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Below you will find curriculum in development for scholars

In-Development, Summary of Required and Optional Interactive Courses, Seminars, and Workshops in T4 Cardio-Pulmonary-Sleep Science

Type and Title

Proposed Instructor

Required or Optional*

Courses (each scholar to take one per year) - Rotating

1. T4 Implementation Science Intro


# 1 or 2

2. T4 science- Mixed Methods and Design


#1 or 2

Designing for Dissemination and Sustainability



Seminars (two per year) - 4 months duration

T4 Research Design, Pragmatic Trials and Comparative Effectiveness Research (CER)



D&I Issues in Health Disparities



Evaluation & Measurement in T4 Science



T4 aspects of Precision Medicine



Current Issues, Developments, and Controversies in D&I (D&I TEAM)



Current Research Topics in Cardiovascular Medicine



Workshops (one to be delivered annually) - one per year

Adherence in HLBS Interventions



Cost Effectiveness & ROI






Fidelity and Adaptation



WIP and Other D&I- weekly

All mentors


*In addition to required activities above, scholars will complete at least one optional seminar and one optional workshop

Last Updated: 11-23-17

Planned Courses:

T4 Implementation Science: This existing course features training in theories, conceptual models, and practical application of D&I methods. We anticipate that the upcoming revised version of Dissemination and Implementation Research in Health edited by Brownson, Colditz, and Proctor (due out in 2017) will be the primary text for the course. Scholars will lead journal clubs discussing recent journal articles in order to supplement this reading. 

T4 Science- Mixed Methods and Design: This course provides an in-depth examination of study designs, comparative effectiveness, and qualitative, quantitative and mixed methods approaches to dissemination and implementation research. The focus is application to health care and public health settings. At the end of the course, learners will be able to:

  1. Describe the major pragmatic, comparative effectiveness and hybrid designs and their application to D&I research studies.
  2. Identify appropriate methods and designs for different types of research questions and desired outcomes.
  3. Explain why and how mixed methods designs may be used in health-related research.
  4. Complete a D & I research proposal, applying concepts learned in the course.

Designing for Dissemination and Sustainability: This new course will focus explicitly on integrated and iterative use of mixed methods D&I models, measures, and strategies across the different phases of research to maximize potential for dissemination and sustainability.  Details will be finalized during the planning year, but emphasis will be placed on:

  1. Using D&I models (e.g., CFIR, Knowledge to Action, Diffusion Theory; PRECEDE PROCEED; Dynamic Sustainability Framework) in the planning and operationalization of programs
  2. Engaging patients, families, and stakeholders
  3. Pragmatic designs for typical and low resource settings
  4. Identifying what are core program components and what can be adapted to guide development of dissemination tool kits.


T4 Research Design, Pragmatic Trials and Comparative Effectiveness Research: Research That Will Translate is now a seminar that we will develop into a full course. It will include definition and goals of pragmatic research methods and designs; training in cluster randomized, stepped-wedge, and hybrid designs; discussion of the importance of representativeness, effectiveness, and feasibility in low resource settings; history and use of PRECIS (and PRECIS-2) tools; comparative effectiveness research from a D&I perspective; and use of PICO and “ultimate use” question frameworks.

Dissemination and Implementation Issues in Health Disparities: This seminar includes D&I strategies for and issues in low resource settings, cultural competence, and ongoing stakeholder engagement throughout the phases of research. Emphasis is also placed on cultural adaptation issues, health literacy implications, and global health and dissemination to low and middle income countries.

Evaluation and Measurement Issues in T4 Science: To include training in evaluability, (32-34) mixed methods and multi-level assessment methods, and evaluation of important, but often neglected implementation outcomes such as reach, adaptation, fidelity, appropriateness, and maintenance/generalizability of programs.

T4 aspects of Precision Medicine: Discussion of the history of and key concepts in precision medicine with focus on issues related to HLBS conditions; use of big data; complexities of EHR data; integration of genomic, environmental, geospatial, and behavioral data; patient engagement and ethical issues.

