Translation and Dissemination of Theory-based Interventions

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Translation and Dissemination of Theory-based Interventions
2012-12-07 22:15:43
Translation Dissemination Theory based Interventions

Translation and Dissemination of Theory-based Interventions
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  1. Describe translation and dissemination of theory-based interventions.
    • Theory-based programs and policies
    • Translationsand dissemination
    • Widespread adoption in practice
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. Describe Implementation.
    • 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
  8. 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