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Implementation and Dissemination at the American Public Health Association Annual Meeting

While implementation and dissemination did not play a starring role at this year's APHA meeting, one session that called for more "practice-based evidence" reviewed a variety of approaches relevant to cancer prevention within community and organizational settings. Each presenter on the panel highlighted the role practice-based evidence plays in complementing traditional research-based evidence. Jennifer Leeman described a valuable online database available via the Center for Training and Research Translation. The website--www.center-trt.org-- offers trainings and intervention translation resources to improve nutrition and physical activity programming reach, effectiveness, adoption, and sustainability. The center aims to overcome the challenge of the practical "how" that is often lacking in descriptions of interventions in peer-reviewed literature. Staff at the center work with intervention developers to create standards templates that detail core intervention elements, steps for implementation, required resources, underlying theory, evidence of effectiveness, and potential health impact using the REAIM framework along with links to intervention materials and trainings.

In addition to this valuable online resource, Brenda Henry from the Robert Wood Johnson Foundation discussed the need to develop practical guidance on the process of local intervention adaptation. She talked about a color-coded adaptation guide her team has developed to help practitioners tease out components of programs that are thought to be necessary for effectiveness and those that are optional or less important for intervention impact. She also used a fun analogy to allrecipes.com that really stuck with me, as a food-lover. She described how great it would be if we had a resource out there that listed interventions just like we list recipes online: contributors could post their intervention just like recipes for a dish with step by step instructions and ingredients (or required materials, staff etc.), other folks could add comments describing how they adapted the intervention to fit the needs of their population/program/setting just as people comment on the extra vegetables they add or spices they substitute in a recipe. Meanwhile, all participants could rate the interventions and their adaptations once they try them out. I'd love to see how researchers and practitioners could come together to produce a user-generated resource like this or even how the Center for Training and Research Translation might be able to integrate some of these ideas into their existing site!

Rebekka Lee
Harvard School of Public Health
2011 CCRC Doctoral Fellow

Written by CCRC at 13:01

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