My ECHO (translating Evidence in Child Health to improve Outcomes) research program focuses on knowledge translation in pediatric health settings to improve outcomes for children, their families, and the health care system. The goal of knowledge translation activities is to increase the use of relevant knowledge, commonly research, among clinicians, managers, administrators, and policy makers. Knowledge translation problems are complex because they involve behavior change among providers working in complex and high velocity health care organizations. In my research program, I explore the reasons why research is used or not and what facilitates and hinders this process, with a particular focus on elements of the context or work environment.