encore session 12 · enhancing community health center pcori engagement (encore) funded by: this...
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EnCoRE Session 12Planning Dissemination and Implementation
Jonathan N Tobin PhD FACE FAHAPresidentCEO
Clinical Directors Network Inc Professor Department of Epidemiology amp Population Health Albert Einstein College of
Medicine of Yeshiva University
Michelle Proser MPP PhDResearch Director
National Association ofCommunity Health Centers
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Partnersrsquo Geography2014-2015
Project PartnersClinical Directors Network (CDN) New York NY
National Association of Community Health Centers (NACHC) Washington DC
The Association of Asian Pacific Community Health Organizations (AAPCHO) Oakland CA
Access Community Health NetworkChicago IL
Institute for Community Health (ICH) a Harvard Affiliated InstituteCambridge MA
The South Carolina Primary Health Care Association (SCPHCA)Columbia South Carolina
Jonathan N Tobin PhD JNTobinCDNetworkorg
Michelle Proser MPP MProserNACHCorgMichelle Jester MA MJesterNACHCorg
Rosy Chang Weir PhD rcweiraapchoorg
Danielle Lazar DanielleLazaraccesscommunityhealthnet
Shalini A Tendulkar ScM ScD stendulkarchallianceorgLeah Zallman lzallmanchallianceorg
Vicki Young PhD vickiyscphcaorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Enhancing Community Health Center PCORI Engagement (EnCoRE)
Funded by This work was partially supported through a Patient-Centered Outcomes
Research Institute (PCORI) Program Award (NCHR 1000-30-10-10 EA-0001)
With support fromN2 PBRN ndash Building a Network of Safety Net PBRNs
funded byGrant 1 P30 HS 021667
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wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AIM
AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training
curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal
EnCoRE Enhancing Community Health Center PCORI Engagement
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EnCoRE
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
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This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)
Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits
This session will be archived and available for viewing and continuing education at wwwCDNetworkorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Planning Dissemination and Implementation
Jonathan N TobinCEO
Clinical Directors Network
Michelle ProserDirector of Research
National Association of Community Health Centers
Virtual Roundtable of Panelists
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
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wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
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VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
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wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
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Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
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Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
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wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Partnersrsquo Geography2014-2015
Project PartnersClinical Directors Network (CDN) New York NY
National Association of Community Health Centers (NACHC) Washington DC
The Association of Asian Pacific Community Health Organizations (AAPCHO) Oakland CA
Access Community Health NetworkChicago IL
Institute for Community Health (ICH) a Harvard Affiliated InstituteCambridge MA
The South Carolina Primary Health Care Association (SCPHCA)Columbia South Carolina
Jonathan N Tobin PhD JNTobinCDNetworkorg
Michelle Proser MPP MProserNACHCorgMichelle Jester MA MJesterNACHCorg
Rosy Chang Weir PhD rcweiraapchoorg
Danielle Lazar DanielleLazaraccesscommunityhealthnet
Shalini A Tendulkar ScM ScD stendulkarchallianceorgLeah Zallman lzallmanchallianceorg
Vicki Young PhD vickiyscphcaorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Enhancing Community Health Center PCORI Engagement (EnCoRE)
Funded by This work was partially supported through a Patient-Centered Outcomes
Research Institute (PCORI) Program Award (NCHR 1000-30-10-10 EA-0001)
With support fromN2 PBRN ndash Building a Network of Safety Net PBRNs
funded byGrant 1 P30 HS 021667
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AIM
AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training
curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal
EnCoRE Enhancing Community Health Center PCORI Engagement
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)
Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits
This session will be archived and available for viewing and continuing education at wwwCDNetworkorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Planning Dissemination and Implementation
Jonathan N TobinCEO
Clinical Directors Network
Michelle ProserDirector of Research
National Association of Community Health Centers
Virtual Roundtable of Panelists
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Project PartnersClinical Directors Network (CDN) New York NY
National Association of Community Health Centers (NACHC) Washington DC
The Association of Asian Pacific Community Health Organizations (AAPCHO) Oakland CA
Access Community Health NetworkChicago IL
Institute for Community Health (ICH) a Harvard Affiliated InstituteCambridge MA
The South Carolina Primary Health Care Association (SCPHCA)Columbia South Carolina
Jonathan N Tobin PhD JNTobinCDNetworkorg
Michelle Proser MPP MProserNACHCorgMichelle Jester MA MJesterNACHCorg
