72
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

EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Page 1: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Session 12Planning Dissemination and Implementation

Jonathan N Tobin PhD FACE FAHAPresidentCEO

Clinical Directors Network Inc Professor Department of Epidemiology amp Population Health Albert Einstein College of

Medicine of Yeshiva University

Michelle Proser MPP PhDResearch Director

National Association ofCommunity Health Centers

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Partnersrsquo Geography2014-2015

Project PartnersClinical Directors Network (CDN) New York NY

National Association of Community Health Centers (NACHC) Washington DC

The Association of Asian Pacific Community Health Organizations (AAPCHO) Oakland CA

Access Community Health NetworkChicago IL

Institute for Community Health (ICH) a Harvard Affiliated InstituteCambridge MA

The South Carolina Primary Health Care Association (SCPHCA)Columbia South Carolina

Jonathan N Tobin PhD JNTobinCDNetworkorg

Michelle Proser MPP MProserNACHCorgMichelle Jester MA MJesterNACHCorg

Rosy Chang Weir PhD rcweiraapchoorg

Danielle Lazar DanielleLazaraccesscommunityhealthnet

Shalini A Tendulkar ScM ScD stendulkarchallianceorgLeah Zallman lzallmanchallianceorg

Vicki Young PhD vickiyscphcaorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Enhancing Community Health Center PCORI Engagement (EnCoRE)

Funded by This work was partially supported through a Patient-Centered Outcomes

Research Institute (PCORI) Program Award (NCHR 1000-30-10-10 EA-0001)

With support fromN2 PBRN ndash Building a Network of Safety Net PBRNs

funded byGrant 1 P30 HS 021667

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AIM

AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training

curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal

EnCoRE Enhancing Community Health Center PCORI Engagement

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)

Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits

This session will be archived and available for viewing and continuing education at wwwCDNetworkorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Planning Dissemination and Implementation

Jonathan N TobinCEO

Clinical Directors Network

Michelle ProserDirector of Research

National Association of Community Health Centers

Virtual Roundtable of Panelists

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 2: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Partnersrsquo Geography2014-2015

Project PartnersClinical Directors Network (CDN) New York NY

National Association of Community Health Centers (NACHC) Washington DC

The Association of Asian Pacific Community Health Organizations (AAPCHO) Oakland CA

Access Community Health NetworkChicago IL

Institute for Community Health (ICH) a Harvard Affiliated InstituteCambridge MA

The South Carolina Primary Health Care Association (SCPHCA)Columbia South Carolina

Jonathan N Tobin PhD JNTobinCDNetworkorg

Michelle Proser MPP MProserNACHCorgMichelle Jester MA MJesterNACHCorg

Rosy Chang Weir PhD rcweiraapchoorg

Danielle Lazar DanielleLazaraccesscommunityhealthnet

Shalini A Tendulkar ScM ScD stendulkarchallianceorgLeah Zallman lzallmanchallianceorg

Vicki Young PhD vickiyscphcaorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Enhancing Community Health Center PCORI Engagement (EnCoRE)

Funded by This work was partially supported through a Patient-Centered Outcomes

Research Institute (PCORI) Program Award (NCHR 1000-30-10-10 EA-0001)

With support fromN2 PBRN ndash Building a Network of Safety Net PBRNs

funded byGrant 1 P30 HS 021667

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AIM

AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training

curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal

EnCoRE Enhancing Community Health Center PCORI Engagement

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)

Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits

This session will be archived and available for viewing and continuing education at wwwCDNetworkorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Planning Dissemination and Implementation

Jonathan N TobinCEO

Clinical Directors Network

Michelle ProserDirector of Research

National Association of Community Health Centers

Virtual Roundtable of Panelists

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 3: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Project PartnersClinical Directors Network (CDN) New York NY

National Association of Community Health Centers (NACHC) Washington DC

The Association of Asian Pacific Community Health Organizations (AAPCHO) Oakland CA

