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Table 2 Individual Level Factors Influencing the Implementation of the Co-Creating Knowledge Translation (Co-KT) Framework in the LINKIN study

From: Translating a health service intervention into a rural setting: lessons learned

Individual Factors Enablers Barrier
Perceived Robustness and credibility of the research. • Researchers used local knowledge gathered from: (i) a population health census; (ii) a CATI; and (iii) stakeholder meetings • The research was published in peer-reviewed journals [5, 11, 12]. • Researchers were unable to ascertain how the robustness of the LINKIN Health Census and CATI results were received by stakeholders.
Fit with Belief Systems • Musculoskeletal conditions were chosen for the intervention for PL, given they were the highest co-morbidity in the population. • Local GPs were seemingly unaware of the specialist skills of Allied Health Professionals. They were also reluctant to refer to Allied Health Professionals as they were not convinced of their benefit.
• Local small town alliances were hard difficult to work with—eg referrals from GPs directly to chiropractor clinic, in preference to a physiotherapist.
• Patients often had multimorbidities, including cardiovascular disease. These multimorbidities took priority over musculoskeletal conditions.
Prioritising Problems • Meetings with stakeholders provided researchers with local information on which problems to prioritise. • Musculoskeletal conditions were not seen as a priority by stakeholders.
Responsibility • Researchers followed the Co-KT framework, which involved setting up key roles for stakeholders. • Key roles for stakeholders were unable to be established. The responsibility for implementation of the research fell predominantly on the researchers.
Consideration of which issues were at hand • A member of the research team was a GP in Port Lincoln, which gave us updated information of current issues. • The continually changing environment for Allied Health Professionals at Port Lincoln meant that it was not easy for researchers to readily identify newly forming barriers.
• Costs for chiropractors and alternative health practitioners were less than that of physiotherapists.
• There was a low engagement of patients with regards to care management of their musculoskeletal condition.