Mixed Methods Evaluation in Dissemination and Implementation Science

Author(s):  
Lawrence A. Palinkas ◽  
Brittany Rhoades Cooper

In reviewing the rapidly growing literature on the use of mixed methods to address important issues confronting the science of dissemination and implementation, the authors make two observations. The first observation is that mixed methods reflect an iterative process of data collection and analysis that involves both inductive and deductive approaches to understanding complex phenomena. Second, this chapter begins with the observation that using mixed methods is more than parallel play involving separate quantitative and qualitative studies. Both the iterative nature of dissemination and implementation science and the likely debate and compromises involved in selection and application of quantitative and qualitative methods in a mixed method design demand attention on the part of the investigators to document and detail the rationale for the selection of methods and the process and outcomes of their use.

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

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

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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