scholarly journals Application of Community – Engaged Dissemination and Implementation Science to Improve Health Equity

2021 ◽  
pp. 101620
Author(s):  
Chelsey R. Schlechter ◽  
Guilherme Del Fiol ◽  
Cho Y. Lam ◽  
Maria E. Fernandez ◽  
Tom Greene ◽  
...  
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.


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 ◽  
...  

2017 ◽  
Vol 112 (3) ◽  
pp. 1367-1390 ◽  
Author(s):  
Wynne E. Norton ◽  
Alina Lungeanu ◽  
David A. Chambers ◽  
Noshir Contractor

2019 ◽  
Vol 4 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Rowena J. Dolor ◽  
Enola Proctor ◽  
Kathleen R. Stevens ◽  
Leslie R. Boone ◽  
Paul Meissner ◽  
...  

AbstractIntroduction:Dissemination and implementation (D&I) science is not a formal element of the Clinical Translational Science Award (CTSA) Program, and D&I science activities across the CTSA Consortium are largely unknown.Methods:The CTSA Dissemination, Implementation, and Knowledge Translation Working Group surveyed CTSA leaders to explore D&I science-related activities, barriers, and needed supports, then conducted univariate and qualitative analyses of the data.Results:Out of 67 CTSA leaders, 55.2% responded. CTSAs reported directly funding D&I programs (54.1%), training (51.4%), and projects (59.5%). Indirect support (e.g., promoted by CTSA without direct funding) for D&I activities was higher – programs (70.3%), training (64.9%), and projects (54.1%). Top barriers included funding (39.4%), limited D&I science faculty (30.3%), and lack of D&I science understanding (27.3%). Respondents (63.4%) noted the importance of D&I training and recommended coordination of D&I activities across CTSAs hubs (33.3%).Conclusion:These findings should guide CTSA leadership in efforts to raise awareness and advance the role of D&I science in improving population health.


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