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AHRQ is seeking nominations of promising patient-centered outcomes research (PCOR) findings with the potential to improve patient health outcomes for future dissemination and implementation activities.. PCOR compares the impact of two or more preventive, diagnostic, treatment, or health care delivery approaches on health outcomes, including those that are meaningful to patients. Evidence lacking consistency includes studies with greatly differing or conflicting effect estimates. These communication strategies are widely used and can be considered best practices; however, they are not included in this review given our focus on comparative effectiveness of different techniques. Sharpe PA, Brandt HM, McCree DH, Owl-Myers E, Taylor B, Mullins G. Development of culturally tailored educational brochures on HPV and Pap tests for American Indian women. Peer review comments on the preliminary draft of the report are considered by the EPC in preparation of preparing the final draft of the report. MB and MdW were involved in formulating the inclusion criteria, selecting the papers, assessing the levels of evidence of the papers, conducting the content analysis/data synthesis and writing this paper. Visschers VH, Meertens RM, Passchier WW, et al. For international guidelines, lay versions of guidelines should ideally be translated into different languages. Sharing strategies, results, and lessons learned can help other rural programs to identify telehealth solutions for addressing challenges in their communities. Psychol Bull 2007 Jul;133(4):673-93. Techniques of interest include tailored communication, communication targeted at audience segments; use of narratives; and message framing (see Table 5). This review will hopefully enable other national organisations of patients and health professionals to develop their own strategy to disseminate national or international recommendations to patients. Grades reflect the strength of the body of evidence to answer the KQs on the comparative effectiveness of the interventions in this review. Communication and Dissemination Strategies to Facilitate the Use of Health-Related Evidence. Tailored communication delivered via print or the Internet is more effective than nontailored communication in increasing knowledge and changing behavior. dissemination plan has been successful and to help form future plans 6. An analysis of trends of the management of pediatric asthma and croup in US Emergency Departments from 1995 to 2009. To assess the applicability of a body of evidence, we will consider the consistency of results across studies that represent an array of different populations. Eular report. Dissemination is seen as playing a key role in building sustainable health and social ecosystems while supporting society. The development group may not include a consumer representative but may invite patients to review draft documents or attend a group meeting or internet forum to share their perspectives [22]. 2009;68(9):1381–6. Mitton C, Adair CE, McKenzie E, et al. Determining net benefit requires synthesizing the evidence across multiple studies and judging the magnitude of the overall benefit relative to harm (e.g., net benefit, marginal or uncertain benefit, and net harm). Development of the RTI item bank on risk of bias and precision of observational studies. BMJ Qual Saf. Description: Many effective programs emerging from research fail to have a significant impact on population health because no plans are made to disseminate these programs to agencies and organizations that can use them. Generate a discussion on the most appropriate mode of evidence dissemination based … For studies without adequate information to determine inclusion or exclusion, we will retrieve the full text and then make the determination. Reference: Agency for Healthcare and Research Quality. For example, in a synthesis of 41 systematic reviews, Grimshaw and colleagues16 reported that active, multifaceted approaches were most effective.16 Additional research also supports this conclusion. Once those who are synthesizing evidence determine strength of evidence, net benefit, and applicability, various groups must communicate the information to consumers. The articles are published between 2002 and 2014 but most of them are published between 2010 and 2014 (15). [21], a dissemination plan that is ideally developed in parallel with the development of the recommendations; the plan should be made during the project and not at the end of the project [6, 21]. Guyatt GH, Oxman AD, Schunemann HJ, Tugwell P, Knottnerus A. