Contextual factors influencing readiness for dissemination of obesity prevention programs and policies

Dreisinger, Mariah; Boland, Elizabeth M.; Filler, Carl; Baker, Elizabeth A.; Hessel, Amy Stringer; Brownson, Ross C.

doi:10.1093/her/cyr063

Cited by 49 publications

(76 citation statements)

References 35 publications

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“…When uncertainty is high, practitioners have little information about what EBIs may work or whether they will work within their practice contexts. Support systems therefore need to select EBIs that are less standardized and have more flexible formats (Dreisinger et al, 2012; Lanham et al, 2013; Snowden & Boone, 2007), such as the Guide to Community Preventive Services recommended strategies (www.the-communityguide.org). When uncertainty is high, support systems also will need to provide more CB (dose frequency and duration), and strengthen collaborative relationships between CB providers and recipients.…”

Section: Resultsmentioning

confidence: 99%

“…Alternatively, they might build practitioners’ capacity to adopt and implement the EBI and thereby improve its fit and/or to acquire additional resources or new partners (Wandersman et al, 2008). CB providers also might need to provide funding or other supports such as free materials or direct assistance to support intervention planning or delivery (Contandriopoulos et al, 2010; Dreisinger et al, 2012). …”

Section: Resultsmentioning

confidence: 99%

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Developing Theory to Guide Building Practitioners’ Capacity to Implement Evidence-Based Interventions

et al. 2016

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Public health and other community-based practitioners have access to a growing number of evidence-based interventions (EBIs), and yet EBIs continue to be underused. One reason for this underuse is that practitioners often lack the capacity (knowledge, skills, and motivation) to select, adapt, and implement EBIs. Training, technical assistance, and other capacity-building strategies can be effective at increasing EBI adoption and implementation. However, little is known about how to design capacity-building strategies or tailor them to differences in capacity required across varying EBIs and practice contexts. To address this need, we conducted a scoping study of frameworks and theories detailing variations in EBIs or practice contexts and how to tailor capacity-building to address those variations. Using an iterative process, we consolidated constructs and propositions across 24 frameworks and developed a beginning theory to describe salient variations in EBIs (complexity and uncertainty) and practice contexts (decision-making structure, general capacity to innovate, resource and values fit with EBI, and unity vs. polarization of stakeholder support). The theory also includes propositions for tailoring capacity-building strategies to address salient variations. To have wide-reaching and lasting impact, the dissemination of EBIs needs to be coupled with strategies that build practitioners’ capacity to adopt and implement a variety of EBIs across diverse practice contexts.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Developing Theory to Guide Building Practitioners’ Capacity to Implement Evidence-Based Interventions

et al. 2016

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“…18,23,27,30 In the CCM model, context refers to the environment in which the innovation, partnerships, and organizations are operating. It includes different dimensions that are not limited to socio-economic, political, cultural, and geographical contexts.…”

Section: Elements Of the Ccm Modelmentioning

confidence: 99%

“…Studies on dissemination within a CBPR context have found that dissemination can help reinforce and maintain relationships between academic and community partners. 11,30 The Academic Partner benefits from the dissemination of the intervention, data sharing, and relationships built with the communities.…”

Section: Elements Of the Ccm Modelmentioning

confidence: 99%

A Community-Based Participatory Research Guided Model for the Dissemination of Evidence-Based Interventions

Delafield¹,

Hermosura²,

Ing³

et al. 2016

Progress in Community Health Partnerships

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Background Dissemination is a principle within community-based participatory research (CBPR); however, published research focuses on the dissemination of findings from CBPR projects but less on dissemination of interventions developed through CBPR approaches. To disseminate an evidence-based lifestyle intervention tailored for Native Hawaiians and Pacific Islanders, the PILI 'Ohana Project (POP), an 11-year CBPR initiative, developed an innovative dissemination model. Objectives The Community-to-Community Mentoring (CCM) model described in this paper extends the application of CBPR values and principles used in intervention development to intervention dissemination. Methods The CCM model combines a CBPR orientation with the Diffusion of Innovation Theory, the Social Cognitive Theory, and key concepts from community organizing and community building to address the multilevel factors that influence uptake of an evidence-based intervention. Grounding the model in CBPR principles provides benefits for intervention dissemination and integrates a focus on community benefits and capacity building. Conclusions By establishing co-equal, mutually beneficial relationships at the core of the CCM model, opportunities are created for building critical consciousness, community capacity, and social capital. More research is needed to determine the effectiveness of this model of intervention dissemination which may enhance diffusion of CBPR interventions and empower communities in the process.

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“…Because collaborating stakeholders represent diverse settings and sectors, they approach intervening with differing needs, resources, and values. Engaging and retaining stakeholders is central to effective P&E change [26-28] and requires the ongoing alignment of interventions with stakeholder priorities and with other system elements as the intervention and its implementation evolve over time [24, 29-32]. The complex, context dependent, and evolving nature of P&E interventions challenges disseminating organizations’ efforts to identify their boundaries (e.g., where do they begin or end) or to standardize intervention activities and materials into a format that can be replicated by others.…”

Section: Distinct Features Of Pande As Compared To Individual-level Intmentioning

confidence: 99%

Disseminating Policy and Environmental Change Interventions: Insights from Obesity Prevention and Tobacco Control

et al. 2014

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Purpose Evidence-based interventions are increasingly called for as a way to improve health behaviors such as tobacco use, physical inactivity, and poor diet. Numerous organizations are disseminating interventions that target individual-level behavioral change. Fewer are disseminating interventions that target the policy and environmental changes required to support healthier behaviors. This paper aims to describe the distinct features of policy and environmental change and the lessons learned by two Centers for Disease Control and Prevention-funded dissemination projects, the Center for Training and Research Translation (Center TRT) and Counter Tobacco. Methods Both Center TRT and Counter Tobacco have conducted formative research with their target audiences to customize dissemination to address practitioner-reported needs and preferences. The Centers’ have developed the following approach to disseminating policy and environmental change interventions: (1) Identify the best available evidence rather than waiting for the best possible evidence, (2) disseminate menus of broad intervention strategies, (3) provide implementation guidance, (4) incorporate stories from the field, (5) build practitioners’ capacity, and, (6) integrate dissemination into practitioners’ existing professional and social networks. In 2012, over 26,000 unique visitors accessed the Center TRT website and downloaded over 12,400 documents. The Counter Tobacco website has had 10,907 unique visitors since its launch in August 2011, and the number of visitors is increasing rapidly. Conclusions Both Centers have had success reaching their intended audiences. Research is now needed to assess the extent of practitioners’ use of disseminated recommendations, guidance, and tools in practice and the impact of the resulting interventions.

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Contextual factors influencing readiness for dissemination of obesity prevention programs and policies

Cited by 49 publications

References 35 publications

Developing Theory to Guide Building Practitioners’ Capacity to Implement Evidence-Based Interventions

Developing Theory to Guide Building Practitioners’ Capacity to Implement Evidence-Based Interventions

A Community-Based Participatory Research Guided Model for the Dissemination of Evidence-Based Interventions

Disseminating Policy and Environmental Change Interventions: Insights from Obesity Prevention and Tobacco Control

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