www.CDNetwork.org www.NACHC.com www.icommunityhealth.org www.aapcho.org www.SCPHCA.org www.accesscommunityhealth.net EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO, Clinical Directors Network, Inc. Professor, Department of Epidemiology & Population Health Albert Einstein College of Medicine of Yeshiva University Michelle Proser, MPP, PhD Research Director, National Association of Community Health Centers
72
Embed
EnCoRE Session 12 · Enhancing Community Health Center PCORI Engagement (EnCoRE) Funded by: This work was partially supported through a Patient-Centered Outcomes Research Institute
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
GoalTo adapt enhance and implement an existing year long training curriculum designed to educate and engage Health Center teams including patients clinical and administrative staff in Patient Centered Outcomes Research (PCOR)
Objectives bull Build infrastructure to strengthen the patient-centered comparative
effectiveness research (CER) capacity of Health Centers as they develop or expand their own research infrastructure
bull Develop implement and disseminate an innovative online training which will be targeted to and accessible at no cost to all Health Centers and other primary care practices
bull Content will prepare Health Center patients staff and researchers in the conduct of community-led PCOR
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Dissemination ldquothe targeted distribution of information and intervention materials to a specific public health or clinical practice audiencerdquo
bull Implementation ldquothe use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settingsrdquo
Source Schillinger D An Introduction to Effectiveness Dissemination and Implementation Research A Resource Manual for Community Engaged Research From the Community Engagement Program Clinical amp Translational Science Institute at the University of California San Francisco 2010 httpsaccelerateucsfedufilesCEedi_introguidepdf
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull Project dissemination ldquopacketrdquo with a how-to manual samples of project materials and process for community review of proposed publications from the project researchers
Horsquooipo
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Opportunities to Involve Patients
bull For clinic staff
ndash Patient stories told by patients at meetings
ndash Patient stories told by staff at meetings
ndash Patient stories told on internet webpages youtube
bull For communities
ndash Patient community member stories newspapers radio internet youtube
bull For dissemination materials to be patient-centered
ndash Design them to be useful to patients
ndash Include patients in their creation
ndash Use appropriate language literacy images artistic expression
Kathie
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Tips for Involving Patients amp Stakeholders in the Writing Process
bull Discuss expectations for authorship earlybull Give partners an opportunity to contribute
ndash Be flexible in capturing thoughts of partnersndash Ask partners what they want to write about
bull Clarify expected contributions from all partnersbull Establish a publication protocol or committeebull Donrsquot assume partners understand the academic approach and
process to authorship amp writingndash Revise and resubmit process
bull Consider long-term value of including partners
Darius
Sharing of Findings with Stakeholders
bull PCHP emphasizes patient and stakeholder involvement in writing to help ensure findings will have relevance for researchers and other stakeholders
bull Communitypolicy briefs open access for all Original Research
ndash Extended lay summary of key findings
bull Published articles sent to up to 20 key stakeholders free of charge
Darius
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Know your patients
ndash Tailor the message as needed
bull Bring it home
ndash Why should they care
ndash Make the case beyond the
health center ndash how does this
information contribute to the
whole community
THE MESSAGE
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
How do your patients prefer to hear from you
bull Is email phone text or social media best
bull Donrsquot start with a ldquoif you build it they will come rdquo approach
bull Word of mouth ndash train staff to talk about advocacy
bull Front desk outreach promotoras clinicians etc
Alex
MAKING SURE YOUrsquoRE BEING
PATIENT-CENTERED
bull Give people the opportunity to be involved
bull Start with an easy ask but also engage your all-stars
bull Get your patients to share stories ndash itrsquos good for their health
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
DISSEMINATION AND IMPLEMENTATION (DampI) THEORIES AND MODELS
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Selecting a Model for Study
bull What isare the research questions Irsquom seeking to answer
bull What level(s) of change am I seeking to explain
bull What characteristics of context are relevant to the research questions
bull What is the timeframe
bull Are measures available
bull Does the study need to be related to a single model
Chambers 2014 (Chapter Two) in Beidas amp Kendall (eds) OUPAdapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
CIPRS Stetler amp
Damschroder
Theoretical
Frameworks
Rogerrsquos Theory of Diffusion
Characteristics of
the intervention
Organizational
characteristics
Environmental
context
Adoption
decision
Effective
implementationOutcomes
Krein SL Olmsted RN Hofer TP Kowalski C Forman J Banaszak-Holl J et al
Translating infection prevention evidence into practice using quantitative and
qualitative research Am J Infect Control 200634(8)507-12
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
RE-AIM
Glasgow et al re-aimnet 2011 Adapted from David Chambers DPhil Associate Director NIMH DampI Research Am College of Epidemiology DampI Research Workshop 2014
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Damschroderrsquos Consolidated Framework for Implementation
