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Demonstrating the impact of implementation science presents a new frontier for the field, and operationalizing downstream impact is challenging. The Translational Science Benefits Model (TSBM) offers a new approach for assessing and demonstrating research impact. Here we describe integration of the TSBM into a mentored training network.
Methods:
Washington University’s Clinical and Translational Science Awards TSBM team collaborated with a National Institute of Mental Health-supported training program, the Implementation Research Institute (IRI), a 2-year training institute in mental health implementation science. This partnership included three phases: (1) introductory workshop on research impact, (2) workshop on demonstrating impact, and (3) sessions to guide dissemination, including interactive tools and consultation with the TSBM research team. Fifteen IRI alumni were invited to participate in the pilot; six responded agreeing to participate in the training, develop TSBM case studies, and provide feedback about their experiences. Participants applied the tools and gave feedback on design, usability, and content. We present their case studies and describe how the IRI used the results to incorporate TSBM into future trainings.
Results:
The case studies identified 40 benefits spanning all four TSBM domains, including 21 community, 11 policy, five economic, and three clinical benefits. Participants reported that TSBM training helped them develop a framework for talking about impact. Selecting benefits was challenging for early-stage projects, suggesting the importance of early training.
Conclusions:
The case studies showcased the institute’s impact and the fellows’ work and informed refinement of tools and methods for incorporating TSBM into future IRI training.
Engaging diverse partners in each phase of the research process is the gold standard of community-engaged research and adds value to the impact of implementation science. However, partner engagement in dissemination, particularly meaningful involvement in developing peer-reviewed manuscripts, is lacking. The Implementation Science Centers in Cancer Control are using the Translational Science Benefits Model to demonstrate the impact of our work beyond traditional metrics, including building capacity and promoting community engagement. This paper presents a case example of one center that has developed a policy for including community partners as coauthors. Standard practices are used to foster clear communications and bidirectional collaboration. Of published papers focused on center infrastructure and implementation research pilots, 92% have community partner coauthors. This includes 21 individuals in roles ranging from physician assistant to medical director to quality manager. Through this intentional experience of co-creation, community partners have strengthened implementation science expertise. Community coauthors have also ensured that data interpretation and dissemination reflect real-world practice environments and offer sustainable strategies for rapid translation to practice improvements. Funders, academic journals, and researchers all have important roles to play in supporting community coauthors as critical thought partners who can help to narrow the gap between research and practice.
The final substantive chapter of the book looks at how all these rules are implemented and enforced, and what mechanisms exist to hold violators of the law accountable for their acts. Common Article 1 of the Geneva Conventions requires states to ‘ensure respect’ for the rules of IHL, which is achieved through a range of measures such as education of the armed forces and civil society in the rules of IHL and entrenching the rules in domestic legislation. The chapter describes the roles of the ICRC, Protecting Powers and the International Humanitarian Fact-Finding Commission. The development and content of international criminal law are examined, including individual responsibility for war crimes, lesser violations of IHL, crimes against humanity and genocide, and the concept of command responsibility is explained. The growth in international and hybrid criminal tribunals is noted, as well as the roles played by the United Nations and other organisations in encouraging adherence to the rules of IHL. Finally the chapter examines mechanisms for implementation, enforcement and accountability in non-international armed conflict.
Eating disorders are equally prevalent across socioeconomic status, and yet individuals facing socioeconomic adversity are far less likely to receive evidence-based treatments. A range of barriers contribute to this disparity, including limited awareness and provider training about eating disorders leading to underdiagnosis; a shortage of available services and long waitlists due to a lack of trained therapists, associated treatment costs (e.g. transportation expenses and costly treatment materials) and an insufficient understanding of the impact of an individual’s cultural context. While these barriers are experienced by many individuals with eating disorders, those with low income are particularly vulnerable. To ensure equitable access to effective eating disorder treatment, therapists should actively consider and address the barriers faced by these patients. In this paper, we share guidance based on our experience treating a socioeconomically diverse patient population, on factors to consider when extending the reach of recommended psychological treatments for eating disorders and suggest areas of future research. We emphasize the opportunities available to therapists to improve equity in eating disorders treatment by making accommodations that enhance access to existing evidence-based approaches rather than by making modifications to the treatments.
Key learning aims
(1) To identify obstacles experienced by individuals with eating disorders and low income in accessing and engaging in treatment.
(2) To learn practical strategies to reduce or eliminate barriers preventing the uptake of evidence-based psychological eating disorder interventions for individuals with low income.
