American Journal of Community Psychology

, Volume 48, Issue 1–2, pp 56–64 | Cite as

Quality Improvement as a Tool for Translating Evidence Based Interventions Into Practice: What the Youth Violence Prevention Community can Learn from Healthcare

  • Lyndee M. KnoxEmail author
  • Cheryl B. Aspy
Original Paper


Health care has been working for the past 2 decades to improve the translation of evidence based practice (EBPs) into care. The strategies used to facilitate this, and lessons learned, can provide useful models for similar work taking place in youth violence prevention. This article discusses the history of evidence translation in health care, reviews key strategies used to support translation of evidence based practice into care, and suggests lessons learned that may be useful to similar efforts in youth violence prevention and intervention services.


Translation of evidence-based practice Youth violence prevention Quality improvement Primary health care Health services research 


  1. Balas, E. A., & Boren, S. A. (2000). Yearbook of medical informatics: Managing clinical knowledge for health care improvement. Stuttgart, Germany: Schattauer Verlagsgesellschaft mbH.Google Scholar
  2. Baskerville, N. B. (2009). Systematic review of practice facilitation and evaluation of a chronic illness care management tailored outreach facilitation intervention for rural primary care physicians.Google Scholar
  3. Batalden, P., & Davidoff, F. (2007). What is “quality Improvement” and how can it transform healthcare? Quality & Safety in Health Care, 16(1), 2–3.CrossRefGoogle Scholar
  4. Bloom, B. S. (2005). Effects of continuing medical education on improving physician clinical care and patient health: A review of systematic reviews. International Journal of Technology Assessment in Health Care, 21(3), 380–385.PubMedCrossRefGoogle Scholar
  5. Bodenheimer, T., Wagner, E. H., & Grumbach, K. (2002). Improving primary care for patients with chronic illness: The Chronic Care Model, part 2. JAMA, 288, 1909–1914.PubMedCrossRefGoogle Scholar
  6. Center for the Study and Prevention of Violence. (1998). Blueprints for Violence Prevention. Boulder, CO: University of Colorado, Institute of Behavioral Science. [Full text online]
  7. Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., et al. (2006). Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Annals of Internal Medicine, 144(10), 742–752.PubMedGoogle Scholar
  8. Chin, A., Drum, M. L., Guillen, M., Rimington, A., Levie, J. R., Kirchhoff, A. C., et al. (2007). Improving and sustaining diabetes care in community health centers with the health disparities collaboratives. Medical Care, 45, 1135–1143.PubMedCrossRefGoogle Scholar
  9. Cohen, D., McDaniel, R. R., Jr., & Crabtree, B. F. (2004). A practice change model for quality improvement in primary care practice. Journal of Healthcare Management, 49, 155–168.PubMedGoogle Scholar
  10. Crabtree, B. F. (2003). Primary care practices are full of surprises!. Health Care Management Review, 28, 279–283.PubMedGoogle Scholar
  11. Davis, D., Evans, M., Jadad, A., et al. (2003). The case for knowledge translation: Shortening the journey from evidence to effect. BMJ, 327, 33–35.PubMedCrossRefGoogle Scholar
  12. Davis, D. A., & Taylor-Vaisey, A. (1997). Translating guidelines into practice: A systematic review of theoretic, concepts, practical experience and research evidence in the adoption of clinical practice guidelines. CMAJ, 157, 408–416.PubMedGoogle Scholar
  13. Davis, D., Thomson O’Brien, M. A., Freemantle, N., Wolf, F. M., Mazmanian, P., & Taylor-Vaisey, A. (1992). Impact of formal continuing medical education. JAMA, 282:867–874.Google Scholar
  14. Dietrich, A. J., et al. (1992). Cancer: Improving early detection and prevention. A community practice randomised trial. BMJ, 304.6828: 687–691.Google Scholar
  15. Evidence-Based Medicine Working Group. (1992). Evidence-based medicine: A new approach to teaching the practice of medicine. JAMA, 4268(17), 2420–2425.Google Scholar
  16. Feifer, C., Fifield, J., Ornstein, S., et al. (2004). From research to daily clinical practice: what are the challenges in “translation”? Joint Commission Journal on Quality and Patient Safety, 30, 235–245.Google Scholar
  17. Flamm, B., Kabcenell, A., Berwick, D. M., & Roessner, J. (1997). Reducing cesarean section rates while maintaining maternal and infant outcomes. Boston: Institute for Healthcare Improvement.Google Scholar
  18. Frijling, B. D., Lobo, C. M., Hulscher, M. E., et al. (2002). Multifaceted support to improve clinical decision making in diabetes care: A randomized controlled trial in general practice. Diabetic Medicine, 19(10), 836–842.PubMedCrossRefGoogle Scholar
  19. Fullard, E. (1987). Extending the roles of practice nurses and facilitators in preventing heart disease. Practitioner, 231(1436), 1283–1286.PubMedGoogle Scholar
