Newsletter - September 2014

Articles

  1. Cassel CK, Saunders RS.
    JAMA. 2014 Aug 27;312(8):787-8. doi: 10.1001/jama.2014.8906.

  2. Fernandez ME1, Melvin C2, Leeman J3, Ribisl KM4, Allen JD5, Kegler MC6, Bastani R7, Ory MG8, Risendal BC9, Hannon PA10, Kreuter MW11, Hebert JR12.
    Cancer Epidemiol Biomarkers Prev. 2014 Aug 25. pii: cebp.0097.2014. [Epub ahead of print]

  3. Gaglio B1, Phillips SM, Heurtin-Roberts S, Sanchez MA, Glasgow RE.
    Implement Sci. 2014 Aug 28;9:96. doi: 10.1186/s13012-014-0096-x.

  4. Harris JK1, Erwin PC, Smith C, Brownson RC.
    J Public Health Manag Pract. 2014 Aug 18. [Epub ahead of print]

  5. Ioannidis JP1, Khoury MJ2.
    JAMA. 2014 Aug 6;312(5):483-4. doi: 10.1001/jama.2014.6932.

  6. Pronovost P1, Jha AK.
    N Engl J Med. 2014 Aug 21;371(8):691-3. doi: 10.1056/NEJMp1405800.

  7. Zwarenstein M, Shiller SK, Croxford R, Grimshaw JM, Kelsall D, Paterson JM, Laupacis A, Austin PC, Tu K, Yun L, Hux JE.
    Implement Sci. 2014 Aug 6;9(1):87. [Epub ahead of print]

Resource of the Month

  •  


    The Implementation Network's Resource of the Month for September is the The Institute for Healthcare Improvement's (IHI) Scientific Symposium. The Symposium will be held on December 8th in conjunction with the IHI National Forum in Orlando. The purpose of the Scientific Symposium is to attract the very best work in the field of health and health care improvement, advance the science of improvement, and foster dialog and networking. Chief Medical and Scientific Officer, Dr. Don Goldmann, provides more information about the symposium here.

    Abstracts can be submitted 
    here through September 10, 2014.

     

Webinars

  • Quality Improvement Methods to Improve Research and a New Web Site to Access Them

    David Belson, PhD

    This seminar will present ways in which researchers can maximize the impact of their work. An improved handbook is available. We will present key tools and a web site to assist identifying what will be most useful. 

    Intended Audience: Healthcare researchers who seek to improve proposals and research results.

    Register for the webinar here.



  • Developing a Stakeholder Council to Improve Research Impact

    Bridgette Larkin-Perkins, MBA, Nicole Hart, BA, Monica Matthieu, PhD, LCSW, Jeffery Pitcock, MPH
     

    This presentation will provide an overview of the four phases in development of the Mental Health Quality Enhancement Research Initiative’s (QUERI) Stakeholder Council. The Council was developed to involve key stakeholders—partners—throughout the course of the research continuum. The Stakeholder Council’s unique mission is to serve as a resource to MH QUERI investigators, which allows researchers access to key partner feedback at multiple points throughout the research process, from project conceptualization to data interpretation and dissemination. The Mental Health QUERI is one of ten implementation science research centers operating within the Department of Veterans Affairs (VA), focused on improving the quality of mental health services for Veterans. 

    Register for the webinar here.


  • Tuesday, September 9, 2014, 1:00 - 2:30 p.m. EDT

    Overview: Learning healthcare systems use routinely collected electronic health data (EHD) – known as “observational data” – to advance knowledge and support continuous learning within comparative effectiveness research and patient-centered outcomes research. Despite the increasing sophistication of analytics and data, analysts are still unable to confidently infer causal relationships from observational data.  However, effective framing of research questions, careful study design, and appropriate analytical methods can improve these inferences and the utility of EHD. 

    This webinar will discuss approaches to using observational data to improve performance in learning healthcare systems, including how to frame research questions effectively and how to apply study design and analytical methods to ensure rigorous results.

    Register for the webinar here.


