She has worked with mentors Graham Colditz and Karen Emmons to prepare the proposal over the past two years and credits the MT-DIRC program for guiding her towards her first successful NIH grant.

The post Grant: Lee receives NCI R21 appeared first on MT-DIRC.

Koczwara_how context matters_2016

The post PUBLICATION: How Context Matters: A Dissemination and Implementation Primer for Global Oncologists appeared first on MT-DIRC.

Monica Wang has been honored with this year’s Society of Behavioral Medicine’s 2016 early Career Investigator Award. Her award will be presented on Thursday, March 31st during the Presidential Keynote and Awards Ceremony at SBM’s 2016 annual Meeting & Scientific Session in Washington D.C. March 30-April 2nd.

Cynthia Perry has received funding for an R03 that is based on work she completed during her time at the 2014 summer institute. Details are below:

1R03CA197657-01, Fuerte y Sanas: Adaptation of an Exercise and Nutrition Program for Rural Latinas, funding period: July 1, 2015-June 30 2017.  The goal of this grant is to culturally adaptation of an exercise and nutrition program for rural Latinas and test the effectiveness of the adapted program. The long term goal is to then disseminate this adapted program.

She has also received an intramural grant through OSHU school of Nursing. This grant application was directly from her work at the MT DIRC in June 2015 regarding implementing an exercise program for breast cancer survivors.  Here are the details: OHSU School of Nursing Innovations Grant Program, Preliminary Work for Implementation of an Exercise Program for Breast Cancer Survivors , funding period Jan. 1, 2016-December 31, 2017.  The goal is to collect preliminary data through survey and focus groups in order to prepare a competitive R21 NIH grant application on the implementation of an exercise program within the health care system that improves bone strength and body composition in breast cancer survivors.  The long term goal is to disseminate this program within other health care systems.

Sarah Birken and Erin Hahn have received a Cancer Research Network, Opportunity  Funding for a survivorship grant. This project is a result of a collaboration that was initiated during the 2014 summer Institute.

Congratulations to all the hard work of our MT-DIRC fellows!

The post Fellows Accomplishments keep rolling in appeared first on MT-DIRC.

Brownson_DI grant writing_CTSJ_2015

Abstract:

Background: This paper reports core competencies for dissemination and implementation (D&I) grant application writing and provides tips for writing a successful proposal. Methods:  Two related phases were used to collect the data: a card sorting process among D&I researchers and an expert review among a smaller set of researchers. Card sorting was completed by 123 respondents. In the second phase, a series of grant application writing tips were developed based on the combined 170 years of grant review experience of the writing team. Results: The card sorting resulted in 12 core competencies for D&I grant application writing that covered the main sections in a grant application to the US National Institutes of Health: (a) specific aims that provide clear rationale, objectives, and an overview of the research plan; (b)significance that frames and justifies the importance of a D&I question; (c) innovation that articulates novel products and new knowledge; and (d) approach that uses a relevant D&I model, addresses measurement and the D&I context, and includes an analysis plan well-tied to the aims and measures. Conclusions: Writing a successful D&I grant application is a skill that can be learned with experience and attention to the core competencies articulated in this paper.

The post PUBLICATION: Concocting the Magic Elixir: Successful grant application writing in Dissemination and Implementation Research appeared first on MT-DIRC.

She has spent the last year working with our MT-DIRC faculty in the crafting of this proposal.  This grant will lead to the development of an R21 proposal to be submitted next year.

The post GRANT: BIRKEN UNC’s CTSA proposal funded appeared first on MT-DIRC.

http://www.implementationscience.com/content/10/1/114

Abstract

Background

With demand increasing for dissemination and implementation (D&I) training programs in the USA and other countries, more structured, competency-based, and tested curricula are needed to guide training programs. There are many benefits to the use of competencies in practice-based education such as the establishment of rigorous standards as well as providing an additional metrics for development and growth. As the first aim of a D&I training grant, an exploratory study was conducted to establish a new set of D&I competencies to guide training in D&I research.

Methods

Based upon existing D&I training literature, the leadership team compiled an initial list of competencies. The research team then engaged 16 additional colleagues in the area of D&I science to provide suggestions to the initial list. The competency list was then additionally narrowed to 43 unique competencies following feedback elicited from these D&I researchers. Three hundred additional D&I researchers were then invited via email to complete a card sort in which the list of competencies were sorted into three categories of experience levels. Participants had previous first-hand experience with D&I or knowledge translation training programs in the past. Participants reported their self-identified D&I expertise level as well as the country in which their home institution is located. A mean score was calculated for each competency based on their experience level categorization. From these mean scores, beginner-, intermediate-, and advanced-level tertiles were created for the competencies.