(3) To appreciate the intersectionality of low income with other factors impacting equity of eating disorder treatment access.
Exposure therapy is widely recognized as an effective psychological treatment for OCD but it is not successful in every case. Poorly executed exposure techniques could be implicated. Negative perceptions contribute to poor execution, pitfalls, or the underutilization of this therapy altogether. This, along with common ED misconceptions that are cultural and disorder-specific, can also result in poor treatment for those with EDs. It is important that the therapist has a thorough understanding of the patient’s presentation to ensure that exposures target the precise core fear for new learning. Lack of understanding can lead to mistakes and missed opportunities to enhance exposure, such as failing to explain the rationale, reducing safety behaviors, or overusing a hierarchy. An inexperienced therapist may not understand the importance of discussing the role of family and friends and how their accommodation can perpetuate symptoms, hindering new learning and preventing lasting change. The therapist should be able to identify the core fear, triggers, and avoidance behaviors in the patient and use strategies to enhance inhibitory learning and maximize the chances of successful treatment.
The ACT Network was funded by NIH to provide investigators from across the Clinical and Translational Science Award (CTSA) Consortium the ability to directly query national federated electronic health record (EHR) data for cohort discovery and feasibility assessment of multi-site studies. NIH refunded the program for expanded research application to become “Evolve to Next-Gen ACT” (ENACT). In parallel, the US Food and Drug Administration has been evaluating the use of real-world data (RWD), including EHR data, as sources of real-world evidence (RWE) for its regulatory decisions involving drug and biological products. Using insights from implementation science, six lessons learned from ACT for developing and sustaining RWD/RWE infrastructures and networks across the CTSA Consortium are presented in order to inform ENACT’s development from the outset. Lessons include intentional institutional relationship management, end-user engagement, beta-testing, and customer-driven adaptation. The ENACT team is also conducting customer discovery interviews with CTSA hub and investigators using Innovation-Corps@NCATS (I-Corps™) methodology for biomedical entrepreneurs to uncover unmet RWD needs. Possible ENACT value proposition hypotheses are presented by stage of research. Developing evidence about methods for sustaining academically derived data infrastructures and support can advance the science of translation and support our nation’s RWD/RWE research capacity.
Numerous bands and their fans see themselves as having revolutionised rock music in the late 1960s and the early 1970s and given birth to a harder style that was to become known as heavy metal. British bands Black Sabbath, Deep Purple, Led Zeppelin and The Kinks are considered pioneers within the two countries of metal’s origin; their counterparts in the US were Steppenwolf, Iron Butterfly and Blue Cheer. Although it is safe to say that these bands were among those that gave the initial spark for a musical genre that has taken hold around the globe in the more than fifty years of its existence, this introduction is not meant to debate the origins of metal.
Today, metal music is a genre popular with fans worldwide, facilitated by a vast industry with specialised professions, such as journalists, artist and repertoire managers, record producers, concert promoters and stage crews.
Food-based dietary guidelines (FBDG) are an important resource to improve population health; however, little is known about the types of strategies to disseminate them. This study sought to describe dissemination strategies and content of dissemination plans that were available for FBDG.
Design:
A cross-sectional audit of FBDG with a published English-language version sourced from the United Nations FAO repository. We searched for publicly available dissemination strategies and any corresponding plans available in English language. Two authors extracted data on strategies, which were grouped according to the Model for Dissemination Research Framework (including source, audience, channel and message). For guidelines with a dissemination plan, we described goals, audience, strategies and expertise and resources according to the Canadian Institute for Health Research guidance.
Setting:
FBDG from fifty-three countries mostly from high-income (n 28, 52·8 %), and upper-middle income (n 18, 34 %) areas were included.
Participants:
n/a.
Results:
The source of guidelines was most frequently health departments (79·2 %). The message included quantities and types of foods, physical activity recommendations and 88·7 % included summarised versions of main messages. The most common channels were infographics and information booklets, and the main end-users were the public. For twelve countries (22·6 %), we were able to source an English-language dissemination plan, where none met all recommendations outlined by the Canadian Institute for Health Research.
Conclusions:
The public was the most frequently identified end-user and thus most dissemination strategies and plans focused on this group. Few FBDG had formal dissemination plans and of those there was limited detailed provided.
