Systems Antecedents for Dissemination and Implementation: A Review and Analysis of Measures

Dana-Farber Cancer Institute/Harvard School of Public Health, Boston, MA, USA.
Health Education & Behavior (Impact Factor: 2.23). 07/2011; 39(1):87-105. DOI: 10.1177/1090198111409748
Source: PubMed


There is a growing emphasis on the role of organizations as settings for dissemination and implementation. Only recently has the field begun to consider features of organizations that affect dissemination and implementation of evidence-based interventions. This manuscript identifies and evaluates available measures for five key organizational-level constructs: (a) leadership, (b) vision, (c) managerial relations, (d) climate, and (e) absorptive capacity. Overall the picture was the same across the five constructs--no measure was used in more than one study, many studies did not report the psychometric properties of the measures, some assessments were based on a single response per unit, and the level of the instrument and analysis did not always match. One must seriously consider the development and evaluation of a robust set of measures that will serve as the basis of building the field, allow for comparisons across organizational types and intervention topics, and allow a robust area of dissemination and implementation research to develop.

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Available from: Maria E Fernandez, Oct 09, 2015
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    • "However, this leadership structure is often complemented in local parishes by other forms of leadership that emerge in response to particular circumstances and needs. Leadership structures must be considered when designing and implementing health programs (Emmons et al., 2012). For example, necessary groundwork prior to the implementation of interventions in faith-based organizations ideally involves cultivation of relationships along a chain of authority , beginning with bishops and their staff at the diocesan level (Allen et al., submitted for publication). "
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    ABSTRACT: Through two case studies of Catholic parishes in Massachusetts, this study explores the implications of leader-centered versus distributed leadership in Catholic parishes for the implementation of evidence-based health interventions. The two parishes involved in the study differ from each other in several ways. In the first, parishioners are less engaged in leadership activities at the decision-making level in the parish. A small group of lay volunteers work with the parish priest and other ordained leaders on parish activities. In the second parish, a large and active lay volunteer leadership have forged an organizational structure that allows more independence from the pastor’s direct oversight. In this parish, lay volunteer leaders are the prime drivers of organizational programs and events. In 2012-2013, three types of networks were assessed at each parish: discussion, collaboration, and outside-of-parish ties. The contrasts between each parish include differences in density of collaboration, in frequency of discussion, and network centrality of the respective parish priests. We further identified key actors in the network structures at each parish. We discuss the implications of these findings for understanding organizational capacity in the context of health program implementation.
    Full-text · Article · Oct 2014 · Social Science & Medicine
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    • "This issue has been further reinforced in an extension of the more general RE-AIM health promotion evaluation framework (Glasgow et al., 1999) to focus specifically on planning, implementing and evaluating sports injury prevention interventions across all levels of sports delivery (Finch and Donaldson, 2010). There is growing interest and emphasis in health promotion research on understanding the role of organisations as settings, including community sports clubs (Donaldson and Finch, 2012), for disseminating and implementing evidence-based programs to promote health and manage chronic disease (Emmons et al., 2011). However, most health promotion research (Golden and Earp, 2012) and nearly all sports injury research has only considered individual-level contextual influences such as participant and coach safety knowledge, attitudes, awareness, perceptions and behaviours (Carter and Muller, 2008; Danis et al., 2000; Finch et al., 2002; Gabbe et al., 2003; Gianotti et al., 2010; Hawkins, 1998; Iversen and Friden, 2009; Pettersen, 2002; Saunders et al., 2010; Sherker et al., 2006; Taylor et al., 2005). "
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    ABSTRACT: Despite recent interest in understanding the implementation context for sports injury prevention inter-ventions, little research attention has been paid to the management structures and processes of commu-nity sporting organisations. This study developed expert consensus about the importance of Occupational Health and Safety (OHS) setting-related safety management system (SMS) principles and performance indicators in the context of Australian community sporting organizations, and the feasibility of these organisations meeting the requirements for the SMS performance indicators. Twenty-nine sports injury prevention, community sports administration and OHS SMS experts participated in a three-round online Delphi study by rating the importance of 64 SMS performance indicators categorised under the five prin-ciples of Commitment and Policy; Planning; Implementation; Measurement and Evaluation; and Review and Improvement. Overall, consensus agreement – define as rated 'essential' or 'very important' on a five-point scale by P75% of the participants in Round 3 – was reached for 57 performance indicators. Ten (15%) performance indicators were rated as 'very difficult' or 'relatively difficult', and six (9%) were rated as 'very easy' or 'relatively easy' on a four-point scale, by P75% of participants. This research suggests that the guiding principles and associated performance indicators that underpin OHS safety management systems in the workplace are very relevant and applicable to community sporting organisations in Aus-tralia. However, considerable work is required to build organisational capacity to be able to develop and implement meaningfully and useful SMSs to prevent sports injuries in the most common setting in which they occur.
    Full-text · Article · Jun 2013 · Safety Science
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    • "Additional theory development and testing are needed to better understand the relationships among the complex array of factors required for successful dissemination and implementation of health interventions in various settings [34]. Building a more robust set of common measures for D&I research is also a priority [13]. Glasgow and colleagues suggest that alternative study designs beyond the traditional randomized trial that emphasize the importance of external validity and that take advantage of existing social, environmental, and community data should be utilized [19]. "
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    ABSTRACT: Dissemination and implementation (D&I) research is a growing area of science focused on overcoming the science-practice gap by targeting the distribution of information and adoption of interventions to public health and clinical practice settings. This study examined D&I research projects funded under specific program announcements by the US National Institutes of Health (NIH) from 2005 to 2012. The authors described the projects' D&I strategies, funding by NIH Institute, focus, characteristics of the principal investigators (PIs) and their organizations, and other aspects of study design and setting. Results showed 46 R01s, 6 R03s, and 24 R21s funded totaling $79.2 million. The top funders were the National Cancer Institute and the National Institute of Mental Health, together providing 61% of funding. The majority of PIs were affiliated with Schools of Medicine or large, nonprofit research organizations and think tanks. Only 4% of projects were to PIs with appointments at Schools of Nursing, with 7% of the funding. The most commonly funded projects across all of the studies focused on cancer control and screening, substance abuse prevention and treatment, and mental health services. Typically implemented in community and organizational settings, D&I research provides an excellent opportunity for team science, including nurse scientists and interdisciplinary collaborators.
    Full-text · Article · Mar 2013
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