Dr. Geoffrey Curran’s presentation addresses the topic of hybrid effectiveness-implementation studies, a set of approaches to simultaneously studying the effectiveness of health interventions and the strategies to implement them in community and clinical practice settings. His presentation unpacks the rationale for these designs, a typology of designs based on the state of science for a given intervention, and provides examples of studies utilizing these important methods.
Applying Models and Frameworks to Dissemination and Implementation (D&I) Research: An Overview & Analysis
Part of a joint presentation, Dr. Rachel Tabak presents a review which uses snowball sampling to develop an inventory of models, synthesizes this information, and provide guidance on how to select a model. Dr. Ted Albert Skolarus discusses an examination of citation frequency and impact of D&I models using citation analysis.
Balancing Fidelity & Adaptation: If We Want More Evidence-Based Practice, We Need More Practice-Based Evidence
In this webinar, Drs. Larry Green and Rachel Gold deliver a joint presentation on fidelity and adaptation. Fidelity and adaptation relate to the manner in which the evidence from a research study is brought to practice. There is fidelity if the program is implemented in a way that is very similar to how it was originally designed, and there is adaptation when there are changes made to the process and content of the program to fit to a particular context. In most cases, contextual factors can influence the ability to maintain fidelity as well as the need for adaptation.
A report that provides guidance to NIH investigators on how to rigorously develop and evaluate mixed methods research applications.
This archive provides a collection of webinars on methodology. The topics include HIV prevention, implementation methods, personalized medicine, complexity, and longitudinal data. In 2017, the Office of Disease Prevention (ODP) provided co-funding to the Center for Prevention Implementation Methodology to help create this archive.
During this webinar, Drs. Proctor and Brownson discuss characteristics of high-impact implementation science as well as efforts to build capacity of the field through D&I research training. They present their take on the potential of the field, current limitations, and how efforts to build capacity can lead to the next set of advances.
In his webinar, Dr. Powell describes the development and refinement of a compilation of implementation strategies, emphasizes the importance of carefully specifying and reporting implementation strategies to ensure replicability, and discusses ongoing work focusing on the development of more effective ways of tailoring implementation strategies to specific contexts.
This innovative program will place a strong emphasis on mentoring, applying competencies and curriculum specifically focused on chronic disease disparities, and working with a diverse set of partners. Scholars are enrolled in the program for two years.
In this webinar, Dr. Larry Palinkas introduces the use of mixed method designs in research on three interrelated facets of evidence-based practices implementation: provider social networks, use of research evidence, and cultural exchange between researchers and practitioners. Dr. Palinkas explains the multiple strategies through which qualitative and quantitative research methods can converge, specifically highlighting their use within three funded research studies of implementation.
The NIH-Duke Master's Program in Clinical Research, established in 1998, is one of the nation's first training programs in clinical research. This program allows participants to attend formal courses in research design, research management, medical genomics, and statistical analysis at the Clinical Center by means of video-conferencing from Duke or on-site by adjunct faculty.
The program leads to a Master of Health Sciences in Clinical Research, a professional degree awarded by the Duke University School of Medicine. There is also a non-degree option for qualified students who want to pursue specific areas of interest.
Applications will be accepted through August 1, 2020.
Researching the Impossible: The Utility of Agent-Based Models for Advancing Public Health Policy and Implementation Science
Dr. Doug Luke provides a general overview of agent-based modeling (ABM) methods, and then discusses in more detail the utility of these methods for studying the design and implementation of new policies and practices related to chronic diseases, including obesity and tobacco control. The specific advantages of ABMs for dissemination and implementation science are also highlighted.
Sequential Multiple Assignment Randomized Trials (SMART) & Adaptive Designs for Implementation Studies
Dr. Amy Kilbourne introduces the SMART design as well as other adaptive design variations to inform the development of adaptive interventions. Dr. Kilbourne explains the use of the designs in intervention trials, walks through their applicability to implementation studies, discusses differences between adaptive designs and adaptive interventions, and concludes with examples from her work of how adaptive designs have permitted the testing of implementation strategies.
