246496 Dissemination and implementation of interactive health communication applications

Monday, October 31, 2011: 2:30 PM

Borsika A. Rabin, PhD, MPH , CRN Cancer Communication Research Center, Kaiser Permanente Colorado, Denver, CO
Russell E. Glasgow, PhD , Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD
Introduction: In eHealth as with almost all areas of health and health care, there is a huge gap between the efficacy research database and what is disseminated and implemented in practice. In this presentation we will review the current status of the interactive health communication application(IHCA) field for health promotion and disease management in terms of dissemination and implementation (D&I) and based on this summary, we make recommendations for future directions. Methods: We conducted a systematic literature review to identify D&I studies of IHCA in health promotion and disease management and described these studies from a D & I perspective. Electronic databases were searched to identify English-language articles published between 1980-July 2010. External validity dimensions of reach and representativeness, effectiveness, adoption, implementation, and maintenance and other D&I relevant characteristics were abstracted from included studies and summarized. Results: Thirty-three studies were included in the analysis. The majority of the studies focused on healthy eating and physical activity, was community-based, and used web-based or computer-tailored web modalities. While the majority of the studies reported on some aspects of external validity, these reports were often partial and studies used diverse measures. The most frequently used study design was randomized controlled trial. Very few studies reported on health disparities, fidelity and adaptation, participatory approach, or used innovative D&I strategies. Discussion: Our review suggest that there is an acute need for more D&I studies of IHCA, for broader and standardized reporting on external validity dimensions and other D&I characteristics, outcomes and factors related to outcomes.

Learning Areas:
Chronic disease management and prevention
Communication and informatics
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Social and behavioral sciences

Learning Objectives:
1. Describe the current status of the interactive health communication applications field for health promotion and disease management in terms of dissemination and implementation. Describe reporting practices of measuring and reporting on external validity dimensions and other dissemination and implementation specific characteristics in studies of interactive health communication application interventions Formulate recommendations for the field for measuring and reporting on external validity and dissemination and implementation relevant characteristics for studies of interactive health communication application

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was actively involved in conceptualization of the paper, the analysis of included studies and have substantially contributed to the preparation of the manuscript.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.