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Overview of the KT ICEBeRG Team

KT ICEBeRG is a team of Investigators, New Investigators and students led by Jeremy Grimshaw and Ian Graham and jointly funded by the Ontario Ministry of Health and Long term Care and the Canadian Institutes of Health Research. The team has been awarded a 5 year grant, beginning in November of 2003. Click here to view the KT ICEBeRG grant proposal.
The general objectives of the team are:
- To generate sustainable transdisciplinary research capacity to address the scientific questions raised in the implementation of evidence based healthcare to improve quality.
- To conduct transdisciplinary research into the barriers and enablers to the development, dissemination and uptake of clinical best practices and evaluations of dissemination and implementation strategies to improve quality.
- To undertake a series of knowledge translation activities directed at key stakeholders interested in improving quality of care
Our research objectives are:
- To systematically identify, appraise, and catalogue validated theories of individual, professional, and organizational behaviour change.
- To evaluate the applicability of candidate theories to professional and organizational behaviour and their utility to increase our understanding of barriers and enablers to change.
- To develop methods of testing theoretical constructs alongside rigorous evaluations of interventions to improve quality .
- To develop methods for undertaking evaluations of interventions to improve quality using administrative databases.
- To conduct rigorous evaluations of the effectiveness of interventions to improve quality.
- To contribute to the implementation knowledge base by summarizing what interventions improve quality, in what contexts, and under what conditions
Our Conceptual Aim:
To use the Ottawa Model of Research Use (OMRU - see below) for our overarching model for exploring conceptual issues (Logan and Graham, 2002).

Advantages:
- holistic approach that considers all aspects of the KT process;
- parsimonious view of the major elements in research use;
- interdisciplinary perspective;
- can be used to consider individual professional or team behaviour change (the micro level), organizational behavioural change (the meso level) or system change (the macro level) as the model elements remain the same regardless of the level one focuses on although the relative importance of each element may change depending on the level of interest.
- Aim is to ‘fine marble’ OMRU, evaluating micro and meso level theories to populate it
Our Methodological Aims:
- Capitalize upon the opportunities raised by the research program of the individuals and of the team as a unit to undertake methodological work.
- Focus will be to inform our own work program and to develop practical tools to support implementation researchers.
In Summary:
- Previous research has rarely been based upon existing theoretical models
- Preliminary work suggests the value of theoretical models to predict or explain professional behaviour and behaviour change and to identify potential interventions
- KT ICEBeRG linked projects will build and test theory from different disciplines
- We should be able to use these insights to make better decisions about which interventions to consider to improve the quality of health care
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Funded by:
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Design/Content by Nicole Robinson & Justin Presseau
2006 - All Rights Reserved
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