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

2020 ◽  
Vol 4 (3) ◽  
pp. 176-179 ◽  
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.

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

2019 ◽  
Vol 4 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Rowena J. Dolor ◽  
Enola Proctor ◽  
Kathleen R. Stevens ◽  
Leslie R. Boone ◽  
Paul Meissner ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Implementation Science ◽  
Working Group ◽  
Dissemination And Implementation ◽  
Translational Science ◽  
Formal Element ◽  
Dissemination And Implementation Science ◽  
Qualitative Analyses ◽  
Science Activities

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.

Diffusion of Innovations

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.

scholarly journals Bridging the gap between research, policy, and practice: Lessons learned from academic–public partnerships in the CTSA network

2020 ◽  
Vol 4 (3) ◽  
pp. 201-208 ◽  
Author(s):  
Amytis Towfighi ◽  
Allison Zumberge Orechwa ◽  
Tomás J. Aragón ◽  
Marc Atkins ◽  
Arleen F. Brown ◽  
...  
Keyword(s):  
Public Health ◽  
Population Health ◽  
Research Policy ◽  
Care Delivery ◽  
Lessons Learned ◽  
Dissemination And Implementation ◽  
Policy And Practice ◽  
Sustainable Infrastructure ◽  
Dissemination And Implementation Science ◽  
Competing Priorities

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.

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

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
Keyword(s):  
Breast Cancer ◽  
Implementation Science ◽  
Cancer Control ◽  
Dissemination And Implementation ◽  
Control Programs ◽  
Dissemination And Implementation Science ◽  
Breast Cancer Control

scholarly journals Situating dissemination and implementation sciences within and across the translational research spectrum

2019 ◽  
Vol 4 (3) ◽  
pp. 152-158 ◽  
Author(s):  
Aaron L. Leppin ◽  
Jane E. Mahoney ◽  
Kathleen R. Stevens ◽  
Stephen J. Bartels ◽  
Laura-Mae Baldwin ◽  
...  
Keyword(s):  
Translational Research ◽  
Return On Investment ◽  
Task Force ◽  
Healthcare Research ◽  
Research Translation ◽  
Dissemination And Implementation ◽  
Translational Science ◽  
Academic Health ◽  
Health Institutions

AbstractThe efficient and effective movement of research into practice is acknowledged as crucial to improving population health and assuring return on investment in healthcare research. The National Center for Advancing Translational Science which sponsors Clinical and Translational Science Awards (CTSA) recognizes that dissemination and implementation (D&I) sciences have matured over the last 15 years and are central to its goals to shift academic health institutions to better align with this reality. In 2016, the CTSA Collaboration and Engagement Domain Task Force chartered a D&I Science Workgroup to explore the role of D&I sciences across the translational research spectrum. This special communication discusses the conceptual distinctions and purposes of dissemination, implementation, and translational sciences. We propose an integrated framework and provide real-world examples for articulating the role of D&I sciences within and across all of the translational research spectrum. The framework’s major proposition is that it situates D&I sciences as targeted “sub-sciences” of translational science to be used by CTSAs, and others, to identify and investigate coherent strategies for more routinely and proactively accelerating research translation. The framework highlights the importance of D&I thought leaders in extending D&I principles to all research stages.

scholarly journals Online resources for dissemination and implementation science: Meeting demand and lessons learned

2018 ◽  
Vol 2 (5) ◽  
pp. 259-266 ◽  
Author(s):  
Bryan S. Ford ◽  
Borsika Rabin ◽  
Elaine H. Morrato ◽  
Russell E. Glasgow
Keyword(s):  
Workforce Development ◽  
Design Thinking ◽  
Lessons Learned ◽  
Online Resources ◽  
Dissemination And Implementation ◽  
Translational Science ◽  
Educational Materials ◽  
Web Based ◽  
Science Theory ◽  
Dissemination And Implementation Science

AbstractA dramatically increased interest in dissemination and implementation (D&I) science, with relatively few training programs for D&I scientists, highlights the need for innovative ways to deliver educational materials, training, and resources. We described nine interactive, web-based D&I science resources appropriate for trainees and Clinical and Translational Science Awards. We used audience feedback and design thinking to develop resources iteratively. Primary target users are T3–T4 researchers, although T2 researchers can benefit from “designing for dissemination” resources. Workforce development resources were used in D&I science workshops, as stand-alone, self-directed resources, and for consultations and trainings. We assessed resource design (purpose, functionality), usage, user experience and engagement. Educational resources addressed included: D&I science basics, pragmatic trials, getting proposals funded, designing for dissemination, and D&I science theory selection. We reviewed the purpose, functionality, status, and usage of these interactive resources. All resources engaged users; provided interactive feedback for learners; and linked users to additional learning resources. Online resources can be valuable for preparing clinical and translational mentees for research consultations, as follow-up training activities, and as D&I workforce development resources. The resources described are publicly available and we encourage their use, further development, and evaluation by Clinical and Translational Science Awards and other programs.

scholarly journals Health systems strengthening, dissemination, and implementation science in Africa: quo vadis?

2021 ◽  
Vol 40 ◽  
Author(s):  
Berjo Dongmo Takoutsing ◽  
Chibuikem Ikwuegbuenyi ◽  
Alice Umutoni ◽  
Oloruntoba Ogunfolaji ◽  
Nourou Dine Adeniran Bankole ◽  
...  
Keyword(s):  
Implementation Science ◽  
Health Systems ◽  
Health Systems Strengthening ◽  
Dissemination And Implementation ◽  
Dissemination And Implementation Science ◽  
Quo Vadis

The Role of the SLP in Autism Spectrum Disorder Screening and Assessment

2008 ◽  
Vol 15 (2) ◽  
pp. 50-59 ◽  
Author(s):  
Amy Philofsky
Keyword(s):  
Language Development ◽  
Critical Role ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Children With Asd ◽  
Prevalence Estimates ◽  
Notable Increase ◽  
Screening Assessment ◽  
Critical Components

AbstractRecent prevalence estimates for autism have been alarming as a function of the notable increase. Speech-language pathologists play a critical role in screening, assessment and intervention for children with autism. This article reviews signs that may be indicative of autism at different stages of language development, and discusses the importance of several psychometric properties—sensitivity and specificity—in utilizing screening measures for children with autism. Critical components of assessment for children with autism are reviewed. This article concludes with examples of intervention targets for children with ASD at various levels of language development.

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