Using the Interactive Systems Framework to Support a Quality Improvement Approach to Dissemination of Evidence-Based Strategies to Promote Early Detection of Breast Cancer: Planning a Comprehensive Dynamic Trial.
Dissemination efforts must optimize interventions for new settings and populations. As such, dissemination research should incorporate principles of quality improvement. Comprehensive Dynamic Trial (CDT) designs examine how information gained during dissemination may be used to modify interventions...
| Publicado en: | American Journal of Community Psychology Vol. 50; no. 3/4; pp. 497 - 518 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Dec2012
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=83587494&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 83587494 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00910562 CMP jtl: American Journal of Community Psychology issn: 00910562 maglogo: N pubinfo: dt: Dec2012 vid: 50 iid: 3/4 pid: 480 pub: Wiley-Blackwell artinfo: ui: 83587494 10.1007/s10464-012-9518-6 ppf: 497 ppct: 21 formats: fmt: – @attributes: type: T – @attributes: type: P size: 556KB tig: atl: Using the Interactive Systems Framework to Support a Quality Improvement Approach to Dissemination of Evidence-Based Strategies to Promote Early Detection of Breast Cancer: Planning a Comprehensive Dynamic Trial. aug: au: Rapkin, Bruce D. Weiss, Elisa S. Lounsbury, David W. Thompson, Hayley S. Goodman, Robert M. Schechter, Clyde B. Merzel, Cheryl Shelton, Rachel C. Blank, Arthur E. Erb-Downward, Jennifer Williams, Abigail Valera, Pamela Padgett, Deborah K. affil: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 3300 Kossuth Avenue, 10467, Bronx NY, USA Wayne State University, Detroit MI, USA Indiana University Bloomington, Bloomington IN, USA Columbia University, New York NY, USA New York University, New York NY, USA su: Information services Medical screening Public health Health promotion Breast cancer diagnosis Mammograms sug: subj: Information services Medical screening Public health Health promotion Diagnostic Imaging Centers All Other Information Services All Other Miscellaneous Ambulatory Health Care Services Health and Welfare Funds Breast cancer diagnosis Mammograms keyword: Comprehensive dynamic trials Dissemination research Interactive systems framework Intervention adaptation Mammography Quality improvement Comprehensive dynamic trials Dissemination research Interactive systems framework Intervention adaptation Mammography Quality improvement ab: Dissemination efforts must optimize interventions for new settings and populations. As such, dissemination research should incorporate principles of quality improvement. Comprehensive Dynamic Trial (CDT) designs examine how information gained during dissemination may be used to modify interventions and improve performance. Although CDT may offer distinct advantages over static designs, organizing the many necessary roles and activities is a significant challenge. In this article, we discuss use of the Interactive Systems Framework for Dissemination and Implementation to systematically implement a CDT. Specifically, we describe 'Bronx ACCESS', a program designed to disseminate evidence-based strategies to promote adherence to mammography guidelines. In Bronx ACCESS, the Intervention Delivery System will elicit information needed to adapt strategies to specific settings and circumstances. The Intervention Synthesis and Translation System will use this information to test changes to strategies through 'embedded experiments'. The Intervention Support System will build local capacities found to be necessary for intervention institutionalization. Simulation modeling will be used to integrate findings across systems. Results will inform on-going policy debate about interventions needed to promote population-level screening. More generally, this project is intended to advance understanding of research paradigms necessary to study dissemination. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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