Dissemination of Best Practices in Chronic Disease Prevention

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Dissemination of Best Practices in Chronic
Disease Prevention

• Using A Framework for Enhancing the Dissemination
  of Best Practices

Rebecca Fortin, Dissemination Coordinator
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Overview

• Identification of Best Practices in CDP
• Development of the Dissemination Framework
• The Dissemination Framework
• The Dissemination Strategy
• Lessons Learned

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Overview

• Identification of Best Practices in CDP
• Development of the Dissemination Framework
• The Dissemination Framework
• The Dissemination Strategy
• Lessons Learned

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Identification of Best Practices in CDP

• University of Waterloo
• Systematic literature reviews
• International key informant interviews
• Best and Promising Practices Compendium
• www.hhrc.net/bpt/pubs/hhrc_best_prom_v100.pdf

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Overview

• Identification of Best Practices in CDP
• Development of the Dissemination Framework
• The Dissemination Framework
• The Dissemination Strategy
• Lessons Learned

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Development of the Dissemination Framework

• Nancy Dubois and Associates
• Literature review
• Identification and analysis of dissemination
  processes
• Pilot-testing the framework
• Revised framework and Summary Report
  www.hhrc.net/bpt/overview/dissem_support.cfm

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Overview

• Identification of Best Practices in CDP
• Development of the Dissemination Framework
• The Dissemination Framework
• The Dissemination Strategy
• Lessons Learned

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The Dissemination Framework

• Long-Term Goal
• To adopt Best Practice Programs in CDP
• by multiple audiences

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The Dissemination Framework

• Knowledge Developers
• Knowledge Brokers
• Adopters

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The Dissemination Framework

• Sources
• Information
• Interactive Process
• Context for Use

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Overview

• Identification of Best Practices in CDP
• Development of the Dissemination Framework
• The Dissemination Framework
• The Dissemination Strategy
• Lessons Learned

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The Dissemination Strategy

• Long-Term Goal
• To adopt evidence-informed practice
• in CDP by multiple audiences

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The Dissemination Strategy

• Evidence-Informed Practice
• Best Practices
• Best Practices Tools
• Best Practices Concepts/Research

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The Dissemination Strategy

• Knowledge Developers
• Developers of identified BP/PP Practices
• Knowledge Brokers
• TEIP Team
• Adopters
• High, moderate, low intensity adopters

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The Dissemination Strategy

• High Intensity Adopters
• Five pilot community partnerships
• Moderate Intensity Adopters
• Community partnerships across Ontario
• Low Intensity Adopters
• Ministry of Health, OHPRS, NGOs

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The Dissemination Strategy Sources

• Variety of communication sources
• Credible source
• Appealing
• Materials are easy to use or access
• Materials offered free of charge

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Use of the Dissemination Framework Information

• Adopter on advisory committee
• Adopter feedback
• Sharing stories and lessons learned
• Manual disseminated in sections
• Compendium disseminated in a variety of ways

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The Dissemination Strategy Interactive Process

• Interaction between Knowledge Brokers and
  Adopters
• Pilot communities and TEIP team partnership
• Participants on advisory committee
• All participants are involved in feedback
  evaluations
• Passive dissemination is generally ineffective
• Bero et al. 1998

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The Dissemination Strategy Interactive Process

• Interaction between Adopters and
  Developers/Researchers
• Lessons learned by adopters communicated to
  researchers, decision makers, other BP initiatives

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Interaction Between Research and Practice
Developers
Knowledge Brokers
Adopters
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The Dissemination Strategy Context for Use

• Pilot Community Context
• Limited resources
• Limited time
• Limited evaluation expertise
• Already had community based CDP programs in place
• The context I which new practices are introduce
  is increasingly recognized as central to
  understanding the dissemination process Kitson
  et al., 1998

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Overview

• Identification of Best Practices in CDP
• Development of the Dissemination Framework
• The Dissemination Framework
• The Dissemination Strategy
• Lessons Learned

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Lessons Learned

• Dedicated resources to strategic dissemination
• Financial, material, expertise
• Different levels of intensity depending on
  audience
• Disseminate Best Practice Programs is not
  sufficient
• Adopters need and want to use concepts and tools

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Towards Evidence-Informed Practice

• Rebecca Fortin, Hon. BScDissemination
  Coordinator
• rfortin_at_opha.on.ca