Knowledge translation in rehabilitation settings in low, lower-middle and upper-middle-income countries: a scoping review

Purpose This review aims to identify the barriers and facilitators to knowledge use and Knowledge Translation (KT) strategies in rehabilitation in low, lower-middle, and upper-middle-income countries (LMICs). Materials and methods A scoping review of studies of KT in rehabilitation in LMICs contexts using the Arksey and O'Malley Framework was conducted. A comprehensive search of MEDLINE and 10 other databases was undertaken to identify studies conducted primarily in LMICs. Results From the initial 15.606 titles identified; 27 articles were included for final analysis. Our analysis identified the following themes: Professional culture and context; KT interventions; and the conceptualization and application of KT and Evidence Based Practice (EBP). Individual-level barriers to KT included lack of skills, knowledge about EBP and English language, lack of motivation, and decision-making power. Facilitators to KT included positive attitudes and motivation. Organization-level barriers included lack of time, lack of financial resources, limited access to scientific journals, and applicability of research to rural settings. Facilitators included adequate financial and physical resources, a supportive management environment, and the existence of training and continuing education programs. Conclusion This review identified common and unique barriers and facilitators to KT in LMICs when compared to KT studies conducted in high-income settings.

Automated summary

This review identifies the barriers and facilitators to knowledge use and Knowledge Translation (KT) strategies in rehabilitation in low, lower-middle, and upper-middle-income countries (LMICs). The individual-level barriers to KT include lack of skills, knowledge about EBP and English language, lack of motivation, and decision-making power. The organization-level barriers include lack of time, lack of financial resources, limited access to scientific journals, and applicability of research to rural settings. The facilitators include positive attitudes and motivation, adequate financial and physical resources, a supportive management environment, and the existence of training and continuing education programs.