The ITHS Dissemination and Implementation (D&I) program accelerates the uptake of research findings into clinical and community settings by…
The Dissemination and Implementation program team can help investigators develop or refine interventions for success in real-world settings, design and conduct their D&I research, and select appropriate clinical or community-based settings for their D&I research.
Complete the “Request Services” form at the bottom of this page to request a free D&I consultation.
Dissemination is the targeted distribution of information and intervention materials to a specific public health or practice audience. The intent of dissemination is to spread knowledge and subsequently the associated evidence-based health care practice.
An effectiveness study demonstrated that a new team-based approach to asthma care in primary care practice reduced asthma exacerbations and lowered healthcare costs. To disseminate this new approach (or “intervention”), the researcher will need to reach primary care providers and practices using different strategies for different audiences. The researcher will also need to create materials or tools to support the sharing of knowledge with the target audience. The researcher will need to develop measures to assess the effectiveness of the dissemination effort by measuring change in knowledge or reported/observed use of the asthma intervention.
Implementation is the use of strategies to help specific settings (clinical or community-based) adopt and integrate evidence-based health interventions in order to change practice patterns.
As asthma researcher with an effective asthma intervention is interested in ensuring the intervention is widely used in primary care settings. The intervention requires a team-based approach to asthma management. ‘Practice facilitation’ is a type of implementation strategy that could help integrate the asthma intervention into current practice. A ‘practice facilitator’ meets with clinical leadership to plan and implement the new intervention, including providing support for identifying roles and responsibilities, developing training materials and monitoring the success of the intervention. The researcher will need to develop tools and workflows that clinics can use to implement the new intervention, provide training to practice facilitators to support their efforts and select measures to assess the degree to which implementation occurred as planned.
Dissemination and implementation sciences study methods to promote widespread knowledge about evidence-based interventions and the systematic uptake and use of research findings in routine practice to improve the quality and effectiveness of health care and health care services.
Even after study results have been published and a new medical intervention has demonstrated improvement, it can take years for the improvement to become a part of standard care. Only 14% of new scientific discoveries ever enter clinical practice, and of those that do, the translation takes on average 17 years (Balas 2000, Morris 2011). Failures and delays in sharing evidence-based interventions results in significant negative health impact across all diseases and conditions. Dissemination and implementation sciences work to develop methods and tools to address these gaps.
The D&I Program team consults with investigators about the application of D&I principles related to their research and/or the conduct of D&I research.
The team can help investigators…
The following websites are examples selected by the D&I team to assist in D&I sciences.
Up to two hours of consultation are available at no charge. Additional consultation time is available if the D&I Program team is included in a grant proposal.
The following organizations fund dissemination and implementation proposals.
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