HMC research translation: speculations about making it real and going to scale.
ABSTRACT 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.
SourceAvailable from: Renae L Smith-Ray[Show abstract] [Hide abstract]
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 PMPublic 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: Purpose Programs focused on health related behaviors implemented in senior centers, senior housing or churches have not been strongly successful in showing significant improvement in cardiovascular disease (CVD) prevention behaviors or important clinical outcomes such as decreasing blood pressure. The purpose of this study was to consider the feasibility and preliminary efficacy of Phase I of the PRAISEDD-2 intervention. PRAISEDD-2 was implemented to increase physical activity, adherence to heart healthy diets and antihypertensive and/or lipid lowering medications. Method This was a single site pre post intervention trial. The 12 week Phase I activities included education, motivational interventions and exercise classes two times per week implemented by a lay trainer and nurse. Results A total of 29 residents were recruited from a single senior housing facility. The majority were black or African American, female and had at least a high school education. The average age of participants was 74 years of age. At the end of Phase I, participants had stronger outcome expectations for exercise, decreased fat and salt intake and decreased pain. There was a non-significant improvement in time spent in physical activity and distance walked in 6 minutes. Conclusion Phase I of the PRAISEDD-2 intervention was feasible based on adherence to study design, training of the interventionists, delivery and receipt and there was some support for efficacy across some study outcomes.Applied nursing research: ANR 08/2014; DOI:10.1016/j.apnr.2013.12.005 · 1.14 Impact Factor
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ABSTRACT: Public health and other practitioners increasingly are being asked to implement policy and environmental change interventions, yet many practitioners lack the knowledge, skills, and resources to do so. In response to this need, a growing number of organizations are disseminating evidence-based interventions (EBIs) and building practitioners' capacity to use those interventions in practice. Although advances have been made on approaches to disseminating individual-level EBIs, little is known about the optimal way to disseminate EBIs to promote policy and environmental change.International Journal of Behavioral Medicine 07/2014; DOI:10.1007/s12529-014-9427-1 · 2.63 Impact Factor