scholarly journals Dissemination and implementation research in dementia care: a systematic scoping review and evidence map

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Ilianna Lourida ◽  
Rebecca A Abbott ◽  
Morwenna Rogers ◽  
Iain A Lang ◽  
Ken Stein ◽  
...  
Author(s):  
Ross C. Brownson ◽  
Graham A. Colditz ◽  
Enola K. Proctor

This chapter highlights just a sample of the many rich areas for dissemination and implementation research that will assist us in shortening the gap between discovery and practice, thus beginning to realize the benefits of research for patients, families, and communities. Greater emphasis on implementation in challenging settings, including lower and middle-income countries and underresourced communities in higher income countries will add to the lessons we must learn to fully reap the benefit of our advances in dissemination and implementation research methods. Moreover, collaboration and multidisciplinary approaches to dissemination and implementation research will help to make efforts more consistent and more effective moving forward. Thus, we will be better able to identify knowledge gaps that need to be addressed in future dissemination and implementation research, ultimately informing the practice and policies of clinical care and public health services.


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.


Author(s):  
Cara C. Lewis ◽  
Enola K. Proctor ◽  
Ross C. Brownson

The National Institutes of Health, the Agency for Healthcare Research and Quality, the CDC, and a number of private foundations have expressed the need for advancing the science of dissemination and implementation. Interest in dissemination and implementation research is present in many countries. Improving health care requires not only effective programs and interventions, but also effective strategies to move them into community based settings of care. But before discrete strategies can be tested for effectiveness, comparative effectiveness, or cost effectiveness, context and outcome constructs must be identified and defined in such a way that enables their manipulation and measurement. Measurement is underdeveloped, with few psychometrically strong measures and very little attention paid to their pragmatic nature. A variety of tools are needed to capture health care access and quality, and no measurement issues are more pressing than those for dissemination and implementation science.


2016 ◽  
Vol 70 (Suppl 1) ◽  
pp. A19.2-A19
Author(s):  
I Lourida ◽  
R Abbott ◽  
I Lang ◽  
M Rogers ◽  
B Kent ◽  
...  

2020 ◽  
Author(s):  
Bryan R Garner ◽  
Sheila Patel ◽  
M. Alexis Kirk

Abstract Background: The challenge of implementing evidence-based innovations within practice settings is a significant public health issue the field of implementation research (IR) is focused on addressing. Significant amounts of funding, time, and effort have been invested in IR to date, yet there remains significant room for advancement, especially regarding IR’s development of scientific theories as defined by the National Academy of Sciences (i.e., a comprehensive explanation of the relationship between variables that is supported by a vast body of evidence). Research priority setting (i.e., promoting consensus about areas where research effort will have wide benefits to society) is a key approach to helping accelerate research advancements. Thus, building upon existing IR, general principles of data reduction, and a general framework for moderated mediation, this article identifies priority domains, aims, and testable hypotheses for IR and describes a scoping review protocol to identify and map the extent to which IR has examined these priorities to date.Methods: Implementation Science is the leading journal for publishing IR and receives over 800 submissions annually. Thus, this scoping review will focus on IR published in Implementation Science between its inception in 2006 and 12/31/2019. The current scoping review and evidence map protocol has been developed in accordance with the approach developed by Arksey & O’Malley and advanced by Levac, Colquhoun, and O’Brien. All research articles and short reports will be reviewed. Because scoping reviews seek to provide an overview of the identified evidence base rather than synthesize findings from across studies, we plan to use our data-charting form to provide a descriptive overview of implementation research to-date and summarize the research via one or more summary tables. We will use the priority aims and testable hypotheses (PATH) diagram, which integrates the four priority domains, three priority aims, and four priority testable hypotheses, to develop a map of the evidence (or lack thereof).Discussion: This scoping review and evidence map is intended to help accelerate IR focused on one or more of IR’s priority aims and testable hypotheses, which in turn will accelerate IR’s development of NAS-defined scientific theories and, subsequently, improvements in public health.Systematic review registration: Open Science Framework: https://osf.io/3vhuj/


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