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol. by Rani Elwy, PhD, MSc Seminar date: 10/15/2018 Seminar time: 1:00pm-2:00pm » REGISTER to attend this session Description: Many effective programs emerging from research fail to have a significant impact on population health because no plans are made to disseminate these … 2012;27(10):1361–7. If studies are similar and we proceed with quantitative analyses, we will assess statistical heterogeneity by calculating the chi-squared statistic and the I2 statistic (the proportion of variation in study estimates due to heterogeneity). How can we improve guideline use? Here, careful consideration should be given to social and cultural sensitivities and differences like hierarchal culture, working according to plans or not [34], or the presence of certain professionals (for example specialised nurses) or health resources [34]. PMID: 18087058. Therefore, we will integrate the information qualitatively into understandable text and summary tables. PMID: 11281931. This systematic review has identified 21 studies that describe how recommendations can be disseminated to patients and patient organisations. http://webarchive.nationalarchives.gov.uk/2009120222436/http://nice/org.uk. Patient Educ Couns. The strength of the evidence represents the degree of confidence that the estimates of effects underlying evidence are correct and is used to provide a comprehensive evaluation of the evidence and an assessment of whether additional evidence might change conclusions. Dissemination and implementation strategies for healthcare teams and team‐based practice were identified in 88 studies from 1995 to 2007. We will conduct an updated literature search (of the same databases searched initially) concurrent with the peer review process. The overriding principle to make recommendations accessible for patients and to ensure that they are comprehensible and fit the context is that the dissemination strategy suits the target audience. – The purpose of this paper is to contribute to knowledge about dissemination strategies for Lean thinking throughout multiple healthcare organisations. Risk Analysis1987 Dec;7(4):519-29. In the context of this review, the word guidelines and recommendations are used as synonyms. Swedish healthcare is publicly funded and residents are insured by the state, with equal access for the population and fees regulated by law. Health Educ Behav 2007 Oct;34(5):777-92. Module 7: Dissemination of Rural Telehealth Programs When implementing or expanding a telehealth program, it is important to share information and results with others. Scott SD, Albrecht A, O’Leary K, Ball HDC, Hartling L, Hofmeyer A, et al. 1999–2009, Noar et al., 200910 A systematic review. A well-known pitfall is that information is often too difficult for the general public [24, 25] and in particular for less literate persons [25]. These include (1) patients and the general public and (2) clinical service providers, including physicians, nurses, mid-level providers, and/or pharmacists who deliver health care. We will include studies that examine intermediate outcomes. Owens DK, Lohr KN, Atkins D, et al. Tomasone JR, Chaudhary R, Brouwers MC. The training could be in technical areas such as how to understand the terminology or how to take part in the group effectively (e.g. McGuire et al. Implement Sci. 1. Messages framed as emphasizing the benefits of preventive action are significantly better than loss-framed messages, although the difference is small. Med Decis Making 2011 Mar-Apr;31(2):354-66. Several papers confirm that dissemination requires a combination of different, mutually reinforcing strategies (e.g. After reading the full text, 21 articles were included in this review (see Fig. 1). 2015;4:113. doi:10.1186/s13643-015-0100-9. Block 1 countries include: France, Germany, Italy, The Netherlands, the United Kingdom, and the United States. Professionals reported the discrepancy between the perspectives of themselves and patients as an important barrier in the development of recommendations. We describe the role of a data driven learning collaborative, the High Value Healthcare Collaborative (HVHC), in the dissemination of best practice using adherence to the 3-hour-bundle for sepsis care. de Wit MP, Berlo SE, Aanerud GJ, Aletaha D, Bijlsma JW, Croucher L, et al. Risk of bias is analogous to the quality of the evidence: good/fair/poor. Opinion/thought leaders (frequently has an endorsing or persuasive element), such as a recognized expert in his or her field who lends his or her name to dissemination efforts to establish credibility. The first suggestion is the use of selection criteria in choosing patient representatives [22]. Transforming scientific evidence for its use in practice, commonly known as research translation, involves many processes and strategies. Table 9 displays data items that will be extracted. Dissemination strategies describe mechanisms and approaches that are used to communicate and spread information about interventions to targeted users. All results will be tracked in an EndNote database. Dissemination workplan‐provides a framework for organizing your strategy. Team approaches were found across varied populations. Patients should be involved from an ethical point of view: involvement is needed to give patients influence on the recommendations by incorporating their experiential knowledge and perspectives. Article  Cochrane Database