#DIscience16 @DrSimpsonHSR #DIscience15 AcademyHealth Conferences: - - PowerPoint PPT Presentation

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AcademyHealth Conferences:

Addressing all the key issues in health and health care

January 30-31, 2017 Washington, DC 700 attendees April 26-28 Washington, DC 1,300 attendees Vice President Biden spoke at 2016 meeting June 24-28 New Orleans, LA 2,500 attendees December 14-16, 2016 Washington, DC 1,000+ attendees

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Dissemination & Implementation Activities

• Building a vibrant and diverse community

– Annual Research Meeting – Translation & Communications Interest Group – Translation and Dissemination Institute

• Enhancing the science

– Methods Council – Workforce Summit – Translation & Dissemination Institute

• Enhancing use of evidence

– Deliberative dialogues – Learning communities

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Showcasing Findings

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AcademyHealth Official Journals

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Thank You to Our Sponsors

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Thank You to the Program Planning Committee

David Chambers, D.Phil. National Cancer Institute Augie Diana, Ph.D. National Institute of Nursing Research Rani Elwy, Ph.D. Department of Veterans Affairs Michael Engelgau, M.D., M.S. National Heart, Lung, and Blood Institute Bridget Gaglio, Ph.D., M.P.H. Patient-Centered Outcomes Research Institute Michael Gluck, Ph.D., M.P.P. AcademyHealth Christine Hunter, Ph.D. National Institute of Diabetes and Digestive and Kidney Disease Deborah Young Hyman, Ph.D. Office of Behavioral and Social Sciences Research Brian Mittman, Ph.D. Department of Veterans Affairs Gila Neta, Ph.D., M.P.P. National Cancer Institute Lisa Simpson, M.B., B.Ch., M.P.H., FAAP AcademyHealth Belinda Sims, Ph.D.

National Institutes on Drug Abuse

Rachel Sturke, Ph.D., M.P.H., M.I.A. Fogarty International Center Tisha Wiley, Ph.D. National Institutes on Drug Abuse Jamie Zimmerman, M.P.H. Agency for Healthcare Research and Quality

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2016 Track Leaders

Behavioral Health

• Kate Stoney
• Denny Pintello

Big Data and Technology for Dissemination & Implementation Research

• Erin Holve
• Gurvaneet Randhawa

Clinical (i.e., Primary, Specialty, Hospital, etc.) Care Settings

• Michael Engelgau
• Richard Ricciardi

Global Dissemination & Implementation

• Rachel Sturke
• M. Rashad Massoud

Health Equity

• Belinda Sims
• Helena Mishoe

Health Policy

• Michael Harrison
• Michael Gluck

Models, Measures, and Methods

• Lori Ducharme
• Bridget Gaglio

Precision Medicine

• Amy Kilbourne
• Brian Mittman

Prevention and Public Health

• Elizabeth Neilson
• Edward Hunter

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Thank You to the Scientific Advisory Panel

Greg Aarons, Ph.D. Gary Bennett, Ph.D., M.A. Larry Green, Dr.Ph., M.P.H. Jeremy Grimshaw, MBCHB, Ph.D. Enola Proctor, Ph.D., M.S.W Anne Sales, Ph.D., RN Shannon Wiltsey Stirman, Ph.D.

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David Chambers National Cancer Institute National Institutes of Health

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Dissemination and Implementation Research

• Dissemination research is the scientific study of

targeted distribution of information and intervention materials to a specific public health or clinical practice

• audience. The intent is to understand how best to

spread and sustain knowledge and the associated evidence-based interventions.

• Implementation research is the scientific study of the

use of strategies to adopt and integrate evidence-based health interventions into clinical and community settings in order to improve patient outcomes and benefit population health.

NIH PAR-16-236; Adapted from Lomas (1993)

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Conference Formats

• Keynote Address
• 3 Plenary Panels
• 7 Lunchtime Discussions
• 4 sets of Concurrent Paper Sessions
• Poster Slam!
• Poster Session(s)
• Networking!

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Scientific Tracks

• Behavioral Health
• Big data and

Technology for D&I Research

• Clinical (i.e. Primary,

Specialty, Hospital, etc.) Care Settings

• Global D&I
• Health Policy D&I
• Models, Measures and

Methods

• Precision Medicine*
• Prevention and Public

Health

• Promoting Health Equity

and Eliminating Disparities

* New this year

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Key Conference Themes

• Lessons on Innovation from Other Fields
• Balancing Adaptation and Fidelity
• De-Implementation and Sustainment
• Advancing Dissemination Science

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Implications of Innovations in Other Fields

Adapted from William Riley, OBSSR; IOM Report

What should we be doing differently?

2005 2006 2007 2008 2009 2010 2011

Grant Submit and Award Development and Pilot Testing Recruit and Randomize Follow-ups Analyze and Publish

2012+

Ready for Use?

iPhone Android YouTube iPad Facebook reaches 1B users

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Balancing Fidelity and Adaptation

Variable use for variable populations, settings, and purposes…

Source: popartuk.com; 9gag.com

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Delivery Setting

INTERVENTION

Adaptation CORE

INTERVENTION

Adaptation CORE

INTERVENTION

Adaptation CORE

INTERVENTION

Adaptation CORE

• Taxonomy of Adaptations
• Intervention Core Components
• Outcomes Data Capture
• Analytical Strategies

INTERVENTION

Adaptation CORE

• Science of Adaptation
• Science of Implementation
• Intervention Development
• Designing for Evolution

EVIDENCE Knowledge Development Common Data Capture

HEALTHCARE PRACTICE

INFLUENCE ADAPTOME DATA PLATFORM

Source: Chambers & Norton, AJPM, 2016

Building the Implementation Adaptation Knowledge Base

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Sustainment or Evolution?

http://www.thestrut.com/2012/12/19/…

Chambers, Stange, Glasgow, 2013

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De-Implementation: “a weed by any other name…”

• Identifying the need:
• Reduce
• Remove
• Replace
• Facilitating the change
• Research agenda?

Gnjidic and Elshaug BMC Medicine (2015)

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Advancing Dissemination Science

http://ramrascartoons.blogspot.com/2008/03/communication- breakdown.html

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Selected Research Priority Areas for NIH D&I Funding Opportunity Announcements

• Studies of the local adaptation of evidence-based practices

in the context of implementation

• Longitudinal and follow-up studies on the factors that

contribute to the sustainability of evidence-based interventions

• Scaling up health care interventions across health plans,

systems, and networks

• De-Implementation of ineffective or suboptimal care

NIH: PAR-16-237; 16-238;16-236 (R03, R01, R21)

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Lunchtime Discussions

• Education and Training Needs
• Balancing Adaptation and Fidelity
• De-Implementation
• Designing for D&I
• Learning from Improvement
• Dissemination Research
• Sustainment

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Join the Conversation #Discience16

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Keynote Address The Innovation Conundrum Roy Rosin University of Pennsylvania