What Is Dissemination and Implementation Science?: An Introduction and Opportunities to Advance Behavioral Medicine and Public Health Globally

2020 ◽  
Vol 27 (1) ◽  
pp. 3-20 ◽  
Author(s):  
Rachel C. Shelton ◽  
Matthew Lee ◽  
Laura E. Brotzman ◽  
Luke Wolfenden ◽  
Nicole Nathan ◽  
...  
2020 ◽  
Author(s):  
Amy Drahota ◽  
Heatherlun Uphold ◽  
Maji Hailemariam ◽  
Tatiana E. Bustos ◽  
Luther Evans ◽  
...  

UNSTRUCTURED Background Focused dissemination and implementation (D&I) of research results is a key strategy for improving public health. While federally-funded research centers are required to have a dissemination core, these efforts are typically directed toward academics (e.g., manuscripts, academic presentations) with limited focus on broader dissemination efforts to community stakeholders, evaluation of D&I processes, or the public health impact associated with the D&I efforts. An opportunity exists to combine the dissemination core requirement in center grants with specific dissemination and implementation research aims. This study protocol describes aims of the “Dissemination and Implementation Science Core” (DISC), developed as part of the NIMHD-funded Flint Center for Health Equity Solutions (FCHES). The FCHES is a Transdisciplinary Collaborative Center focused on reducing health disparities and chronic disease prevention in Region 5 of the United States. The DISC intends to develop D&I strategies for the FCHES research projects, conduct research on the effectiveness of D&I practices, and produce generalizable knowledge about strategies facilitating the translation of research outcomes into community-based settings. Methods/Design The DISC consists of both applied dissemination aims as well as D&I research aims, including: (1) Reduce research-to-practice gap in health promotion trials in Flint, Michigan and Region 5; (2) Disseminate FCHES research activities to local and regional stakeholders; (3) Increase community capacity to utilize dissemination, implementation and sustainment strategies in underserved minority-majority communities; (4) Increase community capacity to affect health equity policy change; and (5) Evaluate contextual factors affecting public health effort sustainment. The proximal intended audience of the DISC’s efforts includes the FCHES academic and community partners, and regional stakeholders, such as providers, policymakers, community-based health and advocacy organizations, and consumers. Discussion To our knowledge, this is the first center-funded dissemination core that focuses on the conduct of D&I science research, collaboration to embed D&I research methods into the broader center project efforts, and application of these findings in real-world, community-based settings. Moreover, the lessons learned through the DISC may help guide future center dissemination cores. Including D&I science research into center project activities from the outset may facilitate more efficient uptake of research findings and yield greater public health outcomes.


Author(s):  
Ana A. Baumann ◽  
Leopoldo J. Cabassa ◽  
Shannon Wiltsey Stirman

This chapter focuses on adaptations in the context of dissemination and implementation research and practice. Consistent with the existing literature, the authors recommend that adaptations be proactively and iteratively determined, strongly informed by a variety of stakeholders, and that efforts be made to carefully describe and document the nature of the adaptations and evaluate their impact on desired service, health, and implementation outcomes. While this chapter focuses on adaptations to interventions and the context of practice, the authors also note that adaptations may need to be made to implementation strategies. Following the call by Proctor and colleagues for further precision in defining and operationalizing implementation strategies, and based on evidence that scholars are not necessarily reporting what and how they are adapting the interventions, scholars are urged to define and evaluate the adaptations they are making not only to the interventions and context of practice but also to the implementation strategies.


2020 ◽  
Vol 4 (3) ◽  
pp. 201-208 ◽  
Author(s):  
Amytis Towfighi ◽  
Allison Zumberge Orechwa ◽  
Tomás J. Aragón ◽  
Marc Atkins ◽  
Arleen F. Brown ◽  
...  

AbstractA primary barrier to translation of clinical research discoveries into care delivery and population health is the lack of sustainable infrastructure bringing researchers, policymakers, practitioners, and communities together to reduce silos in knowledge and action. As National Institutes of Healthʼs (NIH) mechanism to advance translational research, Clinical and Translational Science Award (CTSA) awardees are uniquely positioned to bridge this gap. Delivering on this promise requires sustained collaboration and alignment between research institutions and public health and healthcare programs and services. We describe the collaboration of seven CTSA hubs with city, county, and state healthcare and public health organizations striving to realize this vision together. Partnership representatives convened monthly to identify key components, common and unique themes, and barriers in academic–public collaborations. All partnerships aligned the activities of the CTSA programs with the needs of the city/county/state partners, by sharing resources, responding to real-time policy questions and training needs, promoting best practices, and advancing community-engaged research, and dissemination and implementation science to narrow the knowledge-to-practice gap. Barriers included competing priorities, differing timelines, bureaucratic hurdles, and unstable funding. Academic–public health/health system partnerships represent a unique and underutilized model with potential to enhance community and population health.


Cancer ◽  
2020 ◽  
Vol 126 (S10) ◽  
pp. 2394-2404 ◽  
Author(s):  
Anne F. Rositch ◽  
Karla Unger‐Saldaña ◽  
Rebecca J. DeBoer ◽  
Anne Ng’ang’a ◽  
Bryan J. Weiner

2017 ◽  
Vol 52 (3) ◽  
pp. S322-S329 ◽  
Author(s):  
Rachel G. Tabak ◽  
Margaret M. Padek ◽  
Jon F. Kerner ◽  
Kurt C. Stange ◽  
Enola K. Proctor ◽  
...  

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