The role of dissemination and implementation science in global breast cancer control programs: Frameworks, methods, and examples.

Global disparities in breast cancer outcomes are attributable to a sizable gap between evidence and practice in breast cancer control and management. Dissemination and implementation science (D&IS) seeks to understand how to promote the systematic uptake of evidence-based interventions and/or practi...

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Publicado en:Cancer (0008543X) Vol. 126; no. 10; pp. 2394 - 2405
Autores principales: Rositch, Anne F., Unger‐Saldaña, Karla, DeBoer, Rebecca J., Ng'ang'a, Anne, Weiner, Bryan J., Unger-Saldaña, Karla
Formato: research Journal Article
Publicado: Wiley-Blackwell May2020 Supplement S10
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The role of dissemination and implementation science in global breast cancer control programs: Frameworks, methods, and examples.
      aug:
        au:
          Rositch, Anne F.
          Unger‐Saldaña, Karla
          DeBoer, Rebecca J.
          Ng'ang'a, Anne
          Weiner, Bryan J.
          Unger-Saldaña, Karla
        affil: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore Maryland
      sug:
        subj:
          Breast Neoplasms Prevention and Control
          Health Education
          Health and Welfare Planning
          Practice Guidelines
          Female
          Medical Practice, Evidence-Based
          Human
          Scales
          Female
      ab: Global disparities in breast cancer outcomes are attributable to a sizable gap between evidence and practice in breast cancer control and management. Dissemination and implementation science (D&IS) seeks to understand how to promote the systematic uptake of evidence-based interventions and/or practices into real-world contexts. D&IS methods are useful for selecting strategies to implement evidence-based interventions, adapting their implementation to new settings, and evaluating the implementation process as well as its outcomes to determine success and failure, and adjust accordingly. Process models, explanatory theories, and evaluation frameworks are used in D&IS to develop implementation strategies, identify implementation outcomes, and design studies to evaluate these outcomes. In breast cancer control and management, research has been translated into evidence-based, resource-stratified guidelines by the Breast Health Global Initiative and others. D&IS should be leveraged to optimize the implementation of these guidelines, and other evidence-based interventions, into practice across the breast cancer care continuum, from optimizing public education to promoting early detection, increasing guideline-concordant clinical practice among providers, and analyzing and addressing barriers and facilitators in health care systems. Stakeholder engagement through processes such as co-creation is critical. In this article, the authors have provided a primer on the contribution of D&IS to phased implementation of global breast cancer control programs, provided 2 case examples of ongoing D&IS research projects in Tanzania, and concluded with recommendations for best practices for researchers undertaking this work.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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