Division of Adult and Community Health
description
Transcript of Division of Adult and Community Health
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Current and Future Challenges in Designing Behavioral
Interventions: From Randomized Trials to Community Implementation
Gerontological Society of AmericaNovember 18, 2011
Current Perspectives in Public Health and Aging: Research Translation and Examples of Funding
Opportunities
Lynda Anderson, PhDDirector, Healthy Aging Program
Division of Adult and Community Health
National Center for Chronic Disease Prevention and Health Promotion
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Source: R. Brownson. Policy Dissemination Research: Are We Making Legislation or Sausage? 4 th Annual NIH Conference on the Science of Dissemination and Implementation Policy and Practice
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Evidence Integration Triangle
Source: Glasgow. NIH Annual D & I Science Meeting, March 22, 2011
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Implementation and Dissemination Research Characteristics
• Contextual • Complex • Multi-component programs and policies • Non-linear • Transdisciplinary
Source: Glasgow R & Steiner J. (2011). In Dissemination and Implementation Research. Brownson, R, Colditz, G, and Proctor, E (Eds.). Oxford.
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Definitions
• Dissemination research: – “Systematic study of the processes and factors that lead to
widespread use of evidence-based interventions (based on findings gleaned from rigorous scientific methods) by the target population.”
• Implementation research:– “Seeks to understand the factors associated with integration
of evidence-based interventions in particular settings (e.g., worksite or school) and also examines whether the components of the original intervention were faithfully transported to the real-world setting.”
The Office of Behavioral and Social Sciences Research (OBSSR) http://www.nih.gov/news/health/apr2011/od-04.htm
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Crowley WF, et al. Clinical Research in the United States at a Crossroads. JAMA. 2004. 291: 1120. Source: B.S. Mittman, Applying Implementation Science to Enhance the Impact of Health Services Research, academyhealth.org/files/interestgroups/researchtranslation/mittman.pdf
Implementation Science
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Funding
• Because dissemination and translational research occurs across a number of disciplines, studies are funded and/or conducted by
• Federal agencies• Private and non-profit agencies• State agencies
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Translating Research to Practice
The Guide to Community Preventive Services
Provides information about high-priority
interventions
Older Adults:
Interventions to treat depressionwww.thecommunityguide.org
Prevention Research Centers
Extramural program
Established by Congress in 1984 www.cdc.gov/prc
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Overview
Research centers at accredited Schools of Public Health or Medicine with Preventive Medicine Residency
Cooperative agreements in 5-year funding cycles
Research conducted with underserved communities
Fund 37 PRCs in 27 states (2010-2014)
300+ active projects
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PRC Locations2010-2014
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PRC Special Interest Projects
Established in 1993 toSupport research in health promotion and disease prevention
Focus on the major causes of death and disability
Improve public health practice within communities
Cultivate effective state and local public health programs
Eligible SponsorsCDC Centers/Institutes/Offices
Other federal agencies, such as National Institutes of Health
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http://www.cdc.gov/globalaids/support-evidence-based-programming/implementation-science.html
CDC Global HIV/AIDS
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Agency for Healthcare Research and Quality
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www.grants.gov/search/announce.do;jsessionid=WpWSTFFdDcY1tbLNtwdgKQmqMh3hfyH3s5KT2Cz2J8yPTV0GxLXG!-1824110270
Centers for Medicare and Medicaid Services
One billion dollars ($1B) is available in awards of one to three million dollars ($1M to $3M) over a three-year funding period, but the letters of intent and application deadlines are tight. Note that state health departments are not eligible for funding.
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http://conferences.thehillgroup.com/obssr/di2012/about.html
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