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Describe translation and dissemination of theory-based interventions.
- Theory-based programs and policies
- Translationsand dissemination
- Widespread adoption in practice
Why don't theoretical findings about health behavior get put into practice?
- Researchers often don't do research which is relevant to practice
- There may be gaps in the evidence which makes it unclear that the intervention will be successful in practice
- Researchers often don't report findings in ways that practiioners can implement
- Practitioners may not be able to read & synthesize the scientific literature
- Practitioners may resist changes, feel they already know the best way to do things
Describe the first steps in research translation.
- Translating and summarizing research findings into practical recommendations
- ---Examples - CDC Recommendations and Reports series
- --- Community Preventative Service Task Force reports
- --- Note that many reasearch syntheses don't result in useful, practice-based recommendations
- --- Reviews may only include studies which meet "high standards of research quality" but that may mean they don't represent the reality of practice
- --- Efficacy vs. effectiveness
Two examples follow of agencies which create useful research summaries
Describe diffusion vs. dissemination.
- Diffusion - overall spread of an innovation or a program; process by which information about the innovation or program spreads through communication channels
- Dissemination - planned, systematic efforts design to make the program or innovation more widely available
Describe how to use RE-AIM to facilitate evidence-based practices.
- Reach: how big/how many people
- Efficacy/effectiveness - theory based research: does it work
- Adoption: what group or agency will offer intervention
- Implementation: can that group offer it consistently / foolproof
- Maintenance: will the intervention be continued over time
Describe Reach and Adoption.
- Identifying potential adopting organizations
- --- Who can implement program or adopt policy?
- --- What population could they reach?
- --- How can "reach" into the population be maximized?
Using Community Coalition Theory; Stages of Change for Organizations; Diffusion of Innovation Theory to encourage adoption
- Packaging programs for real-world implementation
- --- Materials; staff training; curriculum guide, etc.
- --- Recall Diffusion Theory - characteristics of an innovation which facilitate adoption
- --- Relative advantage; compatability; complexity; trialability, etc.
Manuals and advice pertaining to policy implementation; model policies
Describe the steps toward evidence-based practice in public health.
- Translation of findings into enactable recommendations
- Development of "packages" of program and policies that can be used in practice
- Identification of potential adopting organizations, their characteristics and needs
- Working with adopting oganizations to achieve adoption & implementation
- Assess, adapt, adjust