Building the Science of Dissemination Research

1
Building the Science of Dissemination Research

• Glorian Sorensen, PhD, MPH
  
  Harvard School of Public Health
  Dana-Farber Cancer Institute
• Cathy Melvin, PhD, MPH
  
  University of North Carolina
  
• October 7, 2008 UCLA meeting

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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.

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Barriers to Translation
Situation of Intended
Intervention
Research Design
Target Settings
Characteristics

Not representative

Competing demands
sample of
High cost


Program imposed from

patients

Intensive time demands
outside

settings
High level of staff

Financial/organizational


clinicians
expertise required
instability

Difficult to learn or

Limited resources/ time

Failure to evaluate
understand

Limited organizational

cost

Not packaged or
support

reach

manualized

Prevailing practices work


setting adoption

Not developed
against innovation

Failure to evaluate
considering user needs

Perverse incentives or

implementation
-

Not designed to be self
regulations

maintenance
sustaining

sustainability

Highly specific to
particular setting
Glasgow Emmons, 2007
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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

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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

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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)

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Building a portfolio of researchGrant
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

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Building a portfolio of researchGrant
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

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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

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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)

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Next Steps

• Dissemination Research Resource Center
• Other strategies to increase dialogue and build
  research in this emerging priority area in
  multiple venues