Access Community Health NetworkChicago IL

Institute for Community Health (ICH) a Harvard Affiliated InstituteCambridge MA

The South Carolina Primary Health Care Association (SCPHCA)Columbia South Carolina

Jonathan N Tobin PhD JNTobinCDNetworkorg

Michelle Proser MPP MProserNACHCorgMichelle Jester MA MJesterNACHCorg

Rosy Chang Weir PhD rcweiraapchoorg

Danielle Lazar DanielleLazaraccesscommunityhealthnet

Shalini A Tendulkar ScM ScD stendulkarchallianceorgLeah Zallman lzallmanchallianceorg

Vicki Young PhD vickiyscphcaorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Enhancing Community Health Center PCORI Engagement (EnCoRE)

Funded by This work was partially supported through a Patient-Centered Outcomes

Research Institute (PCORI) Program Award (NCHR 1000-30-10-10 EA-0001)

With support fromN2 PBRN ndash Building a Network of Safety Net PBRNs

funded byGrant 1 P30 HS 021667

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AIM

AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training

curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal

EnCoRE Enhancing Community Health Center PCORI Engagement

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)

Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits

This session will be archived and available for viewing and continuing education at wwwCDNetworkorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Planning Dissemination and Implementation

Jonathan N TobinCEO

Clinical Directors Network

Michelle ProserDirector of Research

National Association of Community Health Centers

Virtual Roundtable of Panelists

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 4: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Enhancing Community Health Center PCORI Engagement (EnCoRE)

Funded by This work was partially supported through a Patient-Centered Outcomes

Research Institute (PCORI) Program Award (NCHR 1000-30-10-10 EA-0001)

With support fromN2 PBRN ndash Building a Network of Safety Net PBRNs

funded byGrant 1 P30 HS 021667

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AIM

AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training

curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal

EnCoRE Enhancing Community Health Center PCORI Engagement

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)

Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits

This session will be archived and available for viewing and continuing education at wwwCDNetworkorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Planning Dissemination and Implementation

Jonathan N TobinCEO

Clinical Directors Network

Michelle ProserDirector of Research

National Association of Community Health Centers

Virtual Roundtable of Panelists

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 5: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AIM

AIM To build health center capacity to engage in patient-centered outcomes research through an interactive 12-month long training

curriculum walking health centers through the steps and skills needed to develop a patient-centered research proposal

EnCoRE Enhancing Community Health Center PCORI Engagement

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)

Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits

This session will be archived and available for viewing and continuing education at wwwCDNetworkorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Planning Dissemination and Implementation

Jonathan N TobinCEO

Clinical Directors Network

Michelle ProserDirector of Research

National Association of Community Health Centers

Virtual Roundtable of Panelists

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 6: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)

Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits

This session will be archived and available for viewing and continuing education at wwwCDNetworkorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Planning Dissemination and Implementation

Jonathan N TobinCEO

Clinical Directors Network

Michelle ProserDirector of Research

National Association of Community Health Centers

Virtual Roundtable of Panelists

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 7: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

This program has been reviewed and approved for up to 15 Prescribed CME credits by the American Academy of Family Physicians (AAFP)

Please complete the CME Evaluation launched at the end of the presentation to receive a CME Certificate for credits

This session will be archived and available for viewing and continuing education at wwwCDNetworkorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Planning Dissemination and Implementation

Jonathan N TobinCEO

Clinical Directors Network

Michelle ProserDirector of Research

National Association of Community Health Centers

Virtual Roundtable of Panelists

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 8: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Planning Dissemination and Implementation

Jonathan N TobinCEO

Clinical Directors Network

Michelle ProserDirector of Research

National Association of Community Health Centers

Virtual Roundtable of Panelists

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 9: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Planning Dissemination and Implementation

Jonathan N TobinCEO

Clinical Directors Network

Michelle ProserDirector of Research

National Association of Community Health Centers

Virtual Roundtable of Panelists

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 10: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

bull Identify different target audiences (community clinical public health health administration)

bull Communicate research points of interest for target audiences

bull Identify appropriate communication channels for target audiences

bull Build a dissemination plan

bull Demonstrate how to involve patients and clinicians in dissemination

Learning Objectives

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 11: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Defining Key Terms

