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      Knowledge Translation in Men’s Health Research: Development and Delivery of Content for Use Online

      research-article
      , BA, PhD 1 , , , MSc, PhD 1 , , RN, MEd, PhD 2 , 3 , , MA 4 , , FAAN, FCAHS, RN, PhD 5 , 6
      (Reviewer), (Reviewer)
      Journal of Medical Internet Research
      JMIR Publications Inc.
      men’s health, knowledge translation, development of online content

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          Abstract

          Background

          Men can be hard to reach with face-to-face health-related information, while increasingly, research shows that they are seeking health information from online sources. Recognizing this trend, there is merit in developing innovative online knowledge translation (KT) strategies capable of translating research on men’s health into engaging health promotion materials. While the concept of KT has become a new mantra for researchers wishing to bridge the gap between research evidence and improved health outcomes, little is written about the process, necessary skills, and best practices by which researchers can develop online knowledge translation.

          Objective

          Our aim was to illustrate some of the processes and challenges involved in, and potential value of, developing research knowledge online to promote men’s health.

          Methods

          We present experiences of KT across two case studies of men’s health. First, we describe a study that uses interactive Web apps to translate knowledge relating to Canadian men’s depression. Through a range of mechanisms, study findings were repackaged with the explicit aim of raising awareness and reducing the stigma associated with men’s depression and/or help-seeking. Second, we describe an educational resource for teenage men about unintended pregnancy, developed for delivery in the formal Relationship and Sexuality Education school curricula of Ireland, Northern Ireland (United Kingdom), and South Australia. The intervention is based around a Web-based interactive film drama entitled “If I Were Jack”.

          Results

          For each case study, we describe the KT process and strategies that aided development of credible and well-received online content focused on men’s health promotion. In both case studies, the original research generated the inspiration for the interactive online content and the core development strategy was working with a multidisciplinary team to develop this material through arts-based approaches. In both cases also, there is an acknowledgment of the need for gender and culturally sensitive information. Both aimed to engage men by disrupting stereotypes about men, while simultaneously addressing men through authentic voices and faces. Finally, in both case studies we draw attention to the need to think beyond placement of content online to delivery to target audiences from the outset.

          Conclusions

          The case studies highlight some of the new skills required by academics in the emerging paradigm of translational research and contribute to the nascent literature on KT. Our approach to online KT was to go beyond dissemination and diffusion to actively repackage research knowledge through arts-based approaches (videos and film scripts) as health promotion tools, with optimal appeal, to target male audiences. Our findings highlight the importance of developing a multidisciplinary team to inform the design of content, the importance of adaptation to context, both in terms of the national implementation context and consideration of gender-specific needs, and an integrated implementation and evaluation framework in all KT work.

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          Most cited references98

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          Constructions of masculinity and their influence on men's well-being: a theory of gender and health.

          Men in the United States suffer more severe chronic conditions, have higher death rates for all 15 leading causes of death, and die nearly 7 yr younger than women. Health-related beliefs and behaviours are important contributors to these differences. Men in the United States are more likely than women to adopt beliefs and behaviours that increase their risks, and are less likely to engage in behaviours that are linked with health and longevity. In an attempt to explain these differences, this paper proposes a relational theory of men's health from a social constructionist and feminist perspective. It suggests that health-related beliefs and behaviours, like other social practices that women and men engage in, are a means for demonstrating femininities and masculinities. In examining constructions of masculinity and health within a relational context, this theory proposes that health behaviours are used in daily interactions in the social structuring of gender and power. It further proposes that the social practices that undermine men's health are often signifiers of masculinity and instruments that men use in the negotiation of social power and status. This paper explores how factors such as ethnicity, economic status, educational level, sexual orientation and social context influence the kind of masculinity that men construct and contribute to differential health risks among men in the United States. It also examines how masculinity and health are constructed in relation to femininities and to institutional structures, such as the health care system. Finally, it explores how social and institutional structures help to sustain and reproduce men's health risks and the social construction of men as the stronger sex.
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            The meaning of translational research and why it matters.

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              Thinking about the future is an integral component of human cognition - one that has been claimed to distinguish us from other species. Building on the construct of episodic memory, we introduce the concept of 'episodic future thinking': a projection of the self into the future to pre-experience an event. We argue that episodic future thinking has explanatory value when considering recent work in many areas of psychology: cognitive, social and personality, developmental, clinical and neuropsychology. Episodic future thinking can serve as a unifying concept, connecting aspects of diverse research findings and identifying key questions requiring further reflection and study.
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                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J. Med. Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications Inc. (Toronto, Canada )
                1439-4456
                1438-8871
                January 2015
                29 January 2015
                : 17
                : 1
                : e31
                Affiliations
                [1] 1School of Nursing and Midwifery Queen's University Belfast BelfastUnited Kingdom
                [2] 2School of Nursing Distinguished Scholar in Residence, Peter Wall Institute for Advanced Studies University of British Columbia Vancouver, BCCanada
                [3] 3Honorary Professor, School of Nursing University of Queensland BrisbaneAustralia
                [4] 4School of Nursing University of British Columbia Vancouver, BCCanada
                [5] 5School of Nursing University of British Columbia Kelowna, BCCanada
                [6] 6Professorial Fellow Faculty of Health Science Australian Catholic University SydneyAustralia
                Author notes
                Corresponding Author: Maria Lohan m.lohan@ 123456qub.ac.uk
                Author information
                http://orcid.org/0000-0003-3525-1283
                http://orcid.org/0000-0001-5849-0506
                http://orcid.org/0000-0001-9029-4003
                http://orcid.org/0000-0002-7841-4858
                http://orcid.org/0000-0001-9724-5351
                Article
                v17i1e31
                10.2196/jmir.3881
                4327186
                25642787
                3b578d70-b040-487c-af15-8722deaace6b
                ©Maria Lohan, Áine Aventin, John L Oliffe, Christina S Han, Joan L Bottorff. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 29.01.2015.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.

                History
                : 23 September 2014
                : 23 October 2014
                : 04 November 2014
                : 23 November 2014
                Categories
                Original Paper
                Original Paper

                Medicine
                men’s health,knowledge translation,development of online content
                Medicine
                men’s health, knowledge translation, development of online content

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