Defining the research-practice gap in pediatrics

There is a gap between today's scientific advances and their application--between what is known and what is actually being done. This gap occurs because of the process of knowledge translation required to digest research findings for policymakers and practitioners. Studies have repeatedly shown that because of this "know-do" gap, approximately one-half of patients in the United States and Europe are not receiving care according to the most recent scientific evidence. Children are a medically unique and underserved population that stands to be most affected by this gap. Therefore, in this study, the research-practice gap in the pediatric field was calculated and discussed in the context of knowledge brokers, who facilitate opportunities for knowledge translation. Article mentions from the journal Pediatrics were identified in policy documents and analyzed for the years 2010, 2013, and 2016 with the use of the Altmetric platform as a quantitative means of identifying patterns and drawing conclusions about the knowledge translation gap in pediatrics. Altmetric is a bibliometric tool that offers viable insights into the types of impact not covered with traditional methods of citation analysis. The expert policymaking bodies that cited the Pediatrics articles in their policy documents were coded, categorized, and subcategorized to clarify how and where Pediatrics research is ultimately being used to create health policy and to discover whether the gap is similar or different between the various types of policymaking organizations. This allowed the quantitative findings to be nested within a qualitative context. It took a mean of 7.1 years for research to reach the point of policy uptake for practitioners, with a range of 0-32.8 years. There were more international policy mentions than U.S. mentions, but information made its way through the knowledge translation process more quickly in the United States than it did elsewhere. In fact, nearly 40% of articles were cited in policy fewer than five years after original publication. The gap in pediatrics is thus significantly shorter than the 17-year average reported in the literature. However, knowledge brokerage activities performed by technical communicators are continually needed to build links between research, policy applications, and practice.