Dissemination and Implementation Research in Health

Dissemination and Implementation Research in Health Author Ross C. Brownson
ISBN-10 9780199751877
Release 2012-04-19
Pages 536
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Fifteen to twenty years is how long it takes for the billions of dollars of university-based research to translate into evidence-based policies and programs suitable for public use. This book seeks to understand how to best apply scientific advances in the real world, by focusing on pushing the evidence-based knowledge base out into routine use.



Implementation Research in Health

Implementation Research in Health Author David H. Peters
ISBN-10 9789241506212
Release 2014-03-31
Pages 67
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Interest in implementation research is growing, largely in recognition of the contribution it can make to maximizing the beneficial impact of health interventions. As a relatively new and, until recently, rather neglected field within the health sector, implementation research is something of an unknown quantity for many. There is therefore a need for greater clarity about what exactly implementation research is, and what it can offer. This Guide is designed to provide that clarity. Intended to support those conducting implementation research, those with responsibility for implementing programs, and those who have an interest in both, the Guide provides an introduction to basic implementation research concepts and language, briefly outlines what it involves, and describes the many opportunities that it presents. The main aim of the Guide is to boost implementation research capacity as well as demand for implementation research that is aligned with need, and that is of particular relevance to health systems in low- and middle-income countries (LMICs). Research on implementation requires the engagement of diverse stakeholders and multiple disciplines in order to address the complex implementation challenges they face. For this reason, the Guide is intended for a variety of actors who contribute to and/or are impacted by implementation research. This includes the decision-makers responsible for designing policies and managing programs whose decisions shape implementation and scale-up processes, as well as the practitioners and front-line workers who ultimately implement these decisions along with researchers from different disciplines who bring expertise in systematically collecting and analyzing information to inform implementation questions. The opening chapters (1-4) make the case for why implementation research is important to decision-making. They offer a workable definition of implementation research and illustrate the relevance of research to problems that are often considered to be simply administrative and provide examples of how such problems can be framed as implementation research questions. The early chapters also deal with the conduct of implementation research, emphasizing the importance of collaboration and discussing the role of implementers in the planning and designing of studies, the collection and analysis of data, as well as in the dissemination and use of results. The second half of the Guide (5-7) detail the various methods and study designs that can be used to carry out implementation research, and, using examples, illustrates the application of quantitative, qualitative, and mixed-method designs to answer complex questions related to implementation and scale-up. It offers guidance on conceptualizing an implementation research study from the identification of the problem, development of research questions, identification of implementation outcomes and variables, as well as the selection of the study design and methods while also addressing important questions of rigor.



Implementing Change in Health Systems

Implementing Change in Health Systems Author Michael I Harrison
ISBN-10 9781847871299
Release 2004-03-05
Pages 256
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Implementing Change in Health Systems brings fresh thinking and evidence to the continuing debate about market reforms of health care and other public services. The book examines the development and implementation of national cost-containment programs and health system reorganizations in the UK, Sweden and the Netherlands - countries that have been leaders in health system reform. The book provides a new framework for analysing public policy implementation and system change, synthesizing diverse streams of academic research and thinking. It explores the processes of implementing market reforms in each country and considers the outcomes, both expected and unintended. In all three countries competitive reform encountered serious technical, organizational and political obstacles. Yet they triggered important system changes and paved the way for significant new health policies. The complex outcomes of the reforms included o changes in the quality, efficiency and costs of care o growing managerial and political control over physicians and other health care professionals o increased influence and centrality of community-based care o Diffusion of ideas and practices from business management into health care. Implementing Change in Health Systems sheds new light on crucial policy issues that are currently being debated throughout Europe and North America. The book will be of value to postgraduates, researchers, and practitioners in health policy and public policy. MICHAEL I. HARRISON is an internationally-known scholar of health systems and organizations. He is a Senior Research Scientist at the Agency for Healthcare Research and Quality in Rockville, MD and Associate Professor of Sociology at Bar-Ilan University in Ramat Gan, Israel. He has taught at the State University of New York at Stony Brook and the School of Management at Boston College and has been a Visiting Scholar at Brandeis University, Georgetown University, Harvard Business School, and the Nordic School of Public Health.



