2020 Dissemination & Implementation Science Workshop:
Critical Elements to Writing a Successful NIH Application

Modules:

Bryan Weiner, PhD: “Increasing Colorectal Cancer Screening Rates in Community Health Centers”

Project Narrative: The proposed project is relevant to public health because an effective strategy for implementing office-system changes that uses fewer resources and achieves higher screening rates than current systems-based approaches could lead to the prevention or early detection of thousands of colorectal cancer cases annually among minority, low-income, and uninsured patients. Thus, the proposed research is relevant to the part of the NCI’s mission to conduct and fund research that improves early detection and diagnosis and reduces cancer disparities.

Ross Brownson, PhD: “Disseminating Evidence-Based Interventions to Control Cancer”

Project Narrative: This project is relevant to public health because it addresses EBPPs that can result in population-level reductions in premature cancer morbidity and mortality. Sparse knowledge exists regarding effective approaches for dissemination of research-tested interventions among real world public health audiences. Upon completion, our study will provide public health practice-relevant dissemination strategies that can be adapted to other settings and risk factors.

Alanna Rahm, PhD; “Implementing Universal Lynch Syndrome Screening across Multiple Healthcare Systems:  Identifying Strategies to Facilitate and Maintain Programs in Different Organizational Contexts”

Project Narrative: The overarching goal of this project is to create an organization-level toolkit for implementing, maintaining and improving Lynch syndrome (LS) screening by using tools from implementation science to describe, explain, and compare decision making and other variations in LS screening implementation across multiple healthcare systems. We will accomplish this through analyzing variation in LS screening implementation across diverse healthcare systems, estimating costs of different protocols by healthcare system, synthesizing this information into an organizational implementation toolkit, and testing the toolkit within the healthcare systems. This model will enable more effective and efficient implementation of LS screening; ultimately preventing needless suffering of patients and their family members from preventable cancers, decreasing waste in healthcare system costs, and informing strategies to facilitate the promise of precision medicine.

Resources

Dissemination & Implementation Models in Health Research & Practice:  https://dissemination-implementation.org/content/diMain.aspx

This interactive web tool is designed to help researchers and practitioners develop a ‘logic model’ or diagram for their research or practice question, select the D&I Model(s) that best fit(s) their research question or practice problem, combine multiple D&I Models, adapt the D&I model(s) to the study or practice context, use the D&I Model(s) throughout the research or practice process, and find existing measures to assess the key constructs of the D&I Model(s) selected.

 

RE-AIM Improving Public Health Relevance and Population Health Impact: https://www.re-aim.org

This site provides an explanation of and resources for those wanting to apply the RE-AIM framework. The RE-AIM framework is designed to enhance the quality, speed, and public health impact of efforts to translate research into practice in five steps.

 

Consolidated Framework for Implementation Research: https://cfirguide.org

The Consolidated Framework for Implementation Research (CFIR) provides a menu of constructs arranged across 5 domains that can be used in a range of applications. It can provide a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing an innovation, to providing theory-based constructs for developing context-specific logic models or generalizable middle-range theories.

 

Exploration, Preparation, Implementation, Sustainment (EPIS) Implementation Framework: https://episframework.com

The Exploration, Preparation, Implementation, Sustainment (EPIS) Framework highlights key phases that guide and describe the implementation process and enumerates common and unique factors within and across levels of outer context (system) and inner (organizational) context across phases, factors that bridge outer and inner context, and the nature of the innovation or practice being implemented and the role of innovation/practice developers.

 

2020 National Dissemination and Implementation Science Highlights (Video)

We hosted a panel discussion on the 2020 National Dissemination and Implementation Science Highlights with the RE-AIM workgroup on January 14, 2021. Drs. Bridget Gaglio, Meredith Ford, and Ross Brownson joined moderator Dr. Paul Estabrooks and talked about conference sessions that emphasized the need to address health equity, policy, and measure harmonization. Drs. Russ Glasgow, Borsika Rabin, and Keyonna King also made cameos during the discussion.