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 12: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

VIRTUAL ROUNDTABLEDIFFERENT MEDIUMS FOR DISSEMINATION TO

REACH DIFFERENT AUDIENCES

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 13: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable Panelists

bull Patient Materials and Community bull Horsquooipo deCambra Patient Research Advisory Member at Wairsquoanae Coast Comprehensive Health

Center HI and co-PI on Changing Chronic Illness Trajectories Among Native Hawaiians

bull Clinicians Health Center and Community bull Kathie Culhane-Pera Associate Medical Director of West Side Community Health Services MN

bull Peer Review bull Darius Tandon Editor-in-Chief of the peer-reviewed journal Progress in Community Health

Partnerships Research Education and Action

bull Broad Audience Using Social Media bull Alex Harris Grassroots Advocacy Manager for Special Populations at NACHC

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 14: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q1 IMPORTANCE OF REACHING A BROAD DIVERSE AUDIENCE

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 15: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Equitable Say in Dissemination

bull Goal have an equitable say in disseminating research from the communityrsquos perspective

bull Develop local communications network

bull Engage individuals from mainstream neighborhood and ethnic media

bull Attend specific local community activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 16: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

bull Community booklet with project description and key findings

bull Video featuring community advisors describing their roles on the project

Horsquooipo

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 17: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Mission Statements

West Side Mission Statement

bull Strengthening the well-being of our community through health care

for all

SoLahmo Mission

bull To build upon the unique cultural strengths of Somali Latino and Hmong communities in order

to maximize health and wellness through research education and policy

SoLaHmo Vision

bull Dedicated to the reality that Somali Latino and Hmong communities have the knowledge skills

and power to participate as equal partners with researchers and health care professionals to

maximize community health and wellness

Kathie

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 18: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

CBPAR Projects since 2010

bull 45 Somali Latino and Hmong community research partners

12 Completed

bull 1 CBPAR curriculum and pilot projects

bull 1 Community Asset Identification

bull 3 Positive Youth Development

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care

bull 2 Community Development Projects

6 Ongoing

bull 1 Positive Youth Development

bull 1 Chronic Disease Treatment

bull 3 Chronic Disease Prevention

bull 1 Culturally Competent Health Care Kathie

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 19: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

How to Reach

CliniciansClinic Staffbull Challenges Time topic diverse roles and learning styles

bull WHAT design message that fit their needs

ndash Clinical relevance clinic setting relevance

bull HOW choose approaches that fit their lives

bull Group sit-down time outside patient care

ndash CME conferencesCEU conferences

bull Group sit-down time inside clinic

ndash routine meetings special meeting times (LunchrsquoN Learn)

ndash Integrate information tools or health ed inside EMR

bull Individual time

ndash Email on-line resources webinars articles

ndash Develop CME CEU credit if possibleKathie

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 20: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

How to Reach

CommunitiesSpecial Populationsbull Challenges Time topic language literacy learning styles community

communication methods

bull WHAT design messages that fit their needs

ndash Useful information in written or oral materials

bull HOW choose approaches that fit their lives

ndash Community media radio television newspaper

ndash Community meetings regular specially designed

ndash Community events regular specially designed

ndash Partner with local community organizations

ndash Social media Facebook emails Twitter Kathie

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 21: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Summary of Research Findingsbull For clinicians

ndash Writtenverbal In medical-scientific terms

with useful clinic applications

bull For clinic staff

ndash Written verbal In lay English 5th grade literacy level

with useful clinic application

bull For communities

ndash Writtenverbal In lay English or in community

languages straightforward 5th grade literacy level

with applications about health

Kathie

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 22: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Why Publish Community Engaged Research in Academic Journals

bull To promote the science and practice of community engaged research (CER)

bull To give a ldquoseal of approvalrdquo via the peer-review process that findingsinsights have value to the field of CER

bull Increasing number of journals publishing CER but only Progress in Community Health Partnership (PCHP) has sole focus on CER

