Snakes and ladders: A qualitative study understanding the active ingredients of social interaction around the use of audit and feedback

Desveaux, Laura; Nguyen, Marlena Dang; Ivers, Noah; Devotta, Kimberly; Upshaw, Tara; Ramji, Noor; Weyman, Karen; Kiran, Tara

doi:10.1093/tbm/ibac114

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…Traditional randomized controlled trial designs are often used in this stage. Individuals working at this stage may test bundled strategies, interrogate the “active ingredients” in strategies [ 46 ], or test strategies in varied contexts.…”

Section: What Are We Doing?mentioning

confidence: 99%

Organizing the dissemination and implementation field: who are we, what are we doing, and how should we do it?

Buchanan,

Filiatreau,

Moore

2024

Implement Sci Commun

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Two decades into its tenure as a field, dissemination and implementation (D&I) scientists have begun a process of self-reflection, illuminating a missed opportunity to bridge the gap between research and practice—one of the field’s foundational objectives. In this paper, we, the authors, assert the research-to-practice gap has persisted, in part due to an inadequate characterization of roles, functions, and processes within D&I. We aim to address this issue, and the rising tension between D&I researchers and practitioners, by proposing a community-centered path forward that is grounded in equity.We identify key players within the field and characterize their unique roles using the translational science spectrum, a model originally developed in the biomedical sciences to help streamline the research-to-practice process, as a guide. We argue that the full translational science spectrum, from basic science research, or “T0,” to translation to community, or “T4,” readily applies within D&I and that in using this framework to clarify roles, functions, and processes within the field, we can facilitate greater collaboration and respect across the entire D&I research-to-practice continuum. We also highlight distinct opportunities (e.g., changes to D&I scientific conference structures) to increase regular communication and engagement between individuals whose work sits at different points along the D&I translational science spectrum that can accelerate our efforts to close the research-to-practice gap and achieve the field’s foundational objectives.

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Section: What Are We Doing?mentioning

confidence: 99%

Organizing the dissemination and implementation field: who are we, what are we doing, and how should we do it?

Buchanan,

Filiatreau,

Moore

2024

Implement Sci Commun

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Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare

Desveaux,

Ivers

2024

BMJ Qual Saf

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Opportunities to Advance Equity Through Implementation Strategy Design

HOSKINS,

Maye,

Wright

et al. 2024

Preprint

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Background: Implementation strategies are potential tools for advancing equity goals in healthcare. Implementation scientists have increased attention to the integration of equity considerations into implementation research, but limited concrete guidance is available for developing implementation strategies to improve equity. Main: In parallel to an active hybrid effectiveness-implementation trial in two large health systems, our research team explored potential inequities in implementation across four non-study clinics, developed equity focused audit and feedback procedures, examined the feasibility of our approach, and identified design insights that could be tested in future work to inform equitable program scale-up. Based on our experiences deploying these strategies in pilot format, our research team identified key complexities meriting further examination in future work. These considerations are vital given the dearth of guidance on delivering feedback to clinicians in efforts to improve equity. Key takeaways include the importance of understanding local data culture, engaging constituents in co-design for the full feedback cycle, leveraging feedback for shared discourse, and centering multi-level strategies as part of robust implementation approaches. Conclusion: Prioritizing health equity in implementation science requires that research teams probe, interrogate, and innovate – and in doing so, grapple with central conceptual and pragmatic considerations that arise in the design of implementation strategies. Our work emphasizes the value of bidirectional and continuous learning.

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Snakes and ladders: A qualitative study understanding the active ingredients of social interaction around the use of audit and feedback

Cited by 3 publications

References 24 publications

Organizing the dissemination and implementation field: who are we, what are we doing, and how should we do it?

Organizing the dissemination and implementation field: who are we, what are we doing, and how should we do it?

Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare

Opportunities to Advance Equity Through Implementation Strategy Design

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