building the science of dissemination research glorian sorensen, phd, mph harvard school of public...
TRANSCRIPT
Building the Science of
Dissemination Research
Glorian Sorensen, PhD, MPH
Harvard School of Public Health Dana-Farber Cancer
InstituteCathy Melvin, PhD, MPH
University of North Carolina
October 7, 2008 – UCLA meeting
Dissemination Research within
the CPCRN Agenda•CPCRN Mission: To accelerate
the adoption of evidence-based cancer prevention and control in communities
•Objectives include: To conduct research and practice activities that span the translation continuum from discovery to the dissemination and adoption of effective interventions.
Barriers to Translation
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Intervention Characteristics
• High cost• Intensive time demands High level of staff
expertise required• Difficult to learn or understand• Not packaged or manualized
• Not developed considering user needs• Not designed to be selfsustaining• Highly specific to particular setting
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Research Design
Not representative sample of:
patientssettingsclinicians
Failure to evaluate: cost reach setting adoption
Failure to evaluate: implementationmaintenance sustainability
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Situation of Intended Target Settings
Competing demandsProgram imposed from
outside Financial/organizational
instability Limited resources/ time Limited organizational
support Prevailing practices work
against innovation Perverse incentives or
regulations
Glasgow & Emmons, 2007
Role of the CPCRN in Building the Science of Dissemination Research
•Articulating the parameters of the science
•Building a portfolio of research•Refining the science and
building capacity•Leading the field in conducting
dissemination research
Articulating the Parameters of the Science
•CPCRN Dissemination Research Forum–October 31, 2007
•TACTIC (Tailored Assistance for Choosing Tested Cancer Control Tools in Communities)
•Dissemination Research publication (Bowen et al., Cancer Cause Control, in press)
•Conference Sessions
Conference Sessions
•NCI Dissemination Forum, January ’09– Represented on planning committee
(Emmons)– Two sessions submitted:
•“TACTIC: Increasing use of evidence-based tools in communities” – UT, UW, WU, UNC, Emory
•“Pool Cool Dissemination” Emory, WU•Society of Behavioral Medicine,
March ’09– “Methods in dissemination research”
(Emory, Harvard/BU, U-W, UNC)
Building a portfolio of research:
Grant Submissions • TACTIC • CDC Translational Research RFA:
includes:– **WU- Understanding and Enhancing
Dissemination among US Chronic Disease Practitioners
– **UT – “Dissemination of a Smoking Quitline to the Underserved”
– UCLA – Dissemination of a brief Tobacco Intervention through Filipino American CBOs
– Emory – Pool Cool for Life Guards
Building a portfolio of research:
Grant Submissions • NCI Dissemination Research RFA – including:
– **U-W: Cancer Control Dissemination to Asian Americans
– UCLA: Strategies for Community Dissemination of and Evidence –Based CRC Screening Intervention
– Emory: Disseminating Nutrition Interventions through Faith-based Partnerships
– UT: Dissemination of a Lay Health Worker-Delivered Program to Increase Cancer Screening
– Harvard/BU: Comprehensive Worksite Cancer Prevention
– UNC Increasing CRC Screening Rates
Refining the Science
- Building Capacity•Grant reviews by the
Dissemination Working Group (Emory, UCLA, Harvard/BU, UW, UT)
•Learning from Dissemination Research Cores–UNC Lineberger Cancer Center
–UNC CTSA–W-U CECCR
Conducting Dissemination
Research – Multiple Site Exemplars• Increasing CRC Screening in Health
Plan members (Emory, UNC)• Disseminating a lay health worker-
delivered program to increase cancer screening (UCLA, UT)
• Dissemination of interactive Breast Cancer Kiosks for low-income Latinas (UT, UW)
• Improving the health of native employees (Harvard/BU, U-W)
• Fuel Up/Lift Off 10 minutes to a healthier workplace (WU, UCLA)