Darius

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 23: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Strategies for Publishing CER in Academic Journals

bull Priority given to articles that

ndash Have high public health or medical significance

ndash Describe work done with underserved populations

ndash Provide NEW insights into the process of conducting CER

ndash Actively engage community stakeholders in the writingdissemination process

Darius

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 24: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

CREATING A CULTURE OF INFORMATION SHARING

Ask leadership to makethe commitment

Decide on your goals (and your potential challenges)

Decide in a plan of actionamp execute

Create a space for commentsand suggestions from the

community

Think aboutbull The messagebull The communicationbull And the ldquoaskrdquo

Alex

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 25: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

EXAMPLES OF DIFFERENT DISSEMINATION

CHANNELS

bull Donors

bull Patients

bull Recruits

bull MediaLegislators

bull Staff

bull Patients

bull Partners

Alex

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 26: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

SOCIAL MEDIA NETWORKS BY AGE

Alex

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 27: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

MAIN POINTS FOR POLICYMAKERS

bull Engagement of the community in research

bull High-quality outcomes

bull Improved community health

bull Cost-effectiveness

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 28: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q2 INVOLVING PATIENTS IN DISSEMINATION

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 29: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Involving Patients

bull Form community advisory working committee for research

bull Community advisory committee involved in all aspects of research activities

Horsquooipo

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 30: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Example of Dissemination

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 31: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 32: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 33: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 34: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 35: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 36: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

The ldquoAskrdquo

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 37: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q3 LEVERAGING EXISTING NETWORKS

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 38: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Leveraging Existing Partners or Networks

bull Involve existing partners or networks at the beginning when planning the research

ndashEarly involvement and vested interest in outcome means they

will take ownership and help with dissemination

Horsquooipo

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 39: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Example DisseminateImplementSoLaHmo Childhood Obesity

bull Partners UMN academic PH

bull Purpose Identify parental perspectives of obesity diet physical activity

bull Methods Focus group with parents

bull Dissemination to Academics poster article

bull Dissemination to Clinicians Community 0

SoLaHmo Radio Stories about Obesity

bull Partners UMN academic PH Academic story producer

bull Purpose Create entertainment education to reduce obesity

bull Methods Interviews with families create stories evaluate stories in FG

bull Product 9 radio stories

bull Dissemination to Academics poster

bull Dis Implementation PLAN Community radios clinic education 0

Kathie

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 40: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Example DisseminateImplement

SoLaHmo Radio Stories about Hospice

bull Partners MN Hospice Network Academic storyteller

ECHO MN (TV) Community radios

bull Purpose Create and implement media to increase awareness of hospice

bull Methods ldquoFocus grouprdquo with Community Advisory Board

Interviews with families who have had hospice

bull Product TV internet digital shorts radio novellas

bull DisImplementation to Communities TV internet radio

bull DisImplementation to Clinicians CME conferences curriculum planned

bull Dissemination to Academics nothing planned

Kathie

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 41: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

LEVERAGING EXISTING PARTNERSHIPS FOR

DISSEMINATION

Connecticut CHC weekly tweet up with other health orgs

Connect with your partners and their partners and supporters online

Alex

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 42: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

SOCIAL MEDIA TIP POST ENGAGING

CONTENT

Alex

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 43: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

SOCIAL MEDIA TIP POST ENGAGING CONTENT

Alex

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 44: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q4 PLANNING FOR IMPLEMENTATION

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 45: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Dissemination implementation

bull Ideally think about how results will be useful to clinicians clinic staff and

communities

then design dissemination as implementation tools

bull But this is an extra step additional process and requires understanding clinician

staff community perspectives of results and how to use them

bull Need to involve clinicians clinic staff communities in this step here are

results how will they be useful

Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 46: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Q5 PLANNING EARLY

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 47: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

