evidence

evidence

evidence

evidence

Evidence

Research to Reality: Building Dissemination and

Implementation (D&I) Science

Russell E. Glasgow, Ph.D. Deputy Director, Implementation Science

Division of Cancer Control and Population SciencesNational Cancer Institute

NIH Annual D&I Science MeetingMarch 22, 2011

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Observations from D & I Conference

• Role of D&I/KT in Comparative Effectiveness Research

• Opportunity for International Collaboration

• Need for more Policy Research

• Shift focus away from basic and efficacy research (Kessler and Glasgow, in press)

• Funders are building capacity for more D&I research

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D & I Meeting Observations Cont.

• Key Need for Pragmatic Trials and Cost-Effectiveness Research

• Disruptive Innovations- task shifting

• Dr. Clancy- ‘Will it work HERE?’ (Realist review- Pawson) and Need for Replication

• Dr. Kaplan- Need for Attention to ALL Steps in the Dissemination ‘Cascade’

• Continued Focus on Reducing Disparities, Broadly Defined

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Conference Observations contd.

• Meeting materials (presentations, program book, archived webcasts) will be available at the end of April at:- http://conferences.thehillgroup.com/

obssr/DI2011/contact.html

- Need for more Training in D &I

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Dissemination & Implementation Science Meetings and Trainings• NIH: Training Institute for D&I Research in

Health- Chapel Hill, NC August 1-5, 2011- http://conferences.thehillgroup.com/

OBSSRinstitutes/TIDIRH2011/index.html- Applications Due April 15

• Canada: Knowledge Translation Training & Resources- http://ktclearinghouse.ca/ktcanada

• Other - http://www.queri.research.va.gov/ciprs/ImplSci-

TrainingDirectory.pdf

Research to Reality (R2R): A Virtual Community of Practice

A dialogue between practitioners and researchers on how to move evidence-based

programs into practice•Launched February, 2011 (NCI)

- Linked to Cancer Control P.L.A.N.E.T. Step 2

•Site Features:- Monthly cyber-seminars- Discussion forums- An events calendar- Featured partners- Community profiles

https://ResearchtoReality.cancer.gov

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Identifying Practical Patient-Report Measures for the Electronic Health Record • Rationale: One thing is missing from all the

investment and advances in EHRs- patient reports

• Scope: 13 areas most commonly encountered in adult primary care related to:– Health Behaviors- tobacco, healthy eating,

medication adherence, physical activity, substance use

– Psychosocial Factors- • Outcomes- quality of life, depression, anxiety, sleep,

stress/distress, patient goals and preferences• Influences- health literacy/numeracy, demographics

Current Gap D&I: What we know

Decision Support Tools Future Directions/D&I

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Patient Report EHR Measures Project Phases• Identify 2-3 candidate measures

• Widespread web-based wiki activityYOU are invited: www.gem-beta.org

(till April 4 or 11?)

• Meeting on May 2-3- Day 1 town hall followed by Day 2 invited stakeholder decision makers

• Post Meeting and Beyond: Your advice, suggestions?

Current Gap D&I: What we know

Decision Support Tools Future Directions/D&I

“The significant problems we

face cannot be solved by the

same level of thinking that

created them.”

A. Einstein

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