New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the “know-do” gap

Gladman, John R.F.; Conroy, Simon P.; Ranhoff, Anette H.; Gordon, Adam L.

Abstract

In this paper we outline the relationship between the need to put existing applied health research knowledge into practice (the “know-do gap”) and the need to improve the evidence base (the “know gap”) with respect to the health care process used for older people with frailty known as comprehensive geriatric assessment (CGA).
We explore the reasons for the know-do gap and the principles of how these barriers to implementation might be overcome. We explore how these principles should affect the conduct of applied health research to close the know gap.
We propose that impaired flow of knowledge is an important contributory factor in the failure to implement evidence-based practice in comprehensive geriatric assessment; this could be addressed through specific knowledge mobilisation techniques. We describe that implementation failures are also produced by an inadequate evidence base which requires the co-production of research, addressing not only effectiveness but also the feasibility and acceptability of new services, the educational needs of practitioners, the organisational requirements of services, and the contribution made by policy. Only by tackling these issues in concert and appropriate proportion, will the know and know-do gaps for CGA be closed.

Citation

Gladman, J. R., Conroy, S. P., Ranhoff, A. H., & Gordon, A. L. (2016). New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the “know-do” gap. Age and Ageing, 45(2), 194-200. https://doi.org/10.1093/ageing/afw012

• Journal Article Type: Article
• Acceptance Date: Jan 10, 2016
• Online Publication Date: Mar 2, 2016
• Publication Date: Mar 2, 2016
• Deposit Date: Feb 22, 2016
• Publicly Available Date: Mar 2, 2016
• Journal: Age and Ageing
• Print ISSN: 0002-0729
• Electronic ISSN: 1468-2834
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• Volume: 45
• Issue: 2
• Pages: 194-200
• DOI: https://doi.org/10.1093/ageing/afw012
• Keywords: Geriatric Medicine, Translational Medical Research, Homes for the Aged, Organizational models, Health Services Research, Older People
• Public URL: https://nottingham-repository.worktribe.com/output/781725
• Publisher URL: http://ageing.oxfordjournals.org/content/45/2/194.abstract
• Additional Information: This is the final pre-publication draft. The final version of the article is accepted for publication in Age and Ageing. A full reference and link to the published version will be included as these become available.
• Contract Date: Feb 22, 2016