The State of Quality Improvement and Implementation Research

The State of Quality Improvement and Implementation Research Author Institute of Medicine
ISBN-10 0309179653
Release 2007-10-01
Pages 108
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The Institute of Medicine (IOM) workshop "The Conduct of Health Care Quality Improvement and Implementation Research" was held on May 24-25, 2007, in Irvine, CA. The purpose of this workshop was to gain a better understanding of what is known and not known about quality improvement and implementation research. Experts were asked to identify current methods and best practices as well as areas where future efforts should be concentrated to propel the field. As with its previous workshop, the Forum on the Science of Health Care Quality Improvement and Implementation invited speakers from other disciplines to share their experiences in their respective fields. Although many disciplines are relevant to this topic, not all views could be incorporated because of workshop time constraints, but will be incorporated in the forum's future activities. The State of Quality Improvement and Implementation Research: Expert Views, Workshop Summary describes and summarizes workshop presentations and discussions.



Complex Interventions in Health

Complex Interventions in Health Author David A. Richards
ISBN-10 9781134470495
Release 2015-04-17
Pages 408
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Health and human services currently face a series of challenges – such as aging populations, chronic diseases and new endemics – that require highly complex responses, and take place in multiple care environments including acute medicine, chronic care facilities and the community. Accordingly, most modern health care interventions are now seen as ‘complex interventions’ – activities that contain a number of component parts with the potential for interactions between them which, when applied to the intended target population, produce a range of possible and variable outcomes. This in turn requires methodological developments that also take into account changing values and attitudes related to the situation of patients’ receiving health care. The first book to place complex interventions within a coherent system of research enquiry, this work is designed to help researchers understand the research processes involved at each stage of developing, testing, evaluating and implementing complex interventions, and assist them to integrate methodological activities to produce secure, evidence-based health care interventions. It begins with conceptual chapters which set out the complex interventions framework, discuss the interrelation between knowledge development and evidence, and explore how mixed methods research contributes to improved health. Structured around the influential UK Medical Research Council guidance for use of complex interventions, four sections, each comprised of bite-sized chapters written by multidisciplinary experts in the area, focus on: - Developing complex interventions - Assessing the feasibility of complex interventions and piloting them - Evaluating complex interventions - Implementing complex interventions. Accessible to students and researchers grappling with complex interventions, each substantive chapter includes an introduction, bulleted learning objectives, clinical examples, a summary and further reading. The perspectives of various stakeholders, including patients, families and professionals, are discussed throughout as are the economic and ethical implications of methods. A vital companion for health research, this book is suitable for readers from multidisciplinary disciplines such as medical, nursing, public health, health services research, human services and allied healthcare backgrounds.



Research Methods in Health Promotion

Research Methods in Health Promotion Author Laura F. Salazar
ISBN-10 9781118448441
Release 2015-02-18
Pages 608
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The bestselling textbook to understanding health research, updated and expanded Research Methods in Health Promotion provides students and practitioners with essential knowledge and skills regarding the design, implementation, analysis, and interpretation of research in the field of health promotion. Now in its second edition, this bestselling textbook has been updated with more recent research methodologies and additional information on sampling, participatory and survey research, and qualitative data analysis. The entire research process is covered, with specific points relating to both qualitative and quantitative research. By breaking the daunting process of research into simple and well-defined steps, this user-friendly text encourages students to think about research as a sequential process and provides explanations that facilitate better understanding of each step in the research process. A separate set of chapters cover the more quantitative methodological areas including designs, measurement, sampling, and data analysis in depth, giving readers the understanding they need to apply in practice. This book also provides applied chapters that illustrate the practical aspects of the research process, along with other critical information including grant writing and scientific writing. Evaluate the ethics, design, analysis, and interpretation of research Identify and understand the key components of research studies Analyze and interpret the results of experimental and survey research designs Understand the process of publishing a research report and constructing a grant proposal Research Methods in Health Promotion is ideal for both undergrad and graduate methods courses in health promotion and public health.



Dissemination and Implementation of Evidence Based Practices in Child and Adolescent Mental Health

Dissemination and Implementation of Evidence Based Practices in Child and Adolescent Mental Health Author Rinad S. Beidas
ISBN-10 9780199311620
Release 2014-05-21
Pages 375
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Mental health disorders are common in youth, impacting up to 1 in 5 children and adolescents. Typically, mental health difficulties result in impaired functioning and lower quality of life for both youth and their families. Fortunately, there are psychosocial treatments for the mental health needs of youth that have earned the "evidence-based" label. However, these treatments are not widely available, and it is estimated that it can take up to 17 years for them to be transported into community settings. As a result, a new field of dissemination and implementation (DI) science has emerged to address this problem. Dissemination refers to the transfer of information about evidence-based practices to community settings, and implementation refers to active strategies to assist adoption of evidence-based practices in community settings. Dissemination and Implementation of Evidence-Based Practices in Child and Adolescent Mental Health is the first book to bring together the world's foremost experts in implementation science and evidence-based practices for youth to provide the latest findings around DI for children and adolescents. Chapters provide comprehensive coverage of the science of dissemination and implementation across contexts, disorders, and international perspectives. This volume will be an essential resource to implementation scientists and scholars, instructors in doctoral-level training programs, and graduate students, as well as policymakers, community mental health clinicians and administrators, school administrators, researchers, and other mental health professionals.



