HMC Research Translation: Speculations about Making It Real and Going to Scale

Center for Health Dissemination and Implementation Research, Institute for Health Research, Kaiser Permanente Colorado, Denver, CO 80237-8066, USA.
American journal of health behavior (Impact Factor: 1.31). 01/2010; 34(6):833-40. DOI: 10.5993/AJHB.34.6.17
Source: PubMed


To discuss cross-cutting issues that emerge from this special issue on health behavior maintenance and to present recommendations from an "implementation and dissemination" perspective.
Reviews collective implementation strengths and limitations of the HMC articles and provides recommendations for dissemination.
Strategies for dissemination include actions-related study planning, analysis, promotion, and distribution of research results. Alternatives, which should be tailored to setting, intervention, and patient factors, include analyses of generalization, use of narratives, networks, and innovative partnerships.
Dissemination strategies can be used to enhance the chances that results will be translated into policy and practice.

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    • "" As noted by Green (2008), " If we want more evidence-based practice, we need more practice-based evidence. " We have reinforced the need for a collaborative partnership model bridging the public health research and public health practice community that so many others have stressed (Prohaska et al., 2000a; Glasgow and Emmons, 2007; Solberg et al., 2010). The unfortunate state of the fi eld in which there are relatively few feasible, generalizable, effective , and sustainable evidence-based programs promoting the health of older adults will soon change. "
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    ABSTRACT: There has been considerable advancement in our understanding of the im-pact of lifestyle and behavioral risk factors on the health and well-being of older adults. Early longitudinal evidence from the Alameda County Popula-tion Study demonstrated the association between behavioral risk factors such as smoking and physical activity and mortality and change in physical func-tioning in older adults (Kaplan, Seeman, Cohen, Knudsen, and Guralnik, 1987; Kaplan, Strawbridge, Camacho, and Cohen, 1993). More recent reviews of epidemiological, clinical, and longitudinal studies continue to confi rm the impact of behavioral risk factors, especially the use of tobacco, poor diet, physical inactivity, and alcohol consumption, not only on the major causes of death and disability, but also on health and well-being (Mokdad, Marks, Stroup, and Gerberding, 2004). We also have considerable surveillance data on the prevalence of these risk factors and the demographic distribution of these risk factors among subgroups of older adults (see chap. 7). Given the known impact of behavioral risk factors on health, the translation of effi ca-cious interventions on these and other behavioral risk factors into programs JHUP_prohaska.indd 161 10/12/11 2:12 PM
    Public Health for an Aging Society, Edited by T. Prohaska, L. Anderson, R. Binstock, 01/2012: chapter Translation: Dissemination and Implementation Issues; Johns Hopkins Press.
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    ABSTRACT: To enhance understanding of the long-term maintenance of behavior change, as well as effective strategies for achieving sustainable health promotion and disease prevention through the Health Maintenance Consortium (HMC). This introductory research synthesis prepared by the resource center gives context to this theme issue by providing an overview of the HMC and the articles in this journal. It explores the contributions to our conceptualization of behavior change processes and intervention strategies, the trajectory of effectiveness of behavioral and social interventions, and factors influencing the long-term maintenance of behavioral and social interventions. Future directions for furthering the science of maintaining behavior change and reducing the gaps between research and practice are recommended.
    American journal of health behavior 01/2010; 34(6):647-59. DOI:10.5993/AJHB.34.6.2 · 1.31 Impact Factor
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    ABSTRACT: To describe the formation and work of the Health Maintenance Consortium (HMC), a collaborative of researchers funded by the National Institutes of Health to study long-term behavior change across a variety of diseases and conditions. The historical development of the program, especially the focus on behavior change maintenance, is briefly described. Previous work on behavior change that paved the way for the HMC is also discussed. Aiming to accelerate the pace of discovery and application, NIH funding to create the HMC has created a strong research base for making progress toward filling key knowledge and intervention gaps in long-term behavior change. Investments in behavior change and maintenance have yielded important information that can be used to guide the development of future programs to improve health.
    American journal of health behavior 01/2010; 34(6):643-6. DOI:10.5993/AJHB.34.6.1 · 1.31 Impact Factor
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