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Curriculum

Below you will find the curriculum for scholars


Summary of Required Interactive Courses, Seminars, Workshops, and Core Lectures in T4 Dissemination and Implementation Science

Type and Title

Proposed Instructor

Courses (each scholar to take all three in the first year) - Rotating

1.T4 Dissemination and Implementation Research in Health (Intro)

Rabin

2. T4 Designs and mixed methods in Implementation Research

Holtrop

3. Designing for Dissemination and Sustainability

Morrato

Seminars (two per year) – Anywhere from 1-9 months depending on layout of lectures in the series.  Seminar series include a variety of 60-90 minute lectures pertaining to a specific overall topic.      

Examples include:

Health Economics

Glasgow, Gritz, Ritzwoller, Campbell, & Whittington (October-November, 2018)

Shared Decision Making: The Science of Patient Centered Decisions

Matlock, Knoepke, Scherer, Chapman, Tate, & Caverly (October, 2018-April, 2019)

D&I Issues in Health Disparities

Havranek (proposed for Fall, 2019)

Evaluation & Measurement in T4 Science

Rabin

T4 Aspects of Precision Medicine

Matlock/Nease

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

Glasgow

Workshops (one to be delivered annually; typically two full days in length with a number of key lectures and round table discussions)scholars to be involved in planning and delivery

Examples include:

Bridging the Science and Practice of Designing for Dissemination

Keynotes by D Chambers, M Kreuter, B Rabin & S Wong

(October 2nd-3rd, 2018)

Getting Funded in D&I Research: Writing successful proposals

Keynotes by E Proctor and P Estabrook

(Oct. 2017)

Pragmatic Research in D&I

Keynotes by R Brownson, E Morrato, R Glasgow (Oct. 2016

1) Work in Progress Sessions

2) D&I Program Meetings

All mentors and scholars participate in the WIP sessions. Scholars rotate presentations and discussions.  Scholars are also required to attend Dr. Russell Glasgow's D&I meeting immediately following WIP.  Both events take place weekly on Tuesday afternoons.

*In addition to required activities above, scholars will periodically attend specified career development core lectures at ACCORDS. These 60-90 minute lectures are typically scheduled on Monday and Tuesday afternoons. 

Examples include:

The Promise and Challenge of Dissemination and Implementation Science (DIS)

Glasgow (July 6th, 2018)

Evaluation and Outcomes in Dissemination and Implementation Science

Glasgow (July 23rd, 2018)

Theoretical Models in Dissemination and Implementation Science

Havranek (August 6th, 2018)

Implementation and Dissemination Research Designs

Kempe (August 20th, 2018)

The Program Co-Directors may also encourage scholars to mini-course lectures developed for the PCRF and SCORE fellowships that take place on Monday afternoons (please click the Supplementary Coursework tab above for more details).  In addition, scholars may need to attend webinars in dissemination and implementation outside of ACCORDS that frequently occur on other days of the week.


Last Updated: 11-26-18​​​


Planned Courses:

T4 Dissemination and Implementation Research in Health: This existing course features training in theories, conceptual models, and practical application of D&I methods. It provides an introduction to dissemination and implementation (D&I) research and practice in the context of health (i.e., translational research in health). Topics include the importance and language of D&I science; designs, methods, and measures; differences and similarities across clinical, public health, and policy settings; selected tools for D&I research and practice; and future issues. Evaluation is based on weekly written assignments; oral presentations of a D&I project and a final written report describing this D&I project. The 2017 revised version of Dissemination and Implementation Research in Health edited by Brownson, Colditz, and Proctor is the primary text for the course. Scholars lead journal clubs discussing recent journal articles in order to supplement this reading. ​

T4 Designs and Mixed Methods in Implementation Research: 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 proposed for the summer of 2019 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 are being finalized 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.


Seminars Series Examples:

Health Economics: This seminar series features four content lectures and a wrap up session tying the presentations together and providing feedback on the scholar assignments applying economic perspectives and cost methods to their D&I research projects.  The four content lectures were delivered over the span of one month and included the following topics: replication costs (D Ritzwoller), US value frameworks (J Campbell), using economic evaluation alongside randomized clinical trials (M Whittington), and micro-costing (M Gritz). 

Shared Decision Making: The Science of Patient-Centered Decisions: The shared decision making seminar series runs from October 2018 through April 2019.  Although the seminar series consists of 60 minute monthly lectures that can be attended by anyone, the scholars exclusively participate in a final wrap up session with the seminar leads, Daniel Matlock, MD and Channing Tate, PhDc.  Topics include: an overview of shared decision making (D Matlock & C Knoepke), the psychology (L Scherer) and emotion (G Chapman) of shared decision making and its practical application in ICDs/LVads (D Matlock & L Allen), hospice and palliative care (C Tate, M Reblin, & H Lum), and colon and lung cancers (T Caverly & C Lewis).

Dissemination and Implementation Issues in Health Disparities: This seminar, to be lead by Edward Havranek, MD is proposed for Fall of 2019 will include 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: This seminar series includes 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.


Workshops:

Workshops are developed by and feature 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 (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) the importance of documentation of adaptations, and examples drawing upon recent RWJ and VA funded research investigations.

 

Total Trainee Academic work:

3

courses in the first year

2

seminars- (likely one at time, but may overlap, as some of the series may anywhere from 1-9 months long

1

Workshop per year that trainees help to organize/present during their second year

4+

Core lectures (60-90 minutes each)

Weekly

WIP and D&I team meeting

Supplementary

Mini-courses and faculty development lectures shared with the PCRF and SCORE fellowships, including a grant writing spring course (optional for scholars and should be decided with mentors)


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Supplementary T4 Mini-Courses and Career Development Seminars:

Previously developed  mini-courses and career development seminars that occur on Monday afternoons (for the PCRF and SCORE fellowships) 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 include--but are not limited to--the following examples: Writing Good Research Questions and Study Design, Research in PBRNs, Secondary Database Research, Approaches to Qualitative Methods, Scientific Writing and Communication, and Training in Health Disparities in Practice and Research and Cultural Proficiency. 
  • Career Development Seminars that are also 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, is required of second year scholars in the PCRF and SCORE fellowships and is available to K12 IMPACT scholars should they express interest.

Supplementary CSPH and Graduate School Courses 

​Existing Supplementary Courses in School of Public Health or Graduate School 

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: 11-26-18

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