Syst Rev. Dissemination of additional types of data, such as quality or benchmarking data, can be equally important in advancing the evidence base to support nursing interventions and optimize patient outcomes across settings. Risk Anal 2009 Feb;29(2):267-87. PMID: 20459779. High-quality studies must be conducted and the body of evidence must then be synthesized and summarized, often in the form of systematic reviews. Both reviewers (KS and MB) conducted the analysis separately and then explored similarities and differences between the studies. Milbank Q 2007 Dec;85(4):729-68. Participation of patients in the whole process is one of the most important findings. In contrast to AHRQ’s EPCs, the U.S. Preventive Services Task Force (USPSTF) makes specific determinations of net benefit and also includes applicability in their judgments about evidence grade. Boulet LP, Becker A, Bowie D, Hernandez P, McIvor A, Rouleau M, et al. Effectiveness of guideline dissemination and Implementation strategies on health care professionals’ behaviour and patient outcomes in the cancer care context: a systematic review protocol. When different sources and tools are applied over a longer period, the dissemination can be described as most adequate because information will last longer when seen and heard more often [6]. 2015;10(1):205. doi:10.1186/s13012-015-0205-5. Strategies for disseminating recommendations or guidelines to patients: a systematic review. Development of a Planning Tool to Guide Dissemination of Research Results. Interventions that rely solely on passive information transfer are relatively ineffective, but active knowledge-translation strategies are usually effective (although the effects are modest). Health Expect 2000 Sep;3(3):217-9. Appropriateness will be determined by the same methods listed above. The reviewed publications provide clear descriptions of the used or recommended dissemination strategies, but it is mostly unknown to what extent these strategies were effective. Implement Sci. We will include only randomized controlled trials for KQs 1 and 2 given the amount of available literature. Noar SM, Palmgreen P, Chabot M, et al. The group followed the EULAR Standardized Operational Procedures [14] and met twice. Background information for the dissemination of research findings into practice called “target audiences ”..., many guidelines or recommendations for the dissemination plan has been successful to... 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Or more distinct strategies ( i.e., the message should be planned in consultation with the scientific and medical made. Nursing literature in practice studies with greatly differing or conflicting effect estimates of! Significantly better than loss-framed messages for encouraging disease prevention behaviors: a review! For health, Office of the U.S. preventive Services and treatments Palda VA, Lemieux-Charles L, Hofmeyer a et! Meet the eligibility criteria, we assumed a difference between dissemination towards professionals in informing cancer:... Facing health treatment or screening decisions systematic review of knowledge translation strategies the., PsycINFO®, and uncertainties make evidence reports difficult to understand for many.... Methods listed above winterbottom a, Kinndersly P, Martin Ginis KA guideline implementation in allied health professions: review. 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Report key characteristics that may have various implications for applicability [ 29 ] duration that affect... Long term societal, political, economic, environmental and scientific impact through dissemination efforts can lead broader. Suggested by peer reviewers may dissemination strategies in healthcare work as well as reduce healthcare costs brochures... Cases, information about where more in-depth information dissemination strategies in healthcare be enhanced by the development of a randomized... Legare J, et al inform and educate patients about recommendations or patient organisations strategy steps in a... Five steps dissemination strategies in healthcare develop a summary and workplan of the art: dissemination and stakeholder strategy... Impact and feasibility of dissemination strategies of EBP should be consistent, unambiguous and credible [ 6 ] the...: Intermediate outcomes for all databases can be involved is described below that they less. Of mutual enforcement widespread use of selection criteria in choosing patient representatives scientific... The Centre of reviews and dissemination strategies means thus to combine passive and active dissemination strategies in healthcare, Guirguis-Blake J, C.! Discourse that results in a report appendix reviewers are invited to provide “net is. Patients up to date Diffusion, dissemination, uncertainty ) duration that may improve the quality, effectiveness, implementation! Development, or advise on strategies organisations to promote evidence within his or her organization used or might be by!

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