Current Issues, Developments and Controversies in Dissemination & Implementation: This seminar will focus on recent D&I journal articles and journal club-like discussions; key controversies; new and developing research methods (e.g., natural experiments, (35, 36) hybrid designs (37, 38) and collaborating with T1-T3 scientists. This six-month long seminar will include presentations by primary mentors on their own T4 science and HLBS work with emphasis on evolving questions and methods.

Current Research Topics in Cardiovascular Medicine: This seminar will cover epidemiology and evidence-based prevention and treatment of HLBS, with emphasis on best practices in system-based care. Research issues will include multi-morbidity, medication prescription and adherence, and shared decision-making, with a focus on population solutions. The recent literature will be emphasized. An innovative feature will address both systems biology and organizational/learning health care systems perspectives.


Workshops will be finalized during year one, but will include both local faculty and outside national D&I leaders, including our advisory committee members. During their second year, scholars will be co-host/planners of one workshop in an area of special interest.

Adherence in HLBS Interventions: Will address issues related to patients’ acceptance of and adherence with recommendations for self-care activities and follow-up, including patient-provider communication and basic behavioral economic principles.

Cost Effectiveness and Return on Investment: Training in understanding and assessing costs, cost-effectiveness and return on investment from the stakeholder and public health perspective.

De-implementation: Introduction to the importance and state of the field of de-implementation and mis-implementation (39) strategies and emerging issues involved in helping organizations to discontinue harmful, ineffective, or non-evidence-based practices.(40-42) 

Fidelity and Adaptation: Will address definitions, key issues, and assessment methods related to fidelity and adaptations, achieving balance between fidelity and adaptation,(43, 44) importance of documentation of adaptations, and examples drawing upon recent RWJ and VA funded research investigations.


Total Trainee Academic work:


course per year


4 month seminars- (likely one at time)


Workshop/year that trainees help to organize/present


WIP and D&I team meeting

Supplementary T4 Mini-Courses and Career Development Seminars:

Previously developed mini-courses and career development seminars could supplement the primary T4 science curriculum. Primary mentors will work with scholars to determine the best mix of supplementary and professional development seminars for individuals. 
  • Mini-Courses that could be included, based on determinations during the planning year include: Writing Good Research Questions and Study Design, Research in PBRNs, Secondary Database Research, Qualitative Methods, Scientific Writing and Communication, and Training in Health Disparities in Practice and Research and Cultural Proficiency. 
  • Career Development Seminars that could be available to our scholars include: Time Management, Abstract Composition, Manuscript Preparation, Research Talks, Speaking with the Press About Your Research, Leadership Skills, Establishing National Contacts, How to Give a Job Talk, and Interviewing for a Faculty Position. 
  • A Grant Writing Course, conducted between fall and spring of the second year, will be required of all scholars.

Supplementary CSPH and Graduate School Courses - Required to take choice of 1-2: 

Existing Supplementary Courses in School of Public Health or Graduate School (choose 2 from ones in bold- one per year)

Course Categories

School of Public Health/Graduate Courses

Health Services Research Core Courses*

BIOS 6601 or 6611: Applied Biostatistics I or Biostatistical Methods I

EPID 6626: Research Methods

EPID 6630: Epidemiology

PUBH 6600: Foundations in Public Health

Population Health

HSMP 6643: Data-Driven Quality Improvement

CBHS 6610: Social and Behavioral Factors in Health

CBHS 6613: Program Planning and Implementation

CBHS 6615: Health Literacy and Public Health

CBHS 6624: Community Health Assessment

CBHS 6626: Public Health and Aging

EPID 6622: Cancer Prevention and Control

HSMP 6602: Health Equity

HSMP 6601: Introduction to Health Systems, Management and Policy

Quality of Care

CBHS 6621: Maternal and Child Health

EPID 6633: Clinical Preventive Services: Evidence-Based Practice

EPID 6646: Introduction to Systematic Reviews

Healthcare Costs

HSMP 6604: Health Care Economics

HSMP 6609: Cost Benefit and Effectiveness in Health

HSMP 6644: Applied Financial Decision Making in Health Care

*Courses for those scholars without previous health services research training



Last Updated: 11-23-17