  20. Glasgow, R. E., Klesges, L. M., Dzewaltowski, D. A., Bull, S. S., & Estabrooks, P. A. (2004). The future of health behavior change research: What is needed to improve translation of research into health promotion practice? Annals of Behavioral Medicine, 27, 3–12.PubMedCrossRefGoogle Scholar
  21. Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research into practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93, 1261–1267.PubMedCrossRefGoogle Scholar
  22. Glasgow, R. E., McKay, H. G., Piette, J. D., & Reynolds, K. D. (2001). The RE-AIM framework for evaluating interventions: What can it tell us about approaches to chronic illness management? Patient Education and Counseling, 44, 119–127.PubMedCrossRefGoogle Scholar
  23. Grumbach, K., & Mold, J. W. (2009). A health care cooperative extension service: Transforming primary care and community health. JAMA, 301(24), 2589–2591.PubMedCrossRefGoogle Scholar
  24. Hogg, W., Baskerville, N., & Lemelin, J. (2005). Cost savings associated with improving appropriate and reducing inappropriate preventive care: Cost-consequences analysis. BMC Health Services Research, 5(1):20.Google Scholar
  25. Institute for Healthcare Improvement (IHI). (2003). The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper. Boston: Institute for Healthcare Improvement. (Available on
  26. Institute of Medicine (IOM). (1999). To err is human: Building a safer health system. Washington, DC: National Academies Press.Google Scholar
  27. Institute of Medicine (IOM). (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academies Press.Google Scholar
  28. Kelley, C. A., & Brown, M. B. (1987). Quality circles in the hospital setting: their current status and potential for the future. Health Care Management Review, 12(1), 55–59.PubMedGoogle Scholar
  29. Landon, B. E., Hicks, L. S., O’Malley, A. J., Lieu, T. A., Keegan, T., McNeil, B. J., et al. (2007). Improving the management of chronic disease at community health centers. New England Journal of Medicine, 356, 921–934.PubMedCrossRefGoogle Scholar
  30. Majumdar, S. R., McAlister, F. A., & Furberg, C. D. (2004). From knowledge to practice in chronic cardiovascular disease: A long and winding road. Journal of the American College of Cardiology, 43, 1738–1742.PubMedCrossRefGoogle Scholar
  31. Miller, W. L., McDaniel, R. R., Jr., Crabtree, B. F., & Stange, K. C. (2001). Practice jazz: Understanding variation in family practices using complexity science. Journal of Family Practice, 50, 872–878.PubMedGoogle Scholar
  32. Mold, J. W., & Peterson, K. A. (2005). Primary care practice-based research networks: Working at the interface between research and quality improvement. Annals of Family Medicine, 3, S12–S20.PubMedCrossRefGoogle Scholar
  33. Nagykaldi, Z., Mold, J. W., & Aspy, C. B. (2005). Practice facilitators: A review of the literature. Family Medicine, 37(8), 581–588.Google Scholar
  34. Nagykaldi, Z., et al. (2006). Practice facilitators and practice-based research networks. The Journal of the American Board of Family Medicine, 19(5), 506.CrossRefGoogle Scholar
  35. Narayan, K. M., Benjamin, E., Gregg, E. W., Norris, S. L., & Engelgau, M. M. (2004). Diabetes translation research: Where are we and where do we want to be? Annals of Internal Medicine, 140, 958–963.PubMedGoogle Scholar
  36. Rasmussen, W. D. (1989). Taking the University to the people: Seventy-five years of cooperative extension. Ames, Iowa: Iowa State Univ. Press.Google Scholar
  37. Rogers, E. M. (2003). Diffusion of innovation (Fifth Edition ed.). New York, NY: Free Press.Google Scholar
  38. Rosenthal, M. B., Landon, B. E., Normand, S. L., Frank, R. G., & Epstein, A. M. (2006). Pay for performance in commercial HMOs. New England Journal of Medicine, 355, 1895–1902.PubMedCrossRefGoogle Scholar
  39. Sherer, R., O’Neill, J., Barini-Garcia, M., et al. (2002). Testing innovative quality improvement (QI) methods for HIV care in 10,000 patients (Pts) in 87 HIV clinics in the US: The HRSA/IHI HIV Collaborative. International Conference on AIDS, 14:(abstract no. B10641).Google Scholar
  40. Solberg, L. (2007). Improving medical practice: A conceptual framework. Annals of Family Medicine, 5, 251–256.PubMedCrossRefGoogle Scholar
  41. Wagner, E. H. (1998). Chronic disease management: What will it take to improve care for chronic illness? Effective Clinical Practice, 1(1), 2–4.Google Scholar
  42. Westfall, J. M., Mold, J., & Fagnan, L. (2007). Practice-based research—“Blue highways” on the NIH roadmap. JAMA, 297(4), 403–406.PubMedCrossRefGoogle Scholar
  43. Westfall, J. M., VanVorst, R. F., Main, D. S., & Herbert, C. (2006). Community-based participatory research in practice-based research networks. Annals of Family Medicine, 4, 8–14.PubMedCrossRefGoogle Scholar

Copyright information

© Society for Community Research and Action 2011

Authors and Affiliations

  1. 1.LA Net A project of Community PartnersLong BeachUSA
  2. 2.College of MedicineUniversity of OklahomaNormanUSA

Personalised recommendations