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:
- Describe the major pragmatic, comparative
effectiveness and hybrid designs and their application to D&I research
- Identify appropriate methods and designs for
different types of research questions and desired outcomes.
- Explain why and how mixed methods designs may
be used in health-related research.
- Complete a D & I research proposal,
applying concepts learned in the course.
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
D&I models (e.g., CFIR, Knowledge to Action, Diffusion Theory; PRECEDE
PROCEED; Dynamic Sustainability Framework) in the planning and
operationalization of programs
patients, families, and stakeholders
designs for typical and low resource settings
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
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
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.
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
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)
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
month seminars- (likely one at time)
that trainees help to organize/present
and D&I team meeting