Article

Translational Research or Research Translation?

Explore how translational research, research translation, and implementation science work together to transform health care.

Understanding the Difference and Their Impact on Health Innovation

Key Takeaways

  • Translational research moves discoveries from the lab to clinical and community settings through defined phases (T0-T4) and using scientific methods of study
  • Research translation applies research findings to real-world policy and practice
  • Both concepts are essential for improving health outcomes and strengthening health systems
  • Together, they underpin our work at Sydney Health Partners

What is Translational Research?

Translational research is the process of creating and progressing scientific discoveries from fundamental research to practical applications. In health research, this process might start with discoveries that are made through basic sciences research, for example, using cells or animal models, which are subsequently developed and tested in human applications with the aim of improving health outcomes. Translational research follows a continuum with key phases, commonly referred to as T0 to T4, where phases T0-T2 translate basic science into human studies, while T3 and T4 translate new data into clinical practice and health decision-making.

T0: Basic Science Research

Basic science research, including preclinical and animal studies to identify mechanisms, targets, or molecules.

T1: Translation to humans

Proof of Concept, Phase 1 Clinical Trials
Translating findings from basic science into potential clinical applications, such as early drug development and safety testing. Includes new methods of diagnosis, treatment, and prevention.

T2: Translation to Patients

Phase 2 and 3 Clinical Trials
Controlled studies that expand testing to larger groups of people with specific health conditions to determine the effectiveness and any side effects of new treatments or health care approaches.

T3: Translation to Practice

Clinical Outcomes Research and Phase 4 Clinical Trials
Moving research discoveries from highly controlled conditions and implementing and monitoring them in real-world health care environments.

T4: Translation to Community

Population-level outcomes research
Determining the benefit to society, such as with population-level outcomes, cost-effectiveness, and long-term public health impacts. Examples include research that evaluates large-scale vaccination or public health promotion programs (healthy diet, regular exercise).

Above adapted from: Blumberg, R., Dittel, B., Hafler, D. et al. Unravelling the autoimmune translational research process layer by layer. Nat Med 18, 35–41 (2012). https://doi.org/10.1038/nm.2632

This structured approach ensures that innovations are not only scientifically sound but also practical, safe and beneficial for patients and communities.

What is Research Translation?

While translational research focuses on moving science along a pipeline of discovery and new evidence, research translation addresses the challenge of ensuring research findings are implemented “in the real world”. In health research, this means helping policymakers, health service leaders and staff, and the wider community use research findings to improve health policy, health care services and peoples’ health outcomes.

Research Translation is often associated with the T3-T4 phases of the translational research continuum and is sometimes referred to as:

  • Knowledge translation
  • Knowledge transfer and exchange
  • Research uptake
  • Research utilisation

The National Health and Medical Research Strategy 2026-2036 defines research translation as:

The process of moving research findings into practical application in real-world settings and making research findings accessible and usable to practitioners, policymakers and the public to inform decision making and improved health outcomes.

Examples of Research Translation

  • Conducting rapid evidence reviews to inform and shape health policy
  • Developing clinical guidelines to improve health care delivery based on the latest research evidence
  • Implementing new, tested technologies in healthcare settings
  • Redesigning services using the best available evidence
  • Discontinuing ineffective or harmful practices (e.g., antibiotics for the common cold)

The Research Translation Challenge

Even with research breakthroughs, far too many of them never make it into everyday care. On average, it takes 17 years for a scientific discovery to shift from the lab to the bedside. But with the right support and systems in place, we may be able to close that gap and bring life-changing innovations to patients sooner.

Key questions for identifying the challenges for research include:

  • How can researchers align their work with health system priorities?
  • How can health services better embrace research-driven innovations?
  • What barriers delay the adoption of evidence-based practices?

What is the Role of Implementation Science?

Implementation science is the field that studies how to promote the uptake of evidence-based practices in real-world care settings. It goes beyond ‘what works’ to ask how and why certain interventions are adopted, adapted, or resisted.

It aims to:

  • Understand the behaviours of healthcare professionals and organisations
  • Identify strategies that make evidence-based care the norm
  • Learn from successful implementations to replicate and expand them
  • Improve the quality and effectiveness of health care.

In short, implementation science aims to bridge the gap between knowing and doing. It plays a vital role in enabling research translation, especially when scaling innovations across health systems.

Sydney Health Partners: Bridging Research and Practice

Sydney Health Partners is one of several NHMRC-accredited Research Translation Centres in Australia. These centres aim to:

‘Encourage excellent health research and translation by bringing together researchers, healthcare providers, education and training to improve the health and well-being of patients and the populations they serve’.

Through our programs and strategic priorities, we support both research translation and translational research, while also advancing implementation science to ensure that scientific discoveries lead to real-world health improvements.

How Our Clinical Academic Groups Program Brings Research to Life

At Sydney Health Partners, our Clinical Academic Group (CAG) Program aims to drive research translation and implementation at scale across the partnership.

The CAGs are diverse, multidisciplinary teams of clinicians, researchers, and often consumers. Each group focuses on a specific clinical or service priority ranging from mental health to cancer to genomic medicine.

Their projects often fall within the T2-T4 phases of translational research and frequently incorporate implementation science principles. CAGs are uniquely positioned to identify local health needs, test solutions, and embed proven interventions into daily practice across healthcare settings.

Managed and coordinated by Sydney Health Partners, the CAG Program provides funding, organisational support, and in-kind services to foster collaboration and capability-building. It supports development opportunities, facilitates networking, and streamlines essential processes for real-world impact.

As one of Australia’s NHMRC-accredited Research Translation Centres, Sydney Health Partners plays a leading role in integrating research with clinical practice. Through initiatives like our CAG Program, Research Enabling Program, and Implementation Science Academy, we embed a commitment to turning great ideas into better health outcomes for all.

Continue your Learning

Explore our Knowledge Hub to help improve your translational research and implement your findings at scale. Learn how to translate evidence into practice with Introduction to Implementation Science: a free, five-step Knowledge Pathway from Sydney Health Partners Implementation Science Academy.

In under 40 minutes, you’ll explore key frameworks, study designs, and outcome measures that shape effective implementation. Designed by leading experts, this self-paced online course helps clinicians, researchers, and health leaders build the skills to move discoveries into everyday care.


References

Research Impact Academy. Demystifying research translation. Accessed 9 March 2020: https://researchimpactacademy.com/blog/demystifying-research-translation/

World Health Organization (WHO). Knowledge translation. Accessed 9 March 2020: https://www.who.int/ageing/health-systems/knowledge-translation/en/

Blumberg RS, Dittel B, Hafler D, von Herrath M, Nestle FO, 2012. Unravelling the autoimmune translational research process layer by layer. Nat Med; 18(1): 35–41. doi:10.1038/nm.2632

Rabin BA, 2017. Terminology for Dissemination and Implementation Research. In: RC Brownson, GA Colditz, EK Proctor (Eds), Dissemination and Implementation Research in Health: Translating Science to Practice. Oxford Scholarship Online, https://doi.org/10.1093/oso/9780190683214.001.0001

Vukotich CJ Jr, 2016. Challenges of T3 and T4 translational research. Journal of Research Practice; 12(2): P2.6.. NHMRC. Recognised Health Research and Translation Centres. Accessed 9 March 2020: https://www.nhmrc.gov.au/research-policy/research-translation/recognised-health-research-and-translation-centres