Dissemination and Implementation Research for Occupational Safety and Health
- 1.2k Downloads
The translation of evidence-based health innovations into real-world practice is both incomplete and exceedingly slow. This represents a poor return on research investment dollars for the general public. U.S. funders of health sciences research (e.g., NIH, CDC, NIOSH) are increasingly calling for dissemination plans, and to a lesser extent for dissemination and implementation (D&I) research, which are studies that examine the effectiveness of D&I efforts and strategies and the predictors of D&I success. For example, rather than merely broadcasting information about a preventable hazard, D&I research in occupational safety and health (OSH) might examine how employers or practitioners are most likely to receive and act upon that information. We propose here that D&I research should be seen as a dedicated and necessary area of study within OSH, as a way to generate new knowledge that can bridge the research-to-practice gap. We present D&I concepts, frameworks, and examples that can increase the capacity of OSH professionals to conduct D&I research and accelerate the translation of research findings into meaningful everyday practice to improve worker safety and health.
KeywordsDissemination Implementation Research to practice Occupational safety and health Total Worker Health Health innovations
This research was supported by the U.S. National Institute for Occupational Safety and Health (NIOSH), Grant Number 1 U19 OH008857. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of NIOSH. The authors express warm appreciation of Dr. Robert Henning for suggesting this article and for his enthusiasm and commitment to D&I in OSH. We also thank Kiley Dugan for her assistance in compiling and formatting our references and proofreading the final version of this manuscript. Finally, we are grateful for the entire CPH-NEW research team of graduate research assistants, research staff and faculty members from the University of Massachusetts Lowell and the University of Connecticut. Their collective efforts have been instrumental in the development, application, and evaluation of the HWPP and more generally in deepening our multi-disciplinary understanding of how to conduct user-centered research of organizational change in the service of worker health and well-being.
- Agency for Healthcare Research and Quality. (2003). The Role of Community-Based Participatory Research: Creating Partnerships, Improving Health. AHRQ Publication No. 03–0037. Agency for Healthcare Research and Quality, Rockville, MD. Available at: https://archive.ahrq.gov/research/cbprrole.htm . Accessed July 1, 2017.
- Agency for Healthcare Research and Quality. (2014). Dissemination Planning Tool. Available at: https://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/planningtool.html. Accessed June 30, 2017.
- Balas, E. A., & Boren, S. A. (2000). Managing clinical knowledge for health care improvement. In J. Bemmel & A. T. McCray (Eds.), Yearbook of medical informatics 2000: Patient-centered systems (pp. 65–70). Stuttgart, Germany: Schattauer.Google Scholar
- Carpenter, D., Nieva, V., Albaghal, T., & Sorra, J. (2005). Development of a planning tool to guide dissemination of research results. Advances in patient safety: From research to implementation. (Vol. 4, Programs, tools, and products.) AHRQ pub. 05–0021-4. Rockville, MD: Agency for Healthcare Research and Quality. Available at: https://www.ncbi.nlm.nih.gov/books/NBK20603/ Accessed July 1, 2017.
- Center for Promotion of Health in the New England Workplace. (2011). The Healthy Worksite Participatory Program Online Toolkit. University of Massachusetts Lowell: Center for Promotion of Health in the New England Workplace. Available at: www.uml.edu/cphnewtoolkit. Accessed July 1, 2017.
- CPWR Center for Construction Research and Training. (2014). Dissemination Roadmap. Available at: http://www.cpwr.com/sites/default/files/Roadmap%20and%20Worksheet%20FINAL.pdf. Accessed July 1, 2017.
- Israel, B. A., Eng, E., Schulz, A. J., & Parker, E. A. (2013). Methods in community-based participatory research for health. San Francisco: Jossey-Bass.Google Scholar
- McNiff, J., & Whitehead, J. (2011). All you need to know about action research. London: Sage Publications.Google Scholar
- National Institute for Occupational Safety and Health (2015a). Research to Practice. Retrieved from https://www.cdc.gov/niosh/r2p/about.html. Accessed July 1, 2017.
- National Institute for Occupational Safety and Health (2015b). Total Worker Health.® Retrieved from http://www.cdc.gov/niosh/programs/totalworkerhealth/. Accessed June 1, 2017.
- National Institutes of Health. (2016). Dissemination and implementation research in health (R01). Program announcement PAR-16-238 (current FOA). Retrieved from https://grants.nih.gov/grants/guide/pa-files/PAR-16-238.html. Accessed July 1, 2017.
- Northridge, M. E., Kavathe, R., Zanowiak, J., Wyatt, L., Singh, H., & Islam, N. (2017). Implementation and dissemination of the Sikh American Families Oral Health Promotion Program. Translational Behavioral Medicine, 1–9.Google Scholar
- Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., et al. (2011). Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76.CrossRefPubMedGoogle Scholar
- Robertson, M., Henning, R., Warren, N., Nobrega, S., Dove-Steinkamp, M., Tibirica, L., Bizarro, A., & Research Team, C. P. H.-N. E. W. (2013). The Intervention Design and Analysis Scorecard: A planning tool for participatory design of integrated health and safety interventions in the workplace. Journal of Occupational and Environmental Medicine, 55, S86–S88.CrossRefPubMedGoogle Scholar
- Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.Google Scholar
- Schillinger, D. (2010). An introduction to effectiveness, dissemination and implementation research. From the Series: UCSF Clinical and Translational Science Institute (CTSI) Resource Manuals and Guides to Community-Engaged Research. In P. Fleisher (Ed.), Clinical Translational Science Institute Community Engagement Program. San Francisco: University of California.Google Scholar
- Schulz, A. J., Israel, B. A., Selig, S. M., Bayer, I. S., & Griffin, C. B. (1998). Development and implementation of principles for community-based research in public health. In R. H. MacNair (Ed.), Research strategies for community practice (pp. 83–110). New York: Haworth Press.Google Scholar
- Tapp, H., McWilliams, A., Ludden, T., Kuhn, L., Taylor, Y., Alkhazraji, T., et al. (2014). Comparing traditional and participatory dissemination of a shared decision making intervention (ADAPT-NC): A cluster randomized trial. Implementation Science, 9(1), 158.CrossRefPubMedPubMedCentralGoogle Scholar
- Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., et al. (2008). Bridging the gap between prevention research and practice: The interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41(3–4), 171–181.CrossRefPubMedGoogle Scholar