Open Access Highly Accessed Research article

If you build it, they still may not come: outcomes and process of implementing a community-based integrated knowledge translation mapping innovation

S Michelle Driedger1*, Anita Kothari2, Ian D Graham3, Elizabeth Cooper1, Eric J Crighton4, Melanie Zahab4, Jason Morrison5 and Michael Sawada6

Author Affiliations

1 Department of Community Health Sciences, University of Manitoba, S113-750 Bannatyne Ave, Winnipeg, Manitoba, R3E 0W3, Canada

2 Faculty of Health Sciences, Bachelor of Health Sciences, University of Western Ontario, Arthur and Sonia Labatt Health Sciences Building, Room 222, London, Ontario, N6A 5B9, Canada

3 VP Knowledge Translation, Canadian Institutes of Health Research, 160 Elgin Street, 9th Floor, Address Locator 4809A, Ottawa, ON, K1A 0W9, Canada

4 Department of Geography, University of Ottawa, Ottawa ON, K1N 6N5, Canada

5 Department of Biosystems Engineering, University of Manitoba, E2-376 Engineering Building , University of Manitoba, Winnipeg MB, R3T 5V6, Canada

6 Laboratory for Applied Geomatics and GIS Science (LAGGISS), Department of Geography, University of Ottawa, Ottawa ON, K1N 6N5, Canada

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Implementation Science 2010, 5:47  doi:10.1186/1748-5908-5-47

Published: 16 June 2010

Abstract

Background

Maps and mapping tools through geographic information systems (GIS) are highly valuable for turning data into useful information that can help inform decision-making and knowledge translation (KT) activities. However, there are several challenges involved in incorporating GIS applications into the decision-making process. We highlight the challenges and opportunities encountered in implementing a mapping innovation as a KT strategy within the non-profit (public) health sector, reflecting on the processes and outcomes related to our KT innovations.

Methods

A case study design, whereby the case is defined as the data analyst and manager dyad (a two-person team) in selected Ontario Early Year Centres (OEYCs), was used. Working with these paired individuals, we provided a series of interventions followed by one-on-one visits to ensure that our interventions were individually tailored to personal and local decision-making needs. Data analysis was conducted through a variety of qualitative assessments, including field notes, interview data, and maps created by participants. Data collection and data analysis have been guided by the Ottawa Model of Research Use (OMRU) conceptual framework.

Results

Despite our efforts to remove all barriers associated with our KT innovation (maps), our results demonstrate that both individual level and systemic barriers pose significant challenges for participants. While we cannot claim a causal association between our project and increased mapping by participants, participants did report a moderate increase in the use of maps in their organization. Specifically, maps were being used in decision-making forums as a way to allocate resources, confirm tacit knowledge about community needs, make financially-sensitive decisions more transparent, evaluate programs, and work with community partners.

Conclusions

This project highlights the role that maps can play and the importance of communicating the importance of maps as a decision support tool. Further, it represents an integrated knowledge project in the community setting, calling to question the applicability of traditional KT approaches when community values, minimal resources, and partners play a large role in decision making. The study also takes a unique perspective--where research producers and users work as dyad-pairs in the same organization--that has been under-explored to date in KT studies.