This Element introduces and critically reflects on the contribution of implementation science to healthcare improvement efforts. Grounded in several disciplines, implementation science is the study of strategies to promote the uptake of evidence-based interventions into healthcare practice and policy. The field's focus is threefold. First, it encompasses theory and empirical research focused on exploring, identifying, and understanding the systems, behaviours, and practices that influence successful implementation. Second, it examines the evaluation of strategies to address barriers or enablers to implementation in a given context. Last, it increasingly seeks to understand the process of implementation itself: what actually gets implemented, and when, why, and how? Despite the growing body of evidence, challenges remain. Many important messages remain buried in the literature, and their impact on implementation efforts in routine practice may be limited. The challenge is not just to get evidence into practice, but also to get implementation science into practice. This title is also available as Open Access on Cambridge Core.
By disseminating findings from psychological research and promoting psychological services to the public, the media serves an important function benefiting the public and our field. Psychologists early in their career can serve an important role contributors to social media, as consultants to trade media, community media outlets, or even national/international media conglomerates. We asked Dr. Phil Zimbardo to discuss his vision for the role of the media in psychology, his advice for psychologists who are contacted by the media, and also to discuss his own groundbreaking experiences with the media on behalf of psychology over the years.
This chapter considers Telemann’s professional networks in Hamburg’s environs, using Lüneburg as a case study. Among the works acquired by institutions and individuals in Lüneburg were numerous manuscript overture-suites and several published collections by Telemann, including the Musique de table (Hamburg, 1733), Nouveaux quatuors en six suites (Paris, 1738), and the Musikalisches Lob Gottes in der Gemeine des Herrn (Nuremberg, 1744). Regular performances of the music are likely to have occurred in the city, even if these were seldom documented. The composer’s personal contacts with Lüneburg led to a visit there in 1735. Additionally, two of his former students auditioned for the organist position at St. John’s Church, both bearing letters of recommendation from him. Johann Christoph Schmügel was unsuccessful in 1754, but obtained the position in 1758 (when the auditions involved two fugue themes by Telemann); Caspar Daniel Krohne was unsuccessful in his bid to succeed Schmügel in 1766. The chapter also establishes that the theologian Roger Brown, who spent much of his career in Lüneburg as senior pastor of St. Michael’s Church and the city’s school superintendent, had previously copied out works by Telemann while working as a scribe for the Hamburg Opera’s archive.
New documents reveal an intensive cultivation of Telemann’s church music in some unlikely places during the eighteenth century. Especially striking evidence comes from Breslau, where Gottfried Sauer, cantor at St. Maria Magdalena from 1740 to 1757, compiled an inventory containing no fewer than eight annual cycles of church cantatas by Telemann. From this one may conclude that during Sauer’s tenure at the city’s most important church, fully half of the music he performed was by Telemann. A similarly intensive use of Telemann’s cantata cycles occurred in Augsburg. In both cases, the driving force behind the cultivation of this repertory was a cantor who had contact with Johann Sebastian Bach. Yet despite these personal connections, it was not the church music of the Leipzig Thomaskantor that was performed but the cantata cycles of Telemann – works that were heard again and again. Thus, we may justifiably regard Telemann as the unofficial church music director of Protestant Germany as a whole.
Even as Georg Philipp Telemann's significance within eighteenth-century musical culture has become more widely appreciated in recent years, the English-language literature on his life and music has remained limited. This volume, bringing together sixteen essays by leading scholars from the USA, Germany, and Japan, helps to redress this imbalance as it signals a more international engagement with Telemann's legacy. The composer appears here not only as an important early Enlightenment figure, but also as a postmodern one. Chapters on his sacred music address the works' sensitivity to Lutheran and physico-theology, contrasting of historical and modern consciousness, and embodiment of an emerging opus concept. His secular compositions and writings are brought into rich dialogue with French musical and aesthetic currents. Also considered are Telemann's relationships with contemporaries such as Johann Sebastian Bach, the urban and courtly contexts for his music, and his influential position as 'general Kapellmeister' of protestant Germany.
The dissemination of research via publications and conference presentations gives students the opportunity to understand their work in even more detail, to receive and respond to criticism, and to contribute confidently to academic conversations. However, this last phase of the research cycle is one that is often not comprehensively addressed at the undergraduate level. Over more than a decade, the authors have developed opportunities for international dissemination of undergraduate research, including training and support activities. Co-created with students, their projects include a long-standing international undergraduate research journal, Reinvention, and the International Conference of Undergraduate Research (ICUR). The authors will draw upon their own experiences to explore both the benefits and challenges of providing such opportunities at the undergraduate level and offer some suggestions and solutions to sustain these projects over the long term.
