Dissemination and implementation science activities across the Clinical Translational Science Award (CTSA) Consortium: Report from a survey of CTSA leaders

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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The role of dissemination and implementation science in global breast cancer control programs: Frameworks, methods, and examples

Cancer ◽

10.1002/cncr.32877 ◽

2020 ◽

Vol 126 (S10) ◽

pp. 2394-2404 ◽

Cited By ~ 7

Author(s):

Anne F. Rositch ◽

Karla Unger‐Saldaña ◽

Rebecca J. DeBoer ◽

Anne Ng’ang’a ◽

Bryan J. Weiner

Keyword(s):

Breast Cancer ◽

Implementation Science ◽

Cancer Control ◽

Dissemination And Implementation ◽

Control Programs ◽

Dissemination And Implementation Science ◽

Breast Cancer Control

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Linking dissemination and implementation science to Learning Health Systems: Opportunities for Clinical and Translational Science Award institutions

Journal of Clinical and Translational Science ◽

10.1017/cts.2020.15 ◽

2020 ◽

Vol 4 (3) ◽

pp. 176-179 ◽

Cited By ~ 1

Author(s):

Nancy M. Bennett ◽

Elissa Orlando ◽

Paul Meissner

Keyword(s):

Health Systems ◽

Care Delivery ◽

Health Improvement ◽

Dissemination And Implementation ◽

Translational Science ◽

Evidence Based Practices ◽

Dissemination And Implementation Science ◽

Research Integration ◽

Critical Components

AbstractLearning Health Systems (LHS) iteratively implement and evaluate health improvement projects. Dissemination and implementation (D&I) science is the study of evidence-based practices in real-world settings, a critical tool for LHS. This paper explores intersections between LHS and D&I science in Clinical and Translational Science Awards (CTSAs) institutions and identifies critical components of collaboration. We conducted website scans of 34 CTSAs and their home institutions that had Dissemination, Implementation, and Knowledge Translation (DIKT) Workgroup members. We identified linkages between CTSAs and their institutions’ LHS. We interviewed six CTSA leaders experienced in LHS and D&I sciences. Nearly half of CTSAs identified an LHS structure on their websites, but only one-third indicates CTSA involvement in these efforts. Interviewees identified key components for successful integration of LHS and D&I sciences: leadership, infrastructure, balance between rigor and efficiency, and aligned incentives. The need for research integration in LHS, to improve evaluation and increase knowledge, is an emerging opportunity for D&I scientists and CTSAs. CTSAs that are engaged in D&I science can introduce and/or expand the role of D&I science in LHS. Collaboration between CTSAs and clinical leaders could result in strengthened relationships between clinical and research enterprises, effective and efficient health care delivery, and improved health.

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Adaptation in Dissemination and Implementation Science

10.1093/oso/9780190683214.003.0017 ◽

2017 ◽

Cited By ~ 19

Author(s):

Ana A. Baumann ◽

Leopoldo J. Cabassa ◽

Shannon Wiltsey Stirman

Keyword(s):

Implementation Science ◽

Implementation Research ◽

Implementation Strategies ◽

Dissemination And Implementation ◽

Research And Practice ◽

Implementation Outcomes ◽

Dissemination And Implementation Science ◽

Dissemination And Implementation Research

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.

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Diffusion of Innovations

The Oxford Handbook of Organizational Change and Innovation ◽

10.1093/oxfordhb/9780198845973.013.23 ◽

2021 ◽

pp. 610-638

Author(s):

James W. Dearing

Keyword(s):

External Validity ◽

Diffusion Of Innovations ◽

Change Processes ◽

Dissemination And Implementation ◽

Rapid Rise ◽

Diffusion Study ◽

Research And Practice ◽

Dissemination And Implementation Science ◽

Implementation Of Innovations

The main concepts of the diffusion of innovations represent a hybrid change research and practice paradigm that blends ideas that can now be found in life cycle, evolutionary, and teleological theories of social change. This chapter discusses why the paradigm developed in the ways that it did, including the shortcomings of this approach, especially for studying the role of organizations in change processes. The chapter also examines the rapid rise of dissemination and implementation science as conducted by health services and public health researchers and how those new literatures are related to diffusion. This paradigmatic evolution from descriptive and explanatory studies to intervention research utilizing diffusion concepts is a theme of this chapter, with emphases on organizational implementation of innovations, inter-organizational diffusion, external validity of innovations and how a recognition of the agency of adopters can reshape diffusion study.

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