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Health Services Research & Development

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2005 HSR&D National Meeting Abstract

2007 — Advanced Implementation Research Issues

Author List:
Kochevar LK (CRC QUERI, Center for Chronic Disease Outcomes Research)
Mittman B (VA Greater Los Angeles HSR&D Center of Excellence)
Stetler C

Workshop Objectives:
After participating in this workshop, participants will: 1.Appreciate the continuous range of implementation research (IR) efforts, from basic research on implementation theory and methods to “applied” research that simultaneously applies existing knowledge to implement evidence-based clinical practices while generating new knowledge. 2.Describe the stages of implementation research, including performance gap identification, diagnosis/needs assessment, intervention mapping, formative evaluation, and outcome evaluation, and their application to both basic and applied implementation research. 3.Develop and/or identify basic and applied implementation research hypotheses and methods to address specific problems. 4.Understand how diverse methodologies are applied across continuum of implementation research activities.

Format is didactic with opportunities for discussion. Dr. Laura Kochevar will present a model of “The Implementation Research Continuum” comprising a series of inter-connected basic and applied research activities, with examples selected from the literature. Examples will include health psychology and public health intervention studies, operations research, health care organizational change literature, and use of participatory action research and situated research paradigms. Dr. Brian Mittman will discuss the phases of implementation research and how these are addressed at different points in the IR Continuum. Special attention will be given to the 6-step QUERI process and to 4-phase models of clinical trial and implementation trial research. Dr. Kochevar will discuss performance gap identification and diagnosis and their role at points along the IR Continuum. Dr. Cheryl Stetler will discuss intervention mapping and evaluation concepts across the IR Continuum, including formative evaluation, process evaluation and outcome evaluation. Patton’s concept of a “program theory of action” will be discussed as a vital link among performance gap analysis, intervention/implementation design, and evaluation. A workbook will provided to participants to allow them to apply instruction to a problem area of personal interest, based on the stages of implementation research identified in the workshop.

Target Audience:
Clinical and health services researchers interested in IR. Prior participation in IR is useful, but not required. Maximum benefit will be obtained by participants interested in applying IR principles to a specific problem area.

Assumed Audience Familiarity with Topic:
None. Audience is assumed to be familiar with clinical or health services research design and methods.

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