Rosy Chang Weir PhD rcweiraapchoorg
Danielle Lazar DanielleLazaraccesscommunityhealthnet
Shalini A Tendulkar ScM ScD stendulkarchallianceorgLeah Zallman lzallmanchallianceorg
Vicki Young PhD vickiyscphcaorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Enhancing Community Health Center PCORI Engagement (EnCoRE)
Funded by This work was partially supported through a Patient-Centered Outcomes
Research Institute (PCORI) Program Award (NCHR 1000-30-10-10 EA-0001)
With support fromN2 PBRN ndash Building a Network of Safety Net PBRNs
funded byGrant 1 P30 HS 021667
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AIM
AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training
curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal
EnCoRE Enhancing Community Health Center PCORI Engagement
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)
Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits
This session will be archived and available for viewing and continuing education at wwwCDNetworkorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Planning Dissemination and Implementation
Jonathan N TobinCEO
Clinical Directors Network
Michelle ProserDirector of Research
National Association of Community Health Centers
Virtual Roundtable of Panelists
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Enhancing Community Health Center PCORI Engagement (EnCoRE)
Funded by This work was partially supported through a Patient-Centered Outcomes
Research Institute (PCORI) Program Award (NCHR 1000-30-10-10 EA-0001)
With support fromN2 PBRN ndash Building a Network of Safety Net PBRNs
funded byGrant 1 P30 HS 021667
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AIM
AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training
curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal
EnCoRE Enhancing Community Health Center PCORI Engagement
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)
Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits
This session will be archived and available for viewing and continuing education at wwwCDNetworkorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Planning Dissemination and Implementation
Jonathan N TobinCEO
Clinical Directors Network
Michelle ProserDirector of Research
National Association of Community Health Centers
Virtual Roundtable of Panelists
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AIM
AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training
curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal
EnCoRE Enhancing Community Health Center PCORI Engagement
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)
Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits
This session will be archived and available for viewing and continuing education at wwwCDNetworkorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Planning Dissemination and Implementation
Jonathan N TobinCEO
Clinical Directors Network
Michelle ProserDirector of Research
National Association of Community Health Centers
Virtual Roundtable of Panelists
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)
Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits
This session will be archived and available for viewing and continuing education at wwwCDNetworkorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Planning Dissemination and Implementation
Jonathan N TobinCEO
Clinical Directors Network
Michelle ProserDirector of Research
National Association of Community Health Centers
Virtual Roundtable of Panelists
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)
Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits
This session will be archived and available for viewing and continuing education at wwwCDNetworkorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Planning Dissemination and Implementation
Jonathan N TobinCEO
Clinical Directors Network
Michelle ProserDirector of Research
National Association of Community Health Centers
Virtual Roundtable of Panelists
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Planning Dissemination and Implementation
Jonathan N TobinCEO
Clinical Directors Network
Michelle ProserDirector of Research
National Association of Community Health Centers
Virtual Roundtable of Panelists
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Planning Dissemination and Implementation
Jonathan N TobinCEO
Clinical Directors Network
Michelle ProserDirector of Research
National Association of Community Health Centers
Virtual Roundtable of Panelists
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
bull Identify different target audiences (community clinical public health health administration)
bull Communicate research points of interest for target audiences
bull Identify appropriate communication channels for target audiences
bull Build a dissemination plan
bull Demonstrate how to involve patients and clinicians in dissemination
Learning Objectives
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Defining Key Terms
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO
REACH DIFFERENT AUDIENCES
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable Panelists
bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health
Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians
bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN
bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health
Partnerships Research Education and Action
bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Equitable Say in Dissemination
bull Goal have an equitable say in disseminating research from the communityrsquos perspective
bull Develop local communications network
