Research to Reality: Building Dissemination and Implementation (D

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Research to Reality Building Dissemination and
Implementation (DI) Science

• Russell E. Glasgow, Ph.D.
• Deputy Director, Implementation Science
• Division of Cancer Control and Population
  SciencesNational Cancer Institute

NIH Annual DI Science Meeting March 22, 2011
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Observations from D I Conference

• Role of DI/KT in Comparative Effectiveness
  Research
• Opportunity for International Collaboration
• Need for more Policy Research
• Shift focus away from basic and efficacy research
  (Kessler and Glasgow, in press)
• Funders are building capacity for more DI
  research

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D I Meeting Observations Cont.

• Key Need for Pragmatic Trials and
  Cost-Effectiveness Research
• Disruptive Innovations- task shifting
• Dr. Clancy- Will it work HERE? (Realist review-
  Pawson) and Need for Replication
• Dr. Kaplan- Need for Attention to ALL Steps in
  the Dissemination Cascade
• Continued Focus on Reducing Disparities, Broadly
  Defined

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Conference Observations contd.

• Meeting materials (presentations, program book,
  archived webcasts) will be available at the end
  of April at
• http//conferences.thehillgroup.com/obssr/DI2011/c
  ontact.html
• Need for more Training in D I

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Dissemination Implementation Science Meetings
and Trainings

• NIH Training Institute for DI Research in
  Health
• Chapel Hill, NC August 1-5, 2011
• http//conferences.thehillgroup.com/OBSSRinstitute
  s/TIDIRH2011/index.html
• Applications Due April 15
• Canada Knowledge Translation Training
  Resources
• http//ktclearinghouse.ca/ktcanada
• Other
• http//www.queri.research.va.gov/ciprs/ImplSci-Tra
  iningDirectory.pdf

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Research to Reality (R2R) A Virtual Community
of Practice

• A dialogue between practitioners and researchers
  on how to move evidence-based programs into
  practice
• Launched February, 2011 (NCI)
• Linked to Cancer Control P.L.A.N.E.T. Step 2
• Site Features
• Monthly cyber-seminars
• Discussion forums
• An events calendar
• Featured partners
• Community profiles
• https//ResearchtoReality.cancer.gov

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Identifying Practical Patient-Report Measures for
the Electronic Health Record
Current Gap
DI What we know
Decision Support Tools
Future Directions/DI

• Rationale One thing is missing from all the
  investment and advances in EHRs- patient reports
• Scope 13 areas most commonly encountered in
  adult primary care related to
• Health Behaviors- tobacco, healthy eating,
  medication adherence, physical activity,
  substance use
• Psychosocial Factors-
• Outcomes- quality of life, depression, anxiety,
  sleep, stress/distress, patient goals and
  preferences
• Influences- health literacy/numeracy, demographics

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Patient Report EHR Measures Project Phases
Future Directions/DI
Current Gap
DI What we know
Decision Support Tools

• Identify 2-3 candidate measures
• Widespread web-based wiki activity
• YOU are invited www.gem-beta.org
• (till April 4 or 11?)
• Meeting on May 2-3- Day 1 town hall followed by
  Day 2 invited stakeholder decision makers
• Post Meeting and Beyond Your advice,
  suggestions?

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The significant problems we face cannot be
solved by the same level of thinking that created
them. A. Einstein
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