University of Colorado Anschutz Medical Campus

Our Research

We use partner engagement and pragmatic D&I models, methods and measures to build D&I capacity among scientists, healthcare settings and communities; develop, test and disseminate sustainable, generalizable and equitable solutions to real world health problems; and consult with and train those interested in applying D&I methods

Program Expertise

High Level Areas of Expertise

Recent D&I Research Team Publications

Publications from Our D&I Scientists

Designing for Dissemination and Sustainability to Promote Equitable Impacts on Health

Authorship: Bethany Kwan, et. al.
Designing for dissemination and sustainability (D4DS) refers to principles and methods for enhancing the fit between a health program, policy, or practice and the context in which it is intended to be adopted. In this article we first summarize the historical context of D4DS and justify the need to shift traditional health research and dissemination practices. D4DS design processes include stakeholder engagement, participatory co-design, and context and situation analysis, and leverage methods and frameworks from dissemination and implementation science, marketing and business, communications and visual arts, and systems science.

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Using Iterative RE-AIM to enhance hospitalist adoption of lung ultrasound in the management of patients with COVID-19: an implementation pilot study

Authorship: Anna Maw, et. al.
Conclusion: Mandating use of a strategically selected subset of clinicians may be an effective strategy for improving Reach of LUS. Additionally, use of Iterative RE-AIM allowed for timely adjustments to implementation strategies, facilitating higher levels of LUS Adoption and Reach. Future studies should explore the replicability of these preliminary findings.

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Applying an equity lens to assess context and implementation in public health and health services research and practice using the PRISM Framework

Authorship: Meredith Fort, et. al.
We present guidance for applying PRISM with an equity lens across its four context domains (external environment; multi-level perspectives on the intervention; characteristics of implementers and intended audience; and the implementation and sustainability infrastructure – as well as the five RE-AIM outcome dimensions - and present an example with health equity considerations.

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Using Implementation Mapping to develop protocols supporting the implementation of a state policy on screening children for Adverse Childhood Experiences in a system of health centers in inland Southern California

Authorship: Mónica Pérez Jolles, et. al.
In this paper, we describe how Implementation Mapping was used to engage diverse stakeholders and guide them through a systematic process that resulted in the development of the implementation strategy. We also detail how the EPIS framework informed each Implementation Mapping Task and provide recommendations for developing implementation strategies using EPIS and Implementation Mapping in health-care settings.

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Betz ME, Polzer E, Nearing K, Knoepke CE, Johnson RL, Meador L, Matlock DD. Feasibility and Acceptability of a Web-Based Caregiver Decision Aid (Safety in Dementia) for Firearm Access: Pilot Randomized Controlled Trial. JMIR Form Res. 2021 Sep 22;5(9):e30990. doi: 10.2196/30990. https://formative.jmir.org/2021/9/e30990

Cervantes L, Robinson BM, Steiner JF, Myaskovsky L. Culturally Concordant Community-Health Workers: Building Sustainable Community-Based Interventions that Eliminate Kidney Health Disparities. J Am Soc Nephrol. 2022 Jul;33(7):1252-1254. doi: https://doi.org/10.1681/ASN.2022030319

Connelly, B., Battaglia, C., & Gilmartin, H. M. (2021). A dissemination strategy to promote relational coordination in the veterans health administration: a case study. BMC Health Serv Res, 21(1), 1018. https://doi.org/10.1186/s12913-021-07009-8

Eisman, A. B., Quanbeck, A., Bounthavong, M., Panattoni, L., & Glasgow, R. E. (2021). Implementation science issues in understanding, collecting, and using cost estimates: a multi-stakeholder perspective. Implementation Science, 16(1). https://doi.org/10.1186/s13012-021-01143-x

Fort MP, Manson SM and Glasgow RE (2023) Applying an equity lens to assess context and implementation in public health and health services research and practice using the PRISM framework. Front. Health Serv. 3:1139788. https://doi.org/10.3389/frhs.2023.1139788

Gilmartin HM, Warsavage T, Hines A, Leonard C, Kelley L, Wills A, Gaskin D, Ujano-De Motta L, Connelly B, Plomondon ME, Yang F, Kaboli P, Burke RE, Jones CD. Effectiveness of the rural transitions nurse program for Veterans: A multicenter implementation study. J Hosp Med. 2022 Mar;17(3):149-157. https://doi.org/10.1002/jhm.12802

