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Type: Journal article
Title: Translating a health service intervention into a rural setting: lessons learned Organization, structure and delivery of healthcare
Author: Dent, E.
Hoon, E.
Kitson, A.
Karnon, J.
Newbury, J.
Harvey, G.
Gill, T.
Gillis, L.
Beilby, J.
Citation: BMC Health Services Research, 2016; 16(1):62-1-62-9
Publisher: BioMed Central
Issue Date: 2016
ISSN: 1472-6963
Statement of
Elsa Dent, Elizabeth Hoon, Alison Kitson, Jonathan Karnon, Jonathan Newbury, Gillian Harvey, Tiffany K. Gill, Lauren Gillis and Justin Beilby
Abstract: Limited research exists on the process of applying knowledge translation (KT) methodology to a rural-based population health intervention.This study reports on the implementation and translational stages of a previously described Co-creating KT (Co-KT) framework in the rural town of Port Lincoln, South Australia (population: 14,000). The Co-KT framework involves five steps: (i) collecting local data; (ii) building stakeholder relationships; (iii) designing an evidence-based intervention incorporating local knowledge; (iv) implementation and evaluation of the intervention; and (v) translating the research into policy and practice. Barriers and enablers to the overall Co-KT implementation process were identified. Our intervention focused on musculoskeletal (MSK) conditions.Although the Co-KT framework was valuable in engaging with the community, translating the final intervention into daily clinical practice was prevented by a lack of an accessible policy or financial framework to anchor the appropriate intervention, a lack of continued engagement with stakeholders, access problems to general practitioners (GPs) and Allied Health Professionals; and the paucity of referrals from GPs to Allied Health Professionals. Consequently, while many aspects of the intervention were successful, including the improvement of both function and pain in study participants, the full implementation of the Co-KT framework was not possible.This study implemented and evaluated a Co-KT framework for a population with MSK conditions, linking locally generated health care system knowledge with academic input. Further policy, health system changes, and on-the-ground support are needed to overcome the identified implementation challenges in order to create sustainable and effective system change.
Keywords: Rural health services/standards*; South Australia; Rural health services/utilisation; Knowledge translation
Description: Published: 18 February 2016
Rights: © 2016 Dent et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
RMID: 0030043879
DOI: 10.1186/s12913-016-1302-0
Grant ID:
Appears in Collections:Public Health publications

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