Rycroft-Malone, Jo, Wilkinson, Joyce E., Burton, Christopher R., Andrews, Gavin J., Ariss, Steven, Baker, Richard, Dopson, Sue, Graham, Ian D., Harvey, Gill, Martin, Graham P., McCormack, Brendan, Staniszewska, Sophie and Thompson, Carl, DPhil (2011) Implementing health research through academic and clinical partnerships : a realistic evaluation of the Collaborations for Leadership in Applied Health Research and Care (CLAHRC). Implementation Science, Vol.6 (No.1). p. 74. doi:10.1186/1748-5908-6-74

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Abstract

Background: The English National Health Service has made a major investment in nine partnerships between
higher education institutions and local health services called Collaborations for Leadership in Applied Health
Research and Care (CLAHRC). They have been funded to increase capacity and capability to produce and
implement research through sustained interactions between academics and health services. CLAHRCs provide a
natural ‘test bed’ for exploring questions about research implementation within a partnership model of delivery.
This protocol describes an externally funded evaluation that focuses on implementation mechanisms and
processes within three CLAHRCs. It seeks to uncover what works, for whom, how, and in what circumstances.
Design and methods: This study is a longitudinal three-phase, multi-method realistic evaluation, which
deliberately aims to explore the boundaries around knowledge use in context. The evaluation funder wishes to see
it conducted for the process of learning, not for judging performance. The study is underpinned by a conceptual
framework that combines the Promoting Action on Research Implementation in Health Services and Knowledge to
Action frameworks to reflect the complexities of implementation. Three participating CLARHCS will provide indepth
comparative case studies of research implementation using multiple data collection methods including
interviews, observation, documents, and publicly available data to test and refine hypotheses over four rounds of
data collection. We will test the wider applicability of emerging findings with a wider community using an
interpretative forum.
Discussion: The idea that collaboration between academics and services might lead to more applicable health
research that is actually used in practice is theoretically and intuitively appealing; however the evidence for it is
limited. Our evaluation is designed to capture the processes and impacts of collaborative approaches for
implementing research, and therefore should contribute to the evidence base about an increasingly popular (e.g.,
Mode two, integrated knowledge transfer, interactive research), but poorly understood approach to knowledge
translation. Additionally we hope to develop approaches for evaluating implementation processes and impacts
particularly with respect to integrated stakeholder involvement.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Social Sciences > School of Health and Social Studies
Library of Congress Subject Headings (LCSH):	Medical care -- Research
Journal or Publication Title:	Implementation Science
Publisher:	BioMed Central Ltd.
ISSN:	1748-5908
Official Date:	19 July 2011
Dates:	Date Event 19 July 2011 Published
Volume:	Vol.6
Number:	No.1
Page Range:	p. 74
DOI:	10.1186/1748-5908-6-74
Status:	Peer Reviewed
Access rights to Published version:	Open Access
Funder:	National Institute for Health Research (Great Britain) (NIHR), Great Britain. Dept. of Health (DoH)
Grant number:	SDO 09/1809/1072 (NIHR)

Data sourced from Thomson Reuters' Web of Knowledge

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