Exercise science is a multifaceted discipline with roots in many different natural science backgrounds.Most concepts associated with it can be made accessible and understandable to the most novice researcher. Students are exposed to knowledge relating to the discipline in the news, at school, during recreational sports, and in general dinner table conversation. This tends to make exercise science research less intimidating and more appealing to students of all backgrounds and majors than traditional sciences such as chemistry and biology. Even though this type of research can include complicated instrumentation that requires extensive training to operate, there are always aspects that benefit from undergraduate participation. In turn, exercise science investigations offer undergraduate researchers a level of accomplishment and responsibility that will directly impact future career aspirations.
Part II describes how undergraduate research is put into practice. The first five chapters present implementation models of undergraduate research programs at the curricular and co-curricular level that are common in European and US institutions. Subsequent chapters outline key characteristics of these models as they relate to student mentoring, phases of research-based learning, assessment of student learning, and dissemination of scholarly work.
Implementation Science (IS) is a complex and rapidly evolving discipline, posing challenges for educators. We developed, implemented, and evaluated a novel, pragmatic approach to teach IS.
Methods:
Getting To Implementation (GTI)-Teach was developed as a seven-step educational model to guide students through the process of developing, conducting, and sustaining an IS research project. During the four-week online course, students applied the steps to self-selected implementation problems. Students were invited to complete two online post-course surveys to assess course satisfaction and self-reported changes in IS knowledge and relevance of GTI-Teach Steps to their work. Results were summarized using descriptive statistics; self-reported post-course changes in IS knowledge were compared using paired t-tests.
Results:
GTI-Teach was developed to include seven Steps: 1. Define the implementation problem; 2. Conceptualize the problem; 3. Prioritize implementation barriers and facilitators; 4. Select and tailor implementation strategies; 5. Design an implementation study; 6. Evaluate implementation; 7. Sustain implementation. Thirteen students, ranging in experience from medical students to full professors, enrolled in and completed the first GTI-Teach course. Of the seven students (54%) completing an end-of course survey, six (86%) were very satisfied with the course. Ten students (77%) responded to the tailored, 6-month post-course follow-up survey. They retrospectively reported a significant increase in their knowledge across all steps of GTI-Teach (1.3–1.8 points on a 5-point Likert scale) and rated each of the Steps as highly relevant to their work.
Conclusions:
GTI-Teach is a seven-step model for teaching IS fundamentals that students reported increased their knowledge and was relevant to their work.
Identifying and disseminating actionable intelligence is a challenging task that requires thoughtful planning. The National Center for Advancing Translational Sciences instituted the Common Metrics Initiative with the goal of evaluating the Clinical and Translational Science Awards (CTSA) Programs using a standard set of metrics. Initially managed by Tufts University, the Center for Leading Innovation and Collaboration (CLIC) at the University of Rochester began leading this initiative in 2017. In directing this work, CLIC created a framework for communicating and disseminating data insights. Insights to Inspire emerged from the need to share strategies and lessons learned to improve metric performance at the local level to a network of 60+ academic research institutions. Insights to Inspire employs a mixed methods approach for translating data into actionable intelligence. A series of blogs, webinars, and webcasts were designed to communicate metric-specific strategies used by individual sites to the broader CTSA consortium. A dissemination plan to expand the reach beyond metric stakeholders utilized focused communications including social media channels, network newsletters, and presentations at national meetings. This framework serves as a blueprint for other national evaluation programs interested in a systematic approach to using data insights for continuous improvement.
Respect for international humanitarian law (IHL) in the battlefield is contingent on the measures undertaken in peacetime. Indeed, satisfactory compliance with IHL rests in the implementation of multiple measures at the domestic level crossing different spheres, including legislative, administrative and educational. In most latitudes, governments and other stakeholders coordinate these measures in what is known as National Committees for the Implementation of International Humanitarian Law. The article addresses the practice of these bodies in Latin America and provides alternatives to enhance their work.
This article aims to conceptualize the present state of public archaeology in Poland, which has recently become topical in archaeological practice. The author defines public archaeology and discusses the historical background of such activities in the context of the specific traditions of Polish archaeology. He then describes the main forms of outreach activities undertaken by archaeologists in Poland and presents community-oriented initiatives that go beyond the education of the general public about the past and strive to engage local communities in activities focused on archaeology and archaeological heritage. He concludes by outlining some directions that this sub-discipline may adopt in future.