Results

The card sort request achieved a 41 % response rate (n = 124). The list of 43 competencies was organized into four broad domains and sorted based on their experience level score. Eleven competencies were classified into the “Beginner” category, 27 into “Intermediate,” and 5 into “Advanced.”

Conclusions

Education and training developers can use this competency list to formalize future trainings in D&I research, create more evidence-informed curricula, and enable overall capacity building and accompanying metrics in the field of D&I training and research.

The post PUBLICATION: Developing educational competencies for dissemination and implementation research training programs: an exploratory analysis using card sorts appeared first on MT-DIRC.

07/01/2014 – 06/30/2015

Optimal Approach for Colorectal Cancer Screening and Timely Diagnostic Resolution in a Community Health Center Setting

This study will identify how to best implement a comprehensive approach to increase colorectal cancer (CRC) screening and timely diagnostic resolution in a community health center setting. This pilot is a first step toward a larger study and related activity with a primary goal of increasing guideline appropriate care for CRC screening and timely diagnosis among poor, unscreened and under screened populations.

The post GRANT- Nodora- Optimal Approach for Colorectal Cancer Screening and Timely Diagnostic Resolution in a Community Health Center Setting appeared first on MT-DIRC.

After our December webinar, we received a number of questions about which D&I theories, frameworks, and models best enhance efforts to spread evidence-based interventions. We are delighted to welcome Drs. Rachel Tabak and Ted Skolarus to lead us in an assessment of this issue on Wednesday, January 21, 2015 from 1:00-2:00 pm ET.

Dr. Tabak will present a review which used snowball sampling to: 1) develop an inventory of models; 2) synthesize this information based on three author-defined variables: construct flexibility, focus on dissemination and/or implementation activities, and socio-ecological framework level to categorize models; and 3) provide guidance on how to select a model. Dr. Skolarus will discuss an examination of citation frequency and impact of D&I models using citation analysis. As always, we invite you to share your insights and questions with us as well.

Link to Webinar

The post WEBINAR- SKOLARUS- Applying Models and Frameworks to D&I research: An Overview and Analysis appeared first on MT-DIRC.

Abstract: Qualitative comparative analysis (QCA) was developed over 25 years ago to bridge the qualitative and quantitative research gap. On searching PubMed and the Journal of Mixed Methods Research, this review identified 30 original research studies that used QCA. Perceptions that QCA is complex and provides few relative advantages over other methods may be limiting QCA adoption. Thus, to overcome these perceptions, this article demonstrates how to perform QCA using data from 15 institutions that implemented universal tumor screening programs to identify patients at high risk for hereditary colorectal cancer. In this example, QCA revealed a combination of conditions unique to effective universal tumor screening programs. Results informed additional research and provided a model for improving patient follow-through after a positive screen.

Link to Publication

The post PUBLICATION- Cragun- Qualitative Comparative Analysis: A Hybrid Method for Identifying Factors Associated with Program Effectiveness appeared first on MT-DIRC.

Abstract:

PURPOSE: Universal tumor screening (UTS) for all colorectal cancer patients can improve the identification of Lynch syndrome, the most common cause of hereditary colorectal cancer. This multiple-case study explored how variability in UTS procedures influenced patient follow-through (PF) with germ-line testing after a screen-positive result.

METHODS: Data were obtained through Web-based surveys and telephone interviews with institutional informants. Institutions were categorized as Low-PF (≤10% underwent germ-line testing), Medium-PF (11-40%), or High-PF (>40%). To identify implementation procedures (i.e., conditions) unique to High-PF institutions, qualitative comparative analysis was performed.

RESULTS: Twenty-one informants from 15 institutions completed surveys and/or interviews. Conditions present among all five High-PF institutions included the following: (i) disclosure of screen-positive results to patients by genetic counselors; and (ii) genetic counselors either facilitate physician referrals to genetics professionals or eliminate the need for referrals. Although both of these High-PF conditions were present among two Medium-PF institutions, automatic reflex testing was lacking and difficulty contacting screen-positive patients was a barrier. The three remaining Medium-PF and five Low-PF institutions lacked the conditions found in High-PF institutions.

CONCLUSION: METHODS for streamlining UTS procedures, incorporating a high level of involvement of genetic counselors in tracking and communication of results and in reducing barriers to patient contact, are reviewed within a broader discussion on maximizing the effectiveness and public health impact of UTS.

Link to Publication

The post PUBLICATION- Cragun- Comparing Universal Lynch Syndrome Tumor Screening Programs to Evaluate Associations Between Implementation Strategies and Patient Follow-Through appeared first on MT-DIRC.