Plan EARLY for

dissemination implementationbull Implementation goals influence resources

ndash time money personnel materials etc

bull Need to plan up front Write into proposal grant

ndash Goal Objectives Methods

ndash Timeline for collaborative reflection planning doing

ndash Funds for space food advertising translation interpreters staff

bull Need to plan along the way

ndash personnel

ndash agenda and activities are based on vision of goal

bull If know what want to do with research results then can design the shape of

research results as needed for dissemination implementation Kathie

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 48: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Virtual Roundtable

Other questions

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 49: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 50: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 51: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 52: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 53: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 54: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 55: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 56: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

BUILDING A DISSEMINATION PLAN

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 57: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

HELPFUL RESOURCES

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 58: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

httpwwwakhdemconzssed-research

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 59: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination Plans

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 60: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Examples of Dissemination PlansTimeline Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16

Goals

30 people attend

Networking event

at CHI Need

baseline of total

unique hits now

Increase hits by

20

Increase hits by

20

Increase hits

by 20

Medium

Presentation X (CHI) X (PCORI) X (NCATS) X (PampI) X (CCPH)

FlyerX (CHI HCW)

X (PCA

Meetings)X (FOMIT) X (APHA booth) X (PampI)

F2F Meetings

X (CHI Research

Meet N Greet and

Committee

Meetings)

X (PampI)

Social Media X X X X X X X X X

Email and Listservs

X Target

Members of Your

Organization

X Target

University

Contacts and

Students

NACHC

Research

Dissemination

List

X Target

PCORI

Committees

workgroups

and patient

reviewers

CDN listserv

X Target

students and

universities from

APHA booths

CCPH CHARN

X Target NIH

and NCATS

X Target

Universities

and Students

Round 2

Target CCPH

X Target

NACHC and

AAPCHO

Committees

Workgroups

and listservs

X

Assignments for

email and social

media

Everyone

ICH SCPCA

Access Mickey

CDN NACHC

CDNNACHC Access

AAPCHOCDN Mickey

ICH SCPCA

Access

Mickey CDN

NACHCNACHC

AAPCHO

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 61: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Dissemination Planning Template

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 62: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

INTERACTIVE EXERCISE

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 63: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 64: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 65: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 66: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 67: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

AND NOW FOR AN ldquoENCORErdquo

WHATrsquoS NEXT

httpwwwumassmededucctsfunding

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 68: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

PCORI Pipeline to Proposal Awards

Applications for another round of Tier I support are expected to open in fall 2015

For more information and to see previous awardees visit

httpwwwpcoriorgfunding-opportunitiesprogrammatic-fundingpipeline-proposal-awards

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

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 69: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Other Funding Opportunities from PCORI

Opportunity Letter of Intent Due

Application Due

Engagement Award Research Meeting and Conference Support

Not required October 1 2015

Engagement Award Knowledge Training and Develop and Dissemination Awards

October 1 2015 40 days after review and approval of LOI

And more at httpwwwpcoriorgfunding-opportunities

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 70: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

wwwpcoriorgget-involved

And subscribe to PCORI newsletterwwwpcoriorg

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 71: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

EnCoRE Is this the end

It doesnrsquot have to be

Come back and visit wwwcdnetworkorgencoreLive Session LibraryClinical Decision Support ToolsAdditional Resources

Regroup reassess and resume October 20th 2-330pm EST

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC

Page 72: EnCoRE Session 12 - Practice-Based Research Network · 2017-10-19 · EnCoRE Session 12 Planning Dissemination and Implementation Jonathan N. Tobin, PhD, FACE, FAHA President/CEO,

wwwCDNetworkorg wwwNACHCcom

wwwicommunityhealthorg wwwaapchoorg wwwSCPHCAorg wwwaccesscommunityhealthnet

Available Resources

bull EnCoRE Website for Past Webinars and Materialsbull wwwcdnetworkorgencore

bull Additional resources to build research capacity at health centers

bull wwwCDNetworkorgNACHC