bull Engage individuals from mainstream neighborhood and ethnic media
bull Attend specific local community activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Community booklet with project description and key findings
bull Video featuring community advisors describing their roles on the project
Horsquooipo
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Mission Statements
West Side Mission Statement
bull Strengthening the well-being of our community through health care
for all
SoLahmo Mission
bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order
to maximize health and wellness through research education and policy
SoLaHmo Vision
bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills
and power to participate as equal partners with researchers and health care professionals to
maximize community health and wellness
Kathie
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
CBPAR Projects since 2010
bull 45 Somali Latino and Hmong community research partners
12 Completed
bull 1 CBPAR curriculum and pilot projects
bull 1 Community Asset Identification
bull 3 Positive Youth Development
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care
bull 2 Community Development Projects
6 Ongoing
bull 1 Positive Youth Development
bull 1 Chronic Disease Treatment
bull 3 Chronic Disease Prevention
bull 1 Culturally Competent Health Care Kathie
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
How to Reach
CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles
bull WHAT design message that fit their needs
ndash Clinical relevance clinic setting relevance
bull HOW choose approaches that fit their lives
bull Group sit-down time outside patient care
ndash CME conferencesCEU conferences
bull Group sit-down time inside clinic
ndash routine meetings special meeting times (LunchrsquoN Learn)
ndash Integrate information tools or health ed inside EMR
bull Individual time
ndash Email on-line resources webinars articles
ndash Develop CME CEU credit if possibleKathie
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
How to Reach
CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community
communication methods
bull WHAT design messages that fit their needs
ndash Useful information in written or oral materials
bull HOW choose approaches that fit their lives
ndash Community media radio television newspaper
ndash Community meetings regular specially designed
ndash Community events regular specially designed
ndash Partner with local community organizations
ndash Social media Facebook emails Twitter Kathie
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Summary of Research Findingsbull For clinicians
ndash Writtenverbal In medical-scientific terms
with useful clinic applications
bull For clinic staff
ndash Written verbal In lay English 5th grade literacy level
with useful clinic application
bull For communities
ndash Writtenverbal In lay English or in community
languages straightforward 5th grade literacy level
with applications about health
Kathie
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Why Publish Community Engaged Research in Academic Journals
bull To promote the science and practice of community engaged research (CER)
bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER
bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER
Darius
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Strategies for Publishing CER in Academic Journals
bull Priority given to articles that
ndash Have high public health or medical significance
ndash Describe work done with underserved populations
ndash Provide NEW insights into the process of conducting CER
ndash Actively engage community stakeholders in the writingdissemination process
Darius
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
CREATING A CULTURE OF INFORMATION SHARING
Ask leadership to makethe commitment
Decide on your goals (and your potential challenges)
Decide in a plan of actionamp execute
Create a space for commentsand suggestions from the
community
Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo
Alex
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
EXAMPLES OF DIFFERENT DISSEMINATION
CHANNELS
bull Donors
bull Patients
bull Recruits
bull MediaLegislators
bull Staff
bull Patients
bull Partners
Alex
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
SOCIAL MEDIA NETWORKS BY AGE
Alex
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
MAIN POINTS FOR POLICYMAKERS
bull Engagement of the community in research
bull High-quality outcomes
bull Improved community health
bull Cost-effectiveness
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q2 INVOLVING PATIENTS IN DISSEMINATION
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Involving Patients
bull Form community advisory working committee for research
bull Community advisory committee involved in all aspects of research activities
Horsquooipo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Example of Dissemination
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
The ldquoAskrdquo
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q3 LEVERAGING EXISTING NETWORKS
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Leveraging Existing Partners or Networks
bull Involve existing partners or networks at the beginning when planning the research
ndashEarly involvement and vested interest in outcome means they
will take ownership and help with dissemination
Horsquooipo
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Example DisseminateImplementSoLaHmo Childhood Obesity
bull Partners UMN academic PH
bull Purpose Identify parental perspectives of obesity diet physical activity
bull Methods Focus group with parents
bull Dissemination to Academics poster article
