Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 4 8 2015 08 01 Reflecting on Backward Design for Knowledge Translation; Comment on “A Call for a Backward Design to Knowledge Translation” 541 543 3020 10.15171/ijhpm.2015.92 EN Neale Smith Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada Evelyn Cornelissen Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada Craig Mitton Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada Journal Article 2015 03 09 In a recent Editorial for this journal, El-Jardali and Fadlallah proposed a new framework for Knowledge Translation (KT) in healthcare. Many such frameworks already exist; thus, new entrants to the field must be scrutinized in regard to their unique contributions to advancing understanding and practice. The El-Jardali and Fadlallah framework focuses on policy-level discussions, a relatively under-studied issue to date. Their framework usefully incorporates both priority setting questions at the front-end (which KT efforts get undertaken and which do not) as well as evaluation questions at the back-end (how do we show that more evidence-informed decisions are actually better ones?). Their framework also emphasizes capacity building among both decision-makers and researchers. This is an area worthy of additional attention, particularly because it is likely to be far more challenging than El-Jardali and Fadlallah allow. https://www.ijhpm.com/article_3020_e4a93f0332b2519177ed55741ea4e5e7.pdf