Dissemination and Implementation of Evidence Based Psychological Interventions

Dissemination and Implementation of Evidence Based Psychological Interventions Author R. Kathryn McHugh
ISBN-10 9780199874866
Release 2012-04-15
Pages 304
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Despite the existence of effective and economical psychological interventions for many mental disorders, the adoption of these treatments in service provision settings worldwide has lagged. A major gap persists between the development and identification of such interventions and their availability to the general public. Building upon the multidisciplinary literature on the science of dissemination and implementation, Dissemination and Implementation of Evidence-Based Psychological Interventions examines state-of-the-art programs to improve access to psychological interventions. Renowned experts describe leading efforts to facilitate the transport of evidence-based treatments, alongside innovative strategies for achieving the goals presented. Analyzing dissemination and implementation programs that range in aims and scope and include both national and local efforts, this book is divided into two parts. Chapters in Part I provide discussion of the history of evidence-based psychological interventions and the need for dissemination and implementation, an overview of the science of dissemination and implementation, and a review of the effectiveness of methods for clinician training. Chapters in Part II describe leading dissemination and implementation programs internationally, including the procedures and practices utilized and data on outcomes. The book concludes with a chapter by the volume's editors that proposes and discusses ten of the most important future directions for the science and practice of dissemination and implementation in mental health care. A crucial challenge in the field today is to translate the successes of treatment development research into the reduction of the public health burden of mental illness on individuals, families, and societies. This pioneering volume will be central to that effort and an essential resource for mental health practitioners and researchers, as well as decision-makers throughout the mental health care system.



Improving Patient Care

Improving Patient Care Author Richard Grol
ISBN-10 9781118525999
Release 2013-03-18
Pages 392
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As innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that. Improving Patient Care, 2nd edition provides a structure for professionals and change agents to implement better practices in health care. It helps health professionals, managers, policy makers and researchers to assess new techniques and select and implement change in their organizations. This new edition includes recent evidence and further coverage on patient safety and patient centred strategies for change. Written by an international expert author team, Improving Patient Care is an established standard text for postgraduate students of health policy, health services and health management. The strong author team are global professors involved in managing research and development in the field of quality improvement, evidence-based practice and guidelines, quality assessment and indicators to improve patient outcomes through receiving appropriate healthcare.



Evaluating Improvement and Implementation for Health

Evaluating Improvement and Implementation for Health Author John Ovretveit
ISBN-10 9780335242788
Release 2014-08-01
Pages 242
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This book examines different approaches to evaluating treatment, health service delivery, public health programmes and policy implementation.



Behavioral Intervention Research

Behavioral Intervention Research Author Dr. Laura Gitlin, PhD
ISBN-10 9780826126597
Release 2015-12-07
Pages 578
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“ I applaud [this] book for providing a much needed overview of the entire “behavioral intervention pipeline.” It fills a unique niche in its coverage of key theoretical and methodological aspects as well as its case examples and professional development considerations, which makes the content accessible and practical for a broad audience.” -Marcia Ory, PhD From the Foreword This unique text provides comprehensive coverage of one of the most neglected—yet vitally important--areas of public health research: developing, evaluating, and implementing novel behavioral interventions in service and practice settings. Written for Masters- and Doctoral-level courses as well as novice and expert researchers in this area, the book examines the most critical issues surrounding this form of research in order to maximize the ability of intervention researchers to successfully implement current and future evidence-based protocols in practice settings. Expert contributors embrace key challenges —the complexities of health care delivery, disease management and prevention, rising costs, and changing population demographics—in shaping the push toward advancing more efficient and effective behavioral interventions and methodologies. Tackling numerous topics that have been neglected in traditional randomized trial handbooks, methodology texts, and books on dissemination and implementation science, the book addresses: ways to develop and advance an intervention, emerging hybrid trial designs - theories and new models for integrating behavioral interventions with implementation science - - recruitment and retention strategies for inclusion of diverse samples - research designs for different stages of intervention development - treatment fidelity models and measures - novel measurement and analytic strategies - cost analyses - selection of control groups - use of mixed methodology - ethics and informed consent - technology-based intervention approaches – professional considerations. Abundant case examples from successful behavioral intervention trials—both national and international--illustrate key concepts. Key Features: Includes examples of a wide range of interventions including individuals across the life span and of diverse communities and health systems Replete with case examples from successful behavioral intervention trials Presents the challenges of and strategies for advancing behavioral interventions for immediate use in practice Written by world-recognized expert authors and contributors Provides novel coverage of a great variety of important—but previously neglected--topics



