Revisiting time to translation: implementation of evidence-based practices (EBPs) in cancer control

Khan, Shahtaj; Chambers, David A.; Neta, Gila

doi:10.1007/s10552-020-01376-z

Cited by 91 publications

(77 citation statements)

References 28 publications

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“…Nursing researchers should also collaborate with nursing faculty and Doctor of Nursing Practice prepared nurses to ensure research findings are implemented into clinical practice without delay. This research‐practice time gap is estimated to be 15 years (Khan et al, 2021). Priority topics for cardiovascular and hypertension research should include the following: Lifestyle interventions to prevent the development of hypertension in high‐risk populations. Interventions to reduce anxiety, stress, and depression in people with CVD. Examination of underlying mechanisms of health behavior change. Culturally informed interventions to promote healthy behaviors. Developing and testing interventions to improve hypertension control and cardiovascular risk, including healthy lifestyle behavior change. Health disparities and CVD. Maternal health interventions to promote cardiovascular health. Interventions that address SDOHs and improve hypertension control. SMBP monitoring to reduce hypertension disparities. Interventions to mitigate structural racism and discrimination to increase access to care. Ways that informatics nurses, statisticians, and computer scientists can work together to turn big data into information that can be translated into nursing practice. Dissemination and implementation of studies to speed the translation of evidence‐based interventions to control hypertension and prevent CVD into real‐world clinical settings. How structural racism contributes to poor hypertension control and cardiovascular health and interventions to mitigate the effects of structural racism. …”

Section: Contributions From and Considerations For Nurse Researchersmentioning

confidence: 99%

Improving hypertension control and cardiovascular health: An urgent call to action for nursing

Hannan

Commodore‐Mensah

Tokieda

et al. 2022

Worldviews Ev Based Nurs

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Background Hypertension is a leading cause of cardiovascular disease (CVD) and affects nearly one in two adults in the United States when defined as a blood pressure of at least 130/80 mm Hg or on antihypertensive medication (Virani et al., 2021, Circulation, 143, e254). Long‐standing disparities in hypertension awareness, treatment, and control among racial and ethnic populations exist in the United States. High‐quality evidence exists for how to prevent and control hypertension and for the role nurses can play in this effort. In response to the 2020 Surgeon General's Call to Action to Control Hypertension, nursing leaders from 11 national organizations identified the critical roles and actions of nursing in improving hypertension control and cardiovascular health, focusing on evidence‐based nursing interventions and available resources. Aims To develop a unified “Call to Action for Nurses” to improve control of hypertension and cardiovascular health and provide information and resources to execute this call. Methods This paper outlines roles that registered nurses, advanced practice nurses, schools of nursing, professional nursing organizations, quality improvement nurses, and nursing researchers can play to control hypertension and prevent CVD in the United States. It describes evidence‐based interventions to improve cardiovascular health and outlines actions to bring hypertension and CVD to the forefront as a national priority for nursing. Linking Evidence to Action Evidence‐based interventions exist for nurses to lead efforts to prevent and control hypertension, thus preventing much CVD. Nurses can take actions in their communities, their healthcare setting, and their organization to translate these interventions into real‐world practice settings.

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Section: Contributions From and Considerations For Nurse Researchersmentioning

confidence: 99%

Improving hypertension control and cardiovascular health: An urgent call to action for nursing

Hannan

Commodore‐Mensah

Tokieda

et al. 2022

Worldviews Ev Based Nurs

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“…5 A recent analysis indicated that there is still 15 years on average for evidence-based CPC activities to translate. 6 Primary care is expected to perform many of the activities recommended by the United States Preventive Services Task Force (USPSTF), Medicare, and professional organizations. Given competing demands and current payment priorities, often it is prevention that gets left out of primary care.…”

Section: Introductionmentioning

confidence: 99%

Priorities for Improvement Across Cancer and Non-cancer Related Preventive Services Among Rural and Non-rural Clinicians

Brtnikova

Studts

Robertson

et al. 2022

Preprint

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Introduction: A multitude of preventive services is recommended for primary care to conduct – too many for most clinicians to realistically perform. This is especially true in low resource and rural settings, creating challenges to delivering high-quality care. This study collected stakeholder input from clinicians on which services they most need to improve. Methods: We conducted a survey of primary care physicians 9-12/2021, with an emphasis on rural practices, to assess areas in which clinicians felt the greatest needs for improvement. The survey focused on primary prevention (behavior change counseling) and cancer screening, and contrasted needs for improvement for these services vs. other types of screening, and between clinicians in rural vs. non-rural practices.Results: We had 326 respondents from 4 different practice-based research networks, a wide range of practice types, 49 states and included 177 clinicians in rural settings. Respondents rated the need to improve delivery of primary prevention counseling services highest, with needs for nutrition and dietary assessment and counseling rated highest followed by physical activity and with almost no differences between rural and nonrural. Needs for improvement in cancer screenings were rated higher than non-cancer screenings, except for blood pressure screening. Conclusions: Both rural and nonrural primary care clinicians feel a need for improvement, especially with primary prevention activities. Although future research is needed to replicate these findings with different populations and other types of preventive service activities, greater priority should be given to development of practical, stakeholder informed assistance and resources for primary care to conduct primary prevention.

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“…Cancer care delivery efforts to improve prevention and target risk behaviors have faced substantial translational challenges. Earlier this year, Khan et al [ 6 ] revisited the translational timeline for five key EBPs (i.e., mammography, smoking cessation, colorectal cancer screening, HPV co-testing, and HPV vaccination) and concluded the average length of time from discovery into routine health care practice (i.e., 50% uptake) was 15 years. Uptake of EBPs is further delayed by countervailing forces (e.g., insufficient social safety-nets, fragmented care delivery, unconnected health information technology systems, lack of payer incentives, structural racism, the built environment) operating at multiple levels both upstream and downstream of the organizational or provider interaction with an individual patient.…”

Section: Introductionmentioning

confidence: 99%

Cancer prevention, risk reduction, and control: opportunities for the next decade of health care delivery research

O’Malley

Alfano

Doose

et al. 2021

Translational Behavioral Medicine

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In this commentary, we discuss opportunities to optimize cancer care delivery in the next decade building from evidence and advancements in the conceptualization and implementation of multi-level translational behavioral interventions. We summarize critical issues and discoveries describing new directions for translational behavioral research in the coming decade based on the promise of the accelerated application of this evidence within learning health systems. To illustrate these advances, we discuss cancer prevention, risk reduction (particularly precision prevention and early detection), and cancer treatment and survivorship (particularly risk- and need-stratified comprehensive care) and propose opportunities to equitably improve outcomes while addressing clinician shortages and cross-system coordination. We also discuss the impacts of COVID-19 and potential advances of scientific knowledge in the context of existing evidence, the need for adaptation, and potential areas of innovation to meet the needs of converging crises (e.g., fragmented care, workforce shortages, ongoing pandemic) in cancer health care delivery. Finally, we discuss new areas for exploration by applying key lessons gleaned from implementation efforts guided by advances in behavioral health.

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Revisiting time to translation: implementation of evidence-based practices (EBPs) in cancer control

Cited by 91 publications

References 28 publications

Improving hypertension control and cardiovascular health: An urgent call to action for nursing

Improving hypertension control and cardiovascular health: An urgent call to action for nursing

Priorities for Improvement Across Cancer and Non-cancer Related Preventive Services Among Rural and Non-rural Clinicians

Cancer prevention, risk reduction, and control: opportunities for the next decade of health care delivery research

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