253671 When is a practice-based intervention ready for dissemination? Center for Training and Research Translation's process for evaluating interventions

Monday, October 31, 2011: 12:50 PM

Jennifer Leeman, DrPH, MDIV , School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC
Only a limited number of effective obesity prevention interventions are available for use in public health. This is particularly true for interventions that target change at the levels of the environment and policy. One approach to expanding the base of available evidence is to draw on interventions developed in practice (i.e., practice-based interventions). This presentation provides an overview of the methods (review criteria and process) that the CDC-funded Center for Training and Research Translation (Center TRT) uses to determine whether practice-based interventions are promising and ready for dissemination. The Center's approach incorporates elements of Swinburn et al's obesity prevention framework and Glasgow et al's RE-AIM framework. A fundamental premise of both is that an intervention's promise is a function of its “public health impact,” which extends beyond effectiveness to also assess potential to reach broadly and be adopted, implemented, and maintained in practice. The Center reviews both research-tested and practiced-based interventions and has developed two tools to guide the process. Two expert reviewers use the tools to review interventions against three categories of criteria: (1) potential public health impact, (2) readiness for dissemination, and (3) effectiveness at improving outcomes. The Center TRT has developed an innovative approach to evaluating effectiveness, the category of criteria that presents the greatest challenge when reviewing practice-based interventions. When review criteria are met, the Center packages interventions with the information practitioners need to implement them and disseminates them via our website (www.center-trt.org), thereby contributing to the pool of “best available evidence” to guide practice.

Learning Areas:
Public health or related education

Learning Objectives:
1. Discus criteria that can be applied to evaluate whether a practice-based intervention is promising and ready for dissemination. 2. Describe a process for reviewing practice-based interventions.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am co-Principal Investigator of the CDC-funded project whose methods are the subject of my presentation. I have also published on this topic.” Jennifer Leeman’s research explores ways to effectively translate, disseminate, and implement the findings from research to improve practice. Dr. Leeman is currently Co-Principal Investigator of a CDC-funded Center that provides training and evidence to support public health practitioners’ obesity prevention efforts nationwide (Center of Excellence for Training and Research Translation, 2004-2014). She leads development of the Center’s approach to identifying best evidence and disseminating it in a format that is relevant and useful to practitioners. Dr. Leeman has conducted and published multiple systematic reviews identifying factors related to disseminating and implementing change in practice and has extensive additional experience working to disseminate evidence to practice through roles as co-investigator on NIH and CDC-funded studies and centers.
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.