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From Evidence to Impact: Recommendations for a Dissemination Support System
Matthew W Kreuter1,2, Monica L Wang3,4
1Brown School of Washington University, St. Louis.
New Directions for Child and Adolescent Development
|September 17, 2015
Summary
Translating child health solutions into practice requires a new approach. Many programs aren't ready for dissemination, and developers often lack dissemination skills, necessitating improved support systems.
Area of Science:
- Child and adolescent health
- Health services research
- Knowledge translation
Background:
- Effective solutions for child and adolescent health problems often fail to reach widespread practice.
- Current science translation approaches are inadequate for implementing evidence-based interventions.
- Lessons from business and engineering can inform better dissemination strategies.
Purpose of the Study:
- To highlight shortcomings in current science translation for child and adolescent health.
- To challenge the status quo by proposing new propositions on evidence-based program dissemination.
- To introduce a new model for disseminating evidence-based solutions to improve child and adolescent health outcomes.
Main Methods:
- Application of business and engineering principles to science translation.
- Critical evaluation of current dissemination approaches and their limitations.
- Development of three core propositions regarding program readiness and developer capacity for dissemination.
Main Results:
- Many evidence-based programs are not suitable for widespread dissemination.
- Research-tested program versions often require further adaptation for real-world use.
- Intervention developers and testers may not be effective disseminators.
Conclusions:
- Current science translation models are insufficient for child and adolescent health.
- An enhanced dissemination support system is needed, incorporating new strategies.
- A novel conceptual model is proposed to improve the dissemination of evidence-based child and adolescent health solutions.
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