Thursday, September 18th, 2014

Dissemination and Implementation Resources


Researchers generally design effective health-based practices and interventions in order to improve public health. However, only a very small proportion of research innovations are ever put into practice and efforts to implement these practices can take many years (Balas & Boren, 2000). In order to bridge this gap between science and practice, the widespread dissemination and implementation of these innovations is needed.

What is Dissemination and Implementation?

Dissemination is the targeted distribution of information and intervention materials to a specific public health or clinical practice audience. The intent is to spread knowledge and the associated evidence-based interventions.

Implementation is the use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settings.
(Source: NIH, Dissemination and Implementation Research in Health Program Announcement)

Resources for Providers and Planners:

The Community Toolbox (University of Kansas)
Compendium of links to databases of evidence-based practices spanning a wide array of health domains, including HIV/AIDS, cancer, and substance abuse.

The Community Guide (National Center for Health Marketing, Centers for Disease Control)
Compendium of resources to help individuals choose programs and policies to improve health and prevent disease in their community.

Put Prevention Into Practice (PPIP) (Agency for Healthcare Research and Quality (AHRQ))
This site provides tools and resources to support health care organizations and engage the entire health care delivery system.

Community Planning & Intervention Selection (California HIV/AIDS Research Program, University of California)
The ChoiceHIV website provides many tools to assist community providers choose, implement, and evaluate evidence-based HIV prevention and treatment interventions.

Guidance for Comprehensive Cancer Control Planning (Centers for Disease Control (CDC))
Site provides guidelines and resources to implement evidence-based cancer prevention and treatment practices and interventions.

Resources for Researchers:

Dissemination & Implementation Measurement Compendium (Center for Health, Intervention, and Prevention, University of Connecticut, Storrs)
This white paper provides researchers with a synthesis of validated measurement tools designed to assess D&I-related constructs.

Center for Health Dissemination and Implementation Research (Kaiser Permanente Institute for Health Research)

Provides general resources including links to glossary of relevant terminology, guidelines for community collaborations, suggested reporting guidelines to facilitate dissemination of findings, and measurement tools.

National Implementation Research Network (FPG Child Development Institute, University of North Carolina, Chapel Hill)
Provides resources regarding core components of implementation process and relevant literature reviews.

RE-AIM (Virginia Tech College of Agriculture and Life Sciences)
This site provides an explanation of and resources (e.g., planning tools, measures, self-assessment quizzes, FAQs, comprehensive bibliography) for those wanting to apply the RE-AIM framework.

Grants & Training Opportunities

The purpose of this compendium is to provide researchers will a summary of available grant funding mechanisms and training opportunities to increase capacity to conduct dissemination and implementation research.

Compendiums of Evidence-Based Innovations:

Relevant Lectures

National Institutes of Health: Science of Dissemination & Implementation Conferences

CHIP Lecture Series

CICATS Community Engagement Lecture Series (Co-sponsored by CHIP)

Dissemination, Implementation, and Translation Research in Health Listserv

The purpose of this listserv is to distribute information on late-breaking research, practice, and policy activities in the area of dissemination and implementation in health care and public health, including publications, reports, conferences, meetings, program announcements, funding opportunities, and other various proceedings. To subscribe to the listserv, send an email to listserv@listserv.uab.edu with the body of the message stating: Subscribe D-I-Health your name. Monthly postings are also available on the Dissemination and Implementation in Health Listserv website.

For Further Reading:

Carpenter, D., Nieva, V., Albaghal, T., & Sorra, J. (2005).   Development of a planning tool to guide dissemination of research results. Advances in patient safety: From research to implementation. Vol. 4, Programs, tools, and products. AHRQ pub. 05-0021-4. Rockville, MD: Agency for Healthcare Research and Quality.

Dearing, J. W. & Kreuter, M. W. (2010). Designing for diffusion: How can we increase uptake of cancer communication innovations? Patient Education and Counseling, 81(Supplement), 100-110.

Dougherty, D., & Conway, P. H. (2008). The “3Ts” road map to transform US health care: The “how” of high-quality care. Journal of the American Medical Association, 299, 2319-2321. doi:10.1001/jama.299.19.2319

Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89, 1323-1327. doi:10.2105/AJPH.89.9.1322

Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., & Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Admin Policy Mental Health, 38, 65-76.

Rabin, B. A., Brownson, R. C., Haire-Joshu, D., Kreuter, M. W., & Weaver, N. D. (2008). A glossary for dissemination and implementation research in health. Journal of Public Health Management Practice, 14, 117–123.

Rogers, E. M. (2003). Diffusion of Innovations (5th ed.). New York: Free Press.

Spoth, R. (2008). Translating family-focused prevention science into effective practice: Toward a translational impact paradigm. Current Directions in Psychological Science, 17, 415-421. doi:10.1111/j.1467-8721.2008.00617.x

Westfall, J. M., Mold, J., & Fagnan, L. (2007). Practice-based research—“Blue highways” on the NIH roadmap. Journal of the American Medical Association, 297, 403-406. doi:10.1001/jama.297.4.403

Woolf, S. H. (2008). The meaning of translational research and why it matters. Journal of the American Medical Association, 299, 211-213. doi:10.1001/jama.2007.26

For more information, see the suggested reading list from the Implementation Research Institute (IRI) at Washington University in St. Louis.