  • Accelerating HPV Vaccine Uptake: What is Working and Why

    Tuesday, September 23, 2014, 2:00 p.m. – 3:00 p.m. EDT
     
    Human papillomaviruses (HPV) cause most cases of cervical cancer and large proportions of vaginal, vulvar, anal, penile, and oropharyngeal cancers. HPV vaccines could dramatically reduce the incidence of HPV-associated cancers and other conditions among both females and males, but the uptake of vaccines has fallen short of target levels.
     
    Concerted, coordinated efforts by multiple public and private organizations are needed to increase HPV vaccine uptake and achieve the vaccines' potential to prevent cancers. CDC estimates that increasing HPV vaccination rates from current levels to 80 percent would prevent an additional 53,000 future cervical cancer cases among girls who now are 12 years old or younger over the course of their lifetimes. This estimate does not include the thousands of U.S. cases of other HPV-associated cancers that likely also would be prevented within the same timeframe.
     
    The September NCI Research to Reality cyber-seminar will present key goals and high priority research interventions to increase HPV vaccine uptake. We also will highlight promising interventions that through a variety of strategies have created substantive changes in accelerating HPV vaccine uptake.
     
    As always, part of the webinar will be dedicated to your questions. We look forward to you engaging with the presenters, and sharing your own experiences.

    Register for the webinar here.

Training Opportunities

  • A postdoctoral position is available at the University of Arkansas for Medical Sciences for advanced training in addiction research and implementation science. The position is funded by a NIDA-supported T32 “Translational Training in Addiction.”  The fellowship program offers training opportunities in basic, clinical, and implementation research, and offers opportunities for fellows to collaborate with faculty and other fellows across the translational continuum.  The open position will be filled by a fellow interested in implementation science.  Opportunities exist to work with senior implementation scientists on existing and/or new implementation-focused projects, e.g., developing and testing implementation strategies, observational studies of real-world implementation, hybrid clinical effectiveness-implementation trials, and preliminary research on barriers/facilitators to implementation.  Fellowship-supported didactics will offer training in implementation science and addiction research.  Successful candidates should have a PhD in relevant fields such as psychology, social work,  nursing, public health, sociology, anthropology, or other related disciplines.  Interested candidates should contact Geoff Curran, PhD (currangeoffreym@uams.edu), Professor and Director, Center for Implementation Research, University of Arkansas for Medical Sciences, Little Rock, AR. 

Conferences


  •  

    The Bridge from Research to Action

    Satellite Session
     
    September 29, 2014 13:30-17:00
    Third Global Symposium on Health Systems Research
    Cape Town International Convention Centre, Room 2.41-2.43

    Register here.
  •                       

     
     
    December 8-9, 2014 | Bethesda North Marriott Hotel & Conference Center

    Registration is now open for the 7th Annual Conference on the Science of Dissemination and Implementation. 

    The transformation of health care and public health toward a system that optimizes individual and population health is well under way, with significant expenditures at risk. As policymakers, employers, providers and patients respond to new demands to show that health care delivery and public health systems can reliably deliver evidence-based and patient-centered services, many are eager to learn what works, for whom, in what contexts, and at what cost.

    A forum for bringing new developments in the science of dissemination and implementation, the 7th annual conference aims to engage researchers and experts by bridging the gap between evidence, practice, and policy in healthcare and public health.

    The 2014 agenda includes a dynamic program with panel, oral, and plenary presentations, a keynote address, and two poster sessions, all complemented by peer-reviewed abstracts. The meeting theme, “Transforming Health Systems to Optimize Individual and Population Health” reflects the capacity of evidence-based practices in service delivery to influence healthcare and population health.

    Researchers, evaluators, implementers, and other key practice stakeholders who are interested in identifying opportunities, challenges, and strategies for accelerating the implementation of research findings are encouraged to attend.

    Online Registration Deadline: December 1, 2014

    Click here to register for the conference.



  • The French national cancer institute (INCa) is organizing, on 17-18 November 2014, an international conference on intervention research against cancer. A significant contribution to the forming of an evidence base in public health, population health intervention research can contribute to decision-making on cancer prevention, screening, health- care management and survivorship.

