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dc.contributor.authorRycroft-Malone, Joen_UK
dc.contributor.authorBurton, Christopheren_UK
dc.contributor.authorWilkinson, Joyce Een_UK
dc.contributor.authorHarvey, Gillen_UK
dc.contributor.authorMcCormack, Brendanen_UK
dc.contributor.authorBaker, Richarden_UK
dc.contributor.authorDopson, Sueen_UK
dc.contributor.authorGraham, Ianen_UK
dc.contributor.authorStaniszewska, Sophieen_UK
dc.contributor.authorThompson, Carlen_UK
dc.contributor.authorAriss, Stevenen_UK
dc.contributor.authorMelville-Richards, Lucyen_UK
dc.contributor.authorWilliams, Lynneen_UK
dc.description.abstractBackground  The establishment of the Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) was the culmination of a number of policy initiatives to bridge the gap between evidence and practice. CLAHRCs were created and funded to facilitate development of partnerships and connect the worlds of academia and practice in an effort to improve patient outcomes through the conduct and application of applied health research.  Objectives  Our starting point was to test the theory that bringing higher education institutions and health-care organisations closer together catalyses knowledge mobilisation. The overall purpose was to develop explanatory theory regarding implementation through CLAHRCs and answer the question ‘what works, for whom, why and in what circumstances?’. The study objectives focused on identifying and tracking implementation mechanisms and processes over time; determining what influences whether or not and how research is used in CLAHRCs; investigating the role played by boundary objects in the success or failure of implementation; and determining whether or not and how CLAHRCs develop and sustain interactions and communities of practice.  Methods  This study was a longitudinal realist evaluation using multiple qualitative case studies, incorporating stakeholder engagement and formative feedback. Three CLAHRCs were studied in depth over four rounds of data collection through a process of hypothesis generation, refining, testing and programme theory specification. Data collection included interviews, observation, documents, feedback sessions and an interpretive forum.  Findings  Knowledge mobilisation in CLAHRCs was a function of a number of interconnected issues that provided more or less conducive conditions for collective action. The potential of CLAHRCs to close the metaphorical ‘know–do’ gap was dependent on historical regional relationships, their approach to engaging different communities, their architectures, what priorities were set and how, and providing additional resources for implementation, including investment in roles and activities to bridge and broker boundaries. Additionally, we observed a balance towards conducting research rather than implementing it. Key mechanisms of interpretations of collaborative action, opportunities for connectivity, facilitation, motivation, review and reflection, and unlocking barriers/releasing potential were important to the processes and outcomes of CLAHRCs. These mechanisms operated in different contexts including stakeholders’ positioning, or ‘where they were coming from’, governance arrangements, availability of resources, competing drivers, receptiveness to learning and evaluation, and alignment of structures, positions and resources. Preceding conditions influenced the course and journey of the CLAHRCs in a path-dependent way. We observed them evolving over time and their development led to the accumulation of different types of impacts, from those that were conceptual to, later in their life cycle, those that were more direct.  Conclusions  Most studies of implementation focus on researching one-off projects, so a strength of this study was in researching a systems approach to knowledge mobilisation over time. Although CLAHRC-like approaches show promise, realising their full potential will require a longer and more sustained focus on relationship building, resource allocation and, in some cases, culture change. This reinforces the point that research implementation within a CLAHRC model is a long-term investment and one that is set within a life cycle of organisational collaboration.en_UK
dc.publisherNIHR Health Technology Assessment Programmeen_UK
dc.relationRycroft-Malone J, Burton C, Wilkinson JE, Harvey G, McCormack B, Baker R, Dopson S, Graham I, Staniszewska S, Thompson C, Ariss S, Melville-Richards L & Williams L (2015) Collective action for knowledge moblisation: a realist evaluation of the Collaborations for Leadership in applied Health Research and Care. Health Services and Delivery Research, 3 (44).
dc.rightsPermission to reproduce material from this published report is covered by the UK government’s non-commercial licence for public sector information:
dc.titleCollective action for knowledge moblisation: a realist evaluation of the Collaborations for Leadership in applied Health Research and Careen_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleHealth Services and Delivery Researchen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationBangor Universityen_UK
dc.contributor.affiliationBangor Universityen_UK
dc.contributor.affiliationHS UG Regulated - Stirling - LEGACYen_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationQueen Margaret Universityen_UK
dc.contributor.affiliationUniversity of Leicesteren_UK
dc.contributor.affiliationUniversity of Oxforden_UK
dc.contributor.affiliationUniversity of Ottawaen_UK
dc.contributor.affiliationUniversity of Warwicken_UK
dc.contributor.affiliationUniversity of Yorken_UK
dc.contributor.affiliationUniversity of Sheffielden_UK
dc.contributor.affiliationBangor Universityen_UK
dc.contributor.affiliationBangor Universityen_UK
rioxxterms.apcnot chargeden_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorRycroft-Malone, Jo|en_UK
local.rioxx.authorBurton, Christopher|en_UK
local.rioxx.authorWilkinson, Joyce E|en_UK
local.rioxx.authorHarvey, Gill|en_UK
local.rioxx.authorMcCormack, Brendan|en_UK
local.rioxx.authorBaker, Richard|en_UK
local.rioxx.authorDopson, Sue|en_UK
local.rioxx.authorGraham, Ian|en_UK
local.rioxx.authorStaniszewska, Sophie|en_UK
local.rioxx.authorThompson, Carl|en_UK
local.rioxx.authorAriss, Steven|en_UK
local.rioxx.authorMelville-Richards, Lucy|en_UK
local.rioxx.authorWilliams, Lynne|en_UK
local.rioxx.projectInternal Project|University of Stirling|
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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