To date, little research has explored how research evidence is implemented in the breadth of settings that deliver health care to children. Additionally, little published evidence explains how and why particular efforts to put research into action worked in particular clinical contexts and not in others. Without understanding the exclusive patterns and nuances of research implementation in child health contexts, there is no way to ensure the best available research is used by all players in children’s health care – that is, parents/families, health care providers, and decision makers – to benefit Canadian children. The ECHO research program seeks to bridge this knowledge gap by exploring the causal mechanisms, and effect modifiers (e.g., factors, barriers, facilitators and processes of the implementation of research evidence (e.g., in the form of Clinical Practice Guidelines, Clinical Pathways) in health care settings that deliver health care to children. This program of KT research strives to develop well-defined, multi-level, knowledge translation interventions for child health to target both health professionals and parents. KT is a dynamic and iterative process that takes place within a complex system of interactions between researchers and knowledge users. The projects within the ECHO research program have been strategically designed to learn more about the determinants of knowledge use, and the best practices for expediting the uptake of knowledge
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