    The conference committee welcomes poster abstracts presenting results from innovative research projects and featuring researchers, decision- or policy-makers, and field/community actors.

    Of particular interest are proposals showing how collaboration of stakeholders allows for complex interventions and novel knowledge to emerge, on cancer as well as on other pathologies. Evaluation criteria for selection of abstracts are: degree of innovation; public health relevance; scientific quality. A set of authors presenting the best abstracts will see their participation costs (e.g. travel) covered.

     



  • The Scientific Symposium is an all-day event that takes place in conjunction with the IHI National Forum on Monday, December 8, 2014, in Orlando, Florida, USA. Every year, the Scientific Symposium attracts the best work in the science of health and health care improvement. We aim to foster dialog and shared learning among participants. The day features keynote speakers, rapid-fire presentations of peer-reviewed papers, interactive methods sessions, and networking. 

    The 2014 Scientific Symposium will take place at the Gaylord Palms Resort and Convention Center located at 6000 W Osceola Pkwy, Kissimmee, FL 34746.

    Abstracts can be submitted here through September 10, 2014.
     

General Announcements

  • The NHLBI is considering creating a research consortium to evaluate methods for increasing the uptake and application of evidence-based interventions for heart, lung and blood diseases and sleep disorders. This Request for Information (RFI) seeks advice from experts in translating and disseminating evidence-based interventions into clinical practice (T4 Translation) on the design of an effective and practical Research Network that would be "disease agnostic." The objective is to provide an expert infrastructure platform for research on translation related to a variety of diseases and conditions within the mission of the NHLBI. Individuals, institutions and organizations with experience in translation and implementation science and clinical trials networks are invited to submit comments.

    The deadline has been extended to October 3.

    Read the full RFI here.
  • Abstract

    Objectives. 

    This report presents the adaptation of the Consolidated Framework for Implementation Research (CFIR) to threecomplex system interventions involving (1) process redesign for improved efficiency and reduced costs (PR); (2) patient-centered medical homes (PCMH); and (3) care transitions. The purpose of the adapted frameworks— the PR Framework, PCMH Framework, and Care Transitions Framework—is to guide research on how, why, and where these interventionssucceed or fail to achieve intended outcomes. 

    Data sources. 

    MEDLINE™. Additional studies were identified through the gray literature and technical experts. 

    Methods. 

    The adaptation was informed by the findings from a scan of selected literature on PR, PCMH, and care transitions, which included articles in MEDLINE, the published and gray literature, and recommendations of content experts at the Agency for Healthcare Research and Quality. A Technical Expert Panel (TEP) for each topic reviewed the draft of the contextual frameworks and provided input on the structure and content through a series of 2-hour calls. In addition, the PR and PCMH Frameworks were reviewed by two separate TEPs for usability. In total, five TEPs were convened for this work.

    Results. 

    While retaining much of the CFIR’s original structure and most of its original concepts, the revised frameworks address distinctive features of each of the three interventions. We added concepts relevant to each topic area, and more explicitly addressed the iterative and interactive nature of complex system change. We also modified nearly all the definitions of the CFIR constructs to incorporate terminology and examples tailored to the specific interventions. Two 
    new domains were added to each of the frameworks—one for intermediary outcomes related to the implementation and one for outcomes of the interventions themselves. Several CFIR domains and constructs were renamed to be more resonant with the intervention’s research target group. None of the original CFIR constructs were dropped, but several dozen new constructs were added across the three new frameworks. As these were iterative products, with initial PR and PCMH Frameworks informing the Care Transitions Framework, many of these new constructs overlap across the frameworks.

    Conclusions. 

    These contextual frameworks provide a foundational taxonomy and conceptualization of key implementation constructs that researchers can use across studies to enhance their comparability and synthesis, thereby better informing the generalizability and replicability of specific interventions. In adapting the CFIR for complex system interventions, we thought it critical to include input from both research and practice stakeholders to ensure that the content is understandable and applicable to the intervention strategy of interest.

    Read the full report here