![]() The evidence-based practices that can be disseminated using our proposed framework (Figure) include environmental changes, policies, programs, and systems. To illustrate the framework, we use 2 dissemination approaches we have developed and tested and discuss practical roles researchers play in dissemination and dissemination We describe a practical framework for dissemination developed at the University of Washington Health Promotion Research Center (HPRC), a Prevention Research Center funded by CDC to conduct research on community-based prevention and control of chronic diseases. Help researchers develop and test approaches to dissemination of evidence-based practices. Such a framework would serve as a guide to dissemination for community-based organizations and These frameworks are useful for generating hypotheses for future research, but no practical framework exists for developing and testing dissemination approaches. Provide organizing principles for the dissemination of evidence-based practices (9). Finally, the RE-AIM framework, though developed for evaluation, is widely used to ![]() Another recently developed framework that synthesizes several existing frameworks (including that of Greenhalgh) is the consolidated framework for implementation research (CFIR) (8). Wandersman focused more directly on health promotion practices that might be implemented in both small and large organizations his interactive systems framework (ISF) highlights the roles of key actors in the dissemination process. Greenhalgh, focusing on system-level practices in large health care organizations, reviewed the literature on dissemination and diffusion and developed a conceptual framework to organize it. Particularly relevant for the dissemination of evidence-based health promotion practices are those of Greenhalgh et al (6) and Wandersman et al (7). ![]() Several conceptual frameworks have been developed to organize the extensive literature on diffusion and dissemination of evidence-based practices. In response, the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH) have called for more attention to dissemination of evidence-based practices and for research on how to increase dissemination effectiveness (3-5). Related research: sorting through the evidence, conducting formative research, assessing readiness of user organizations,īalancing fidelity and reinvention, monitoring and evaluating, influencing the outer context, and testing dissemination approaches.Īlthough the public health community has developed many evidence-based practices to promote healthy behaviors, adoption of these practices has been haphazard (1,2). We also discuss 7 practical roles that researchers play in dissemination and We present 2 examples illustrating the framework: EnhanceFitness, for physical activity among older adults, and American Cancer Society Workplace Solutions, for chronic disease prevention among workers. Use of social marketing principles to work closely with potential user organizations. ![]() The main elements of our framework are 1) a close partnership between researchers and a disseminating organization that takes ownership of the dissemination process and 2) To assist in developing these approaches, we created a practical framework drawn from the literature on dissemination and our experiences disseminating evidence-based practices. Wider adoption of evidence-based, health promotion practices depends on developing and testing effective dissemination approaches. A framework for disseminating evidence-based health promotion practices. Suggested citation for this article: Harris JR, Cheadle A, Hannon PA, Forehand M, Lichiello P, Mahoney E, Snyder S, Yarrow J. Hannon, PhD, MPH Mark Forehand, PhD Patricia Lichiello, MA Eustacia Mahoney Susan Snyder, MS Judith Yarrow, MA Harris, MD, MPH, MBA Allen Cheadle, PhD Peggy A. ![]()
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