Table 1 Knowledge to Action framework

1

Identify review and select knowledge

Knowledge has been refined into a high quality CPG [41], and there is an evidence to practice gap (Background). We have identified the existing evidence regarding individualization of care and SDM in an IP context, and the IP-SDM framework on which to build our intervention (Background).

Identify problem

2 & 3

Adapt knowledge to local context

The MOHLTC’s Ontario Diabetes Strategy aimed to improve the care of Ontarians with diabetes through access to technology, specialized resources and health professionals, to enable patients and providers to actively co-manage, monitor and improve care. New education teams (nurse educators and dietitians) were created to help support people with diabetes in primary care; thus our use of the IP-SDM framework complements this context. Having identified barriers to CPG and SDM uptake (Background) in the literature, we will identify barriers in our targeted population by conducting (Phase 1), the feasibility substudy (Methods).

Assess barriers to knowledge use

4

Select, develop and tailor the intervention

Based on potential facilitators of SDM adoption identified in the literature [17] (Background), a previously reported goal-setting intervention [33] (Discussion) and the findings of Substudy 1, our IP-SDM intervention will be developed (Phase 2). Subsequently, we will then conduct heuristic evaluation (Phase 3) and usability testing (Phase 4).