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Dissemination and Implementation Research in HealthTranslating Science to Practice$
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Ross C. Brownson, Graham A. Colditz, and Enola K. Proctor

Print publication date: 2012

Print ISBN-13: 9780199751877

Published to Oxford Scholarship Online: May 2012

DOI: 10.1093/acprof:oso/9780199751877.001.0001

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Furthering Dissemination and Implementation Research: The Need for More Attention to External Validity

Furthering Dissemination and Implementation Research: The Need for More Attention to External Validity

Chapter:
(p.305) 15 Furthering Dissemination and Implementation Research: The Need for More Attention to External Validity
Source:
Dissemination and Implementation Research in Health
Author(s):

Lawrence W. Green

Mona Nasser

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199751877.003.0015

This chapter examines ways to tilt the balance of emphasis for dissemination and implementation (D&I) research in health from the preoccupation seen in most journals and systematic reviews with a pipeline from studies with exquisite internal validity to a greater emphasis on external validity. It offers, as the essential core of the D&I research strategy to do this, an approach that engages practitioners or policymakers more actively in the research process and asks not how can we get practitioners to adopt and implement evidence (with “fidelity” to the form of intervention in the original studies), but how can we study the adaptations and innovations that emerge from their attempts to do so, and what the trade-offs are between the original efficacy-tested forms of interventions and the adapted forms?

Keywords:   dissemination and implementation, D&I research, health research, external validity

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