Drs. Lori Ducharme, Hendricks Brown, and Brian Mittman review some of the key concepts discussed at the 6th Annual NIH Meeting on Advancing the Science of Dissemination & Implementation Research: Focus on Study Designs. Central to their discussion are the key issues for study design for implementation science, what works, and opportunities that remain ahead.
They are joined by Drs. Geoffrey Curran, Linda Collins, and Ken Wells in a wide-ranging discussion of common problems encountered by implementation researchers and four examples of study designs and the problems they address.
Dr. Sterman discusses systems approaches in public health, including the concepts of policy resistance, implementation feedbacks, and model boundaries and explores how these ideas can be applied to effect change in a complex system. He includes examples from healthcare and public health such as implementation of formulary drug lists and SARS epidemic modeling.
Dr. McLeroy discusses adoption of systems methodology, including multiple levels of analysis, utility for identifying points of change, testing models against reality, and applications to program evaluation and various research designs, including community-based participatory research and randomized clinical trials.
The National Cancer Institute is hosting this training institute to provide participants with a thorough grounding in conducting D&I research with a specific focus on cancer, across the cancer control continuum. In 2020, the institute will use a combination of online coursework (six modules with related assignments) and a 2-day in-person training to be held August 3 and 4, 2020, at the NCI campus in Bethesda, MD. Faculty and guest lecturers consist of leading experts in D&I theories, models, and frameworks; intervention fidelity and adaptation; stakeholder engagement and partnership for D&I; research methods and study designs for D&I; and measures and outcomes for D&I. This training institute has been adapted from the broader Training Institute for Dissemination and Implementation Research in Health (TIDIRH), organized by NIH and the VA over the past nine years.
This training is designed for investigators at any career stage interested in conducting D&I research with a focus on the cancer control continuum. There is no cost associated with the training. Invited participants are required to cover related travel expenses to the Washington D.C. area for the in-person meeting. More answers to common questions can be found on the site FAQ.
Use of Theory in Implementation Research; Pragmatic Application and Scientific Advancement of the Consolidated Framework for Implementation Research (CFIR)
Dr. Laura Damschroder’s webinar introduces Consolidated Framework for Implementation Research (CFIR) and its application in a series of studies highlighting its use to guide data collection, analyses, and its potential for syntheses; and to guide tailoring of implementation strategies.
Use of Theory in Implementation Research; The Exploration, Preparation, Implementation, Sustainment (EPIS) Framework: A Phased and Multilevel Approach to Implementation
Dr. Greg Aarons’ webinar introduces the Exploration, Preparation, Implementation, Sustainment (EPIS) framework and its application in a series of studies highlighting its use to guide data collection, analyses, and its potential for syntheses; and to guide tailoring of implementation strategies.
Use of Theory in Implementation Research; Using the Interactive Systems Framework as a Lens for Readiness in Cancer Control?
Dr. Abe Wandersman’s webinar continued a series of presentations and discussions about the development and application of frequently-used implementation research models and frameworks. Dr. Wandersman, key developer of the Interactive Systems Framework (ISF), discusses the genesis of the framework, key terms and concepts, and then presents projects that have used the ISF as a core lens to support planning and study of evidence-based practice implementation.
Use of Theory in Implementation Research: Pragmatic Application and Scientific Advancement of the Knowledge-to-Action (KTA) Cycle
Dr. Sharon Straus, one of the primary authors of the Knowledge to Action Framework (KTA), discusses the genesis of the framework, key stages within the cycle, challenges to knowledge translation, and then presents examples of how the KTA framework has been used within a range of projects. Dr. Straus’ presentation also concentrates on the specific challenge of studying sustainability, and reflects on the degree to which the framework can extend beyond research into clinical practice use.
Implementation science methodologies, approaches, and tools have a great interdisciplinary applicability. Dr. Alice Ammerman’s webinar discusses what new (and "new to") D&I investigators need to know to succeed in this burgeoning field.