practice: A systematic review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Pooled it
  2. Article
  3. 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.

Chamathi KossinnaFaculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
Chak Lam LauFaculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
Hannah L MayrDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0001-7356-653X
Shelley A WilkinsonFaculty of Health, Medicine and Behavioural Sciences, University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0003-3365-3473
Adrienne M YoungFaculty of Health, Medicine and Behavioural Sciences, University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-4498-4342
Nina MeloncelliFaculty of Health, Medicine and Behavioural Sciences, University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-8990-9709
Ashley CameronMetro North Hospital and Health Services, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0003-3019-7898
Roshan R RigbyFaculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.ORCID https://orcid.org/0000-0003-4829-8371
Ingrid J HickmanFaculty of Health, Medicine and Behavioural Sciences, University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0003-3205-9165

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Knowledge-to-Action (KTA) framework was first developed in 2006 and has become a widely used tool to support translating evidence into practice. Despite its broad application, no systematic review has examined its use in studies of nutrition research translation. This systematic review (PROSPERO ID: CRD42024613147) aims to describe the characteristics of nutrition translation studies that use the KTA, the application of the KTA stages, and the actors involved in the knowledge translation effort and study quality.

methodsSearches were performed across four databases to include original nutrition studies in English that cite and apply the KTA from 2006 to April 2025. Data were extracted by two independent reviewers. The appraisal of the study quality used the Mixed Methods Appraisal Tool.

resultsTwenty-three studies met the inclusion criteria, and most were conducted in a hospital setting (n = 15) by multidisciplinary teams targeting change in healthcare workforce practices. Studies addressed a range of evidence-practice gaps in topics such as malnutrition (n = 5), postsurgical feeding or enteral nutrition (n = 5), infant feeding (n = 2), and dietary patterns (n = 2). The KTA was used flexibly either partly or as a complete cycle, often with integration of other implementation frameworks and mixed methodologies, tailored to project context. Although the quality of studies was generally high, the lack of quantitative baseline data in most studies limited assessment of effectiveness.

conclusionThe KTA framework is an adaptable and valuable tool that has been used to address evidence-practice gaps across broad topics related to nutrition and dietetics.

Indexed as

DieteticsNutritional SciencesNutrition TherapyTranslational Research, BiomedicalEvidence-Based PracticeHumansbarriersevidence‐based practicefacilitatorsimplementationknowledge‐practice gapknowledge translation

Identifiers

PMID40835269
PMCPMC12590320

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.