Clinical Research

Clinical Research Author Robert D. Toto
ISBN-10 9781451153354
Release 2012-03-28
Pages 256
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This book will serve as a road map for students and junior researchers seeking to successfully design, implement, and publish clinical research. It covers the basic elements of research proposals and implementation including regulatory approvals, continuing regulatory oversight, investigational new drug and device applications, monitoring patient safety, recruitment, clinical assessments, laboratory assessments, provision of treatment, and on-going quality control. The authors provide instruction on how to integrate research resources to successfully conduct a clinical research project, and offer guidelines on collection, quality control, and analysis of data. A companion website will include the fully searchable text and links to Journal of Investigative Medicine's "Research Tools and Issues" feature.



Implementation Research Toolkit

Implementation Research Toolkit Author World Health Organization
ISBN-10 9241506962
Release 2014
Pages 175
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Implementation research is conducted within routine systems and real life settings, removed from the controlled settings associated with other types of scientific research. This toolkit was designed to help people learn a standard process that would lead to results that could be compared across regions and countries. It is designed to help identify system bottlenecks and the stakeholders to be involved, formulate appropriate research questions, conduct the research and develop a plan for implementing the study results. Who can use this toolkit? Health care service providers Program staff Researchers Decision-makers Finance and administration officers Media Learn how to: Identify barriers to implementation and formulate the research question Make your case for funding Set up a study design and appropriate methodologies Plan the project (budget, personnel, timelines, monitoring and evaluation) Collect, analyze and present research information Develop a dissemination plan Monitor and evaluate your research projectOver 200 researchers, academics, disease control program managers, policy-makers, health administrators, communication scientists and journalists contributed to test and evaluate the toolkit. Major funding was provided by USAID, with additional support from the Implementation Research Platform at the World Health Organization.



A Guide to Implementation Research

A Guide to Implementation Research Author Alan Werner
ISBN-10 0877667241
Release 2004
Pages 157
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The 1990s' historic welfare reform legislation shifted U.S. social policy institutions from a bureaucratic, centralized mode for income transfer, to a "professional" mode aimed at complex behavioral change. The evaluation community has responded with a shift from traditional impact analyses to implementation studies that get to the heart of this more flexible structure. A Guide to Implementation Research, by Alan Werner, is the first volume to offer comprehensive, practical advice on conducting implementation studies in the context of program evaluation. The first chapter presents an introduction to implementation research and an overview of how to organize and conduct an implementation study. Chapter Two covers the variety of data needs and data collection techniques encountered in Implementation Research. Chapter Three describes how to organize the data to document program implementation and results. Chapter Four covers approaches to assess and explain program! implementation. Each chapter contains multiple examples from the research literature as well as the work of professional evaluators. For students and practitioners of evaluation research, this book is a complete, concise, and essential guide.



Translation and Implementation of Evidence Based Practice

Translation and Implementation of Evidence Based Practice Author Lawrence A. Palinkas
ISBN-10 9780195398489
Release 2011-12-23
Pages 229
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This book is about conducting research on the process and outcomes of the translation and implementation of evidence-based practices in social work. Its aims are to outline a strategy for conducting such research and to identify the infrastructure and resources necessary to support such research within the field of social work.



Healthcare Robots

Healthcare Robots Author Dr Aimee van Wynsberghe
ISBN-10 9781472444332
Release 2015-06-28
Pages 162
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This study deals with an underexplored area of the emerging technologies debate: robotics in the healthcare setting. The author explores the role of care and develops a value-sensitive ethical framework for the eventual employment of care robots. Highlighting the range of positive and negative aspects associated with the initiative to design and use care robots, it draws out essential content as a guide to future design both reinforcing this study’s contemporary relevance, and giving weight to its prescriptions. The book speaks to, and is meant to be read by, a range of disciplines from science and engineering to philosophers and ethicists.



Managing Change in Healthcare

Managing Change in Healthcare Author Paul Parkin
ISBN-10 9781412922593
Release 2009-05-07
Pages 238
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The management of change in the context of new policy directives and agendas is a critical issue for healthcare practitioners. All professionals – not just managers - need to develop and implement new services designed to bring patients into the centre of healthcare delivery. This book looks at the leadership, interpersonal, and management skills needed to manage such change effectively within multi-professional healthcare settings.