Transcript Research to Reality

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 Sciences
National Cancer Institute
NIH Annual D&I Science Meeting
March 22, 2011
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 CostEffectiveness Research
• Disruptive Innovations- task shifting
• Dr. Clancy- ‘Will it work HERE?’ (Realist reviewPawson) 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/D
I2011/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/ImplSciTrainingDirectory.pdf
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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
Current Gap
D&I: What we know
Decision Support Tools
Future Directions/D&I
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
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Current Gap
D&I: What we know
Decision Support Tools
Future Directions/D&I
Patient Report EHR Measures Project
Phases
• Identify 2-3 candidate measures
• Widespread web-based wiki activity
YOU 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:
suggestions?
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Your advice,
“The significant problems we
face cannot be solved by the
same level of thinking that
created them.”
A. Einstein
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