bull Dissemination to Clinicians Community 0
SoLaHmo Radio Stories about Obesity
bull Partners UMN academic PH Academic story producer
bull Purpose Create entertainment education to reduce obesity
bull Methods Interviews with families create stories evaluate stories in FG
bull Product 9 radio stories
bull Dissemination to Academics poster
bull Dis Implementation PLAN Community radios clinic education 0
Kathie
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Example DisseminateImplement
SoLaHmo Radio Stories about Hospice
bull Partners MN Hospice Network Academic storyteller
ECHO MN (TV) Community radios
bull Purpose Create and implement media to increase awareness of hospice
bull Methods ldquoFocus grouprdquo with Community Advisory Board
Interviews with families who have had hospice
bull Product TV internet digital shorts radio novellas
bull DisImplementation to Communities TV internet radio
bull DisImplementation to Clinicians CME conferences curriculum planned
bull Dissemination to Academics nothing planned
Kathie
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
LEVERAGING EXISTING PARTNERSHIPS FOR
DISSEMINATION
Connecticut CHC weekly tweet up with other health orgs
Connect with your partners and their partners and supporters online
Alex
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
SOCIAL MEDIA TIP POST ENGAGING
CONTENT
Alex
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
SOCIAL MEDIA TIP POST ENGAGING CONTENT
Alex
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q4 PLANNING FOR IMPLEMENTATION
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Dissemination implementation
bull Ideally think about how results will be useful to clinicians clinic staff and
communities
then design dissemination as implementation tools
bull But this is an extra step additional process and requires understanding clinician
staff community perspectives of results and how to use them
bull Need to involve clinicians clinic staff communities in this step here are
results how will they be useful
Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Q5 PLANNING EARLY
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Plan EARLY for
dissemination implementationbull Implementation goals influence resources
ndash time money personnel materials etc
bull Need to plan up front Write into proposal grant
ndash Goal Objectives Methods
ndash Timeline for collaborative reflection planning doing
ndash Funds for space food advertising translation interpreters staff
bull Need to plan along the way
ndash personnel
ndash agenda and activities are based on vision of goal
bull If know what want to do with research results then can design the shape of
research results as needed for dissemination implementation Kathie
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Virtual Roundtable
Other questions
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
BUILDING A DISSEMINATION PLAN
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
HELPFUL RESOURCES
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
httpwwwakhdemconzssed-research
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination Plans
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16
Goals
30 people attend
Networking event
at CHI Need
baseline of total
unique hits now
Increase hits by
20
Increase hits by
20
Increase hits
by 20
Medium
Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)
FlyerX (CHI HCW)
X (PCA
Meetings)X (FOMIT) X (APHA booth) X (PampI)
F2F Meetings
X (CHI Research
Meet N Greet and
Committee
Meetings)
X (PampI)
Social Media X X X X X X X X X
Email and Listservs
X Target
Members of Your
Organization
X Target
University
Contacts and
Students
NACHC
Research
Dissemination
List
X Target
PCORI
Committees
workgroups
and patient
reviewers
CDN listserv
X Target
students and
universities from
APHA booths
CCPH CHARN
X Target NIH
and NCATS
X Target
Universities
and Students
Round 2
Target CCPH
X Target
NACHC and
AAPCHO
Committees
Workgroups
and listservs
X
Assignments for
email and social
media
Everyone
ICH SCPCA
Access Mickey
CDN NACHC
CDNNACHC Access
AAPCHOCDN Mickey
ICH SCPCA
Access
Mickey CDN
NACHCNACHC
AAPCHO
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Dissemination Planning Template
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
INTERACTIVE EXERCISE
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
AND NOW FOR AN ldquoENCORErdquo
WHATrsquoS NEXT
httpwwwumassmededucctsfunding
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
PCORI Pipeline to Proposal Awards
Applications for another round of Tier I support are expected to open in fall 2015
For more information and to see previous awardees visit
httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Other Funding Opportunities from PCORI
Opportunity Letter of Intent Due
Application Due
Engagement Award Research Meeting and Conference Support
Not required October 1 2015
Engagement Award Knowledge Training and Develop and Dissemination Awards
October 1 2015 40 days after review and approval of LOI
And more at httpwwwpcoriorgfunding-opportunities
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
wwwpcoriorgget-involved
And subscribe to PCORI newsletterwwwpcoriorg
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
EnCoRE Is this the end
It doesnrsquot have to be
Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources
Regroup reassess and resume October 20th 2-330pm EST
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
wwwCDNetworkorg wwwNACHCcom
wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet
Available Resources
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
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