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Dissemination & Implementation program

Dissemination & Implementation Program

The ITHS Dissemination and Implementation (D&I) program accelerates the uptake of research findings into clinical and community settings by…

  • Providing consultation and resources to investigators studying the dissemination and implementation of evidence-based interventions
  • Connecting investigators with methods and tools for scale up and spread of their research findings into practice
  • Conducting research to advance the science of dissemination and implementation

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.

About Dissemination and Implementation Science

About Dissemination and Implementation Science

What is Dissemination and Implementation?

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.

Example

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.

Example

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.

What is Dissemination and Implementation Science?

Dissemination and implementation science is the scientific study of methods to promote the systematic uptake of research findings and other evidence-based interventions into routine practice to improve the quality and effectiveness of health care and health care services.

Why is Dissemination and Implementation Science Important?

Clinical research findings can take a long time to become part of patient care. 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 science works to develop methods and tools to address these gaps.

Ballas E, Boren A, Suzanne A.  Managing clinical knowledge for health care improvement.  In: Bemmel J, McCray AT, editors. Yearbook of Medical Informatics 2000: Patient-Centered Systems. Stuttgart, Germany: Schattauer Verlagsgesellschaft mbH; 2000:65-70.

Morris ZS, Wooding S, Grant J.  The answer is 17 years, what is the question: understanding tie lags in translational research.  J R Soc Med 2011;104(12):510-20.

How Researchers Use Our Consultation Service

How Researchers Use our D&I Consultation Service

The D&I Program team consults with investigators about the development and conduct of dissemination and implementation strategies and studies.

The team can help investigators…

  • Determine valid measures
  • Identify tools and study designs
  • Establish connections with D&I scientists nationally
  • Collaborate with clinician, community, or patient representatives

CTSA D&I Resources

CTSA D&I Resources

Fees

Fees

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.

Funding Sources
Contact Us

Contact Us

Request Services

Request Services

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References

References

Ballas E, Boren A, Suzanne A.  Managing clinical knowledge for health care improvement.  In: Bemmel J, McCray AT, editors. Yearbook of Medical Informatics 2000: Patient-Centered Systems. Stuttgart, Germany: Schattauer Verlagsgesellschaft mbH; 2000:65-70.

Morris ZS, Wooding S, Grant J.  The answer is 17 years, what is the question: understanding tie lags in translational research.  J R Soc Med 2011;104(12):510-20.

McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med2003; 348: 2635–45

Oxman AD, Thomson MA, Davis DA, Haynes RB. No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. CMAJ1995; 153: 1423–31

Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC: Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science

Cite ITHSThe Institute is supported by grants UL1 TR002319, KL2 TR002317, and TL1 TR002318 from the NIH National Center for Advancing Translational Sciences through the Clinical and Translational Science Awards Program (CTSA).

Please help us continue to support your research by citing our grant number(s) in publications we supported.