Research (CFIR)
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
eri
ph
ery
Outer Setting
Inner Setting
Intervention(unadapted)
Intervention(adapted)
Process
Individuals
Involved
Co
reC
om
po
ne
nts
Ad
ap
tab
le P
erip
he
ry
Damschroder and
Damush 2009
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Studying Implementation
What
QIsESTs
How
ImplementationStrategies
Implementation OutcomesFeasibility
FidelityPenetration
AcceptabilitySustainability
UptakeCosts
ServiceOutcomes
EfficiencySafety
EffectivenessEquity
Patient-centeredness
Timeliness
Health Outcomes
SatisfactionFunction
Health statussymptoms
IOM Standards of Care
Implementation Research Methods
Proctor et al 2009 Admin amp Pol in Mental Health amp Mental Health Services Research
Adapted from David Chambers DPhil Associate Director NIMH DampI ResearchAmerican College of Epidemiology DampI Research Workshop 2014
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Strategies Studied Commonly in NIH DampI Studies
bull Quality Improvement Processes
bull Organizational Readiness to Change
bull Organizational CultureClimate
bull Training amp Supervision
bull Policy Change
bull Community Partnered StrategiesAdapted from David Chambers DPhil Associate Director NIMH DampI Research American College of Epidemiology DampI Research Workshop 2014
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
Tips Checklists Samples Creative Ideas and More Resources at
CARE Community Alliance for Research and Engagement Beyond Scientific Publication Strategies for Disseminating Research Findingshttpsdeptswashingtoneduccphpdf_filesCARE_Dissemination_Strategies_FINAL_eversionpdf
University of Regina et al Exchanging Knowledge A Research Dissemination ToolkithttpwwwureginacaartsassetsdocspdfDissemination-Toolkitpdf
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
Abstract from Pubmedbull Am J Public Health 2015 May 14e1-e9 [Epub ahead of print]bull Initiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health
Centersbull Btoush RM1 Brown DR Fogarty S Carmody DPbull Author informationbull Abstractbull OBJECTIVESbull We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income urban areasbull METHODSbull The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisitecommunity health
center in 2011bull RESULTSbull Only 27 initiated the HPV vaccine The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AORthinsp=thinsp0552 95
confidence interval [CI]thinsp=thinsp0424 0718) and those seen by nonpediatric health care providers (HCPs AORthinsp=thinsp0311 95 CIthinsp=thinsp0222 0435) and higher among non-English speakers (AORthinsp=thinsp1409 95 CIthinsp=thinsp1134 1751) and those seen at 2 site locations (AORthinsp=thinsp1890 95 CIthinsp=thinsp1547 2311) Insurance status was significant only among female and Hispanic adolescents Language was not a predictor among Hispanic adolescents Across all analyses the interaction of age and HCP specialty was associated with HPV vaccination Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3-5) than among other adolescents (23-45)
bull CONCLUSIONSbull Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-relatedcancer especially
among Black Hispanic and low-income populations (Am J Public Health Published online ahead of print May 14 2015 e1-e9 doi102105AJPH2015302584)
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore
bull Additional resources to build research capacity at health centers
bull wwwCDNetworkorgNACHC
Dissemination Planning Template Case Study 1ldquoInitiation of Human Papillomavirus Vaccination Among Predominantly Minority Female and Male Adolescents at Inner-City Community Health Centersrdquo
Rula M Btoush Diane R Brown S Fogarty D P Carmody American Journal of Public Health 2015 105 10 2137-2142
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
Abstract from Pubmedbull J Hum Lact 2015 Aug 21 pii 0890334415601088 [Epub ahead of print]bull Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants
with Clients Receiving Care at a Community Health Centerbull Friesen CA1 Hormuth LJ2 Petersen D2 Babbitt T3bull Author informationbull Abstractbull The Tele-Lactation Pilot Project (TLPP) 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease
Control and Prevention grant funds explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC) The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care The videoconferencing sessions were juxtaposed with the womens regularly scheduled prenatal and postnatal visits at the CHC After delivery the lactation consultant visited the mother and infant in person at the hospital to offer additional support Overall 35 mothers were served by the TLPP during the 9-month project period A total of 134 visits (30-45 minutes each) were conducted (38 sessions per woman) At the conclusion of the project interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement allowed the IBCLC to reach a wider client base and allowed the women to receive expert support that they might not have otherwise received Comments indicated that in addition to providing education and increasing the womens confidence the tele-lactation sessions appeared to have decreased the mothers anxiety about the birthing process and the hospital experience The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous easily accessible breastfeeding education and support
Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
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Dissemination Planning Template Case Study 2ldquoUsing Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Centerrdquo
Carol A Friesen Laura J Hormuth Devan Petersen Tina Babbitt J Hum Lact 0890334415601088 2015 1-5
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo
ldquoaims to build a national community of patients stakeholders and researchers who have the expertise and passion to participate in patient-centered outcomes research or PCOR and to create partnerships within that community that lead to high-quality research proposals rdquo