Glasgow, R. E., Battaglia, C., McCreight, M., Ayele, R., Maw, A. M., Fort, M. P., Holtrop, J. S., Gomes, R. N., & Rabin, B. A. (2022). Use of the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework to guide iterative adaptations: Applications, lessons learned, and future directions. Front Health Serv, 2, 959565. https://doi.org/10.3389/frhs.2022.959565

Glasgow RE, Brtnikova M, Dickinson LM, Carroll JK, Studts JL. Implementation strategies preferred by primary care clinicians to facilitate cancer prevention and control activities. J Behav Med. 2023 Apr 8:1–16. https://doi.org/10.1007/s10865-023-00400-2

Holtrop, J. S., Estabrooks, P. A., Gaglio, B., Harden, S. M., Kessler, R. S., King, D. K., Kwan, B. M., Ory, M. G., Rabin, B. A., Shelton, R. C., & Glasgow, R. E. (2021). Understanding and applying the RE-AIM framework: Clarifications and resources. J Clin Transl Sci, 5(1), e126. https://doi.org/10.1017/cts.2021.789

Holtrop, J. S., Scherer, L. D., Matlock, D. D., Glasgow, R. E., & Green, L. A. (2021). The Importance of Mental Models in Implementation Science. Front Public Health, 9, 680316. https://doi.org/10.3389/fpubh.2021.680316

Holtrop JS, Gurfinkel D, Nederveld A, Phimphasone-Brady P, Hosokawa P, Rubinson C, Waxmonsky JA, Kwan BM. Methods for capturing and analyzing adaptations: implications for implementation research. Implement Sci. 2022 Jul 29;17(1):51. https://doi.org/10.1186/s13012-022-01218-3

Huebschmann AG, Johnston S, Davis R, Kwan BM, Geng E, Haire-Joshu D, Sandler B, McNeal DM, Brownson RC, Rabin BA. Promoting rigor and sustainment in implementation science capacity building programs: A multi-method study. Implement Res Pract. 2022 Dec 25;3:26334895221146261. https://doi.org/10.1177/26334895221146261

Kwan BM, Brownson RC, Glasgow RE, Morrato EH, Luke DA. Designing for Dissemination and Sustainability to Promote Equitable Impacts on Health. Annu Rev Public Health. 2022 Apr 5;43:331-353. https://doi.org/10.1146/annurev-publhealth-052220-112457

Leonard, C., Gilmartin, H., McCreight, M., Kelley, L., Mayberry, A., & Burke, R. E. (2021). Training registered nurses to conduct pre-implementation assessment to inform program scale-up: an example from the rural Transitions Nurse Program. Implement Sci Commun, 2(1), 28. https://doi.org/10.1186/s43058-021-00127-8

Maw, A. M., Morris, M. A., Glasgow, R. E., Barnard, J., Ho, P. M., Ortiz-Lopez, C., Fleshner, M., Kramer, H. R., Grimm, E., Ytell, K., Gardner, T., & Huebschmann, A. G. (2022). Using Iterative RE-AIM to enhance hospitalist adoption of lung ultrasound in the management of patients with COVID-19: an implementation pilot study. Implement Sci Commun, 3(1), 89. https://doi.org/10.1186/s43058-022-00334-x

McCarthy, M. S., Ujano-De Motta, L. L., Nunnery, M. A., Gilmartin, H., Kelley, L., Wills, A., Leonard, C., Jones, C. D., & Rabin, B. A. (2021). Understanding adaptations in the Veteran Health Administration's Transitions Nurse Program: refining methodology and pragmatic implications for scale-up. Implement Sci, 16(1), 71. https://doi.org/10.1186/s13012-021-01126-y

McNeal DM, Glasgow RE, Brownson RC, Matlock DD, Peterson PN, Daugherty SL, Knoepke CE. Perspectives of scientists on disseminating research findings to non-research audiences. J Clin Transl Sci. 2020 Dec 7;5(1):e61. https://doi.org/10.1017/cts.2020.563

Nederveld A, Phimphasone-Brady P, Gurfinkel D, Waxmonsky JA, Kwan BM, Holtrop JS. Delivering diabetes shared medical appointments in primary care: early and mid-program adaptations and implications for successful implementation. BMC Prim Care. 2023 Feb 17;24(1):52. https://doi.org/10.1186/s12875-023-02006-8

Nunnery, M. A., Gilmartin, H., McCarthy, M., Motta, L. U., Wills, A., Kelley, L., Jones, C. D., & Leonard, C. (2022). Sustainment stories: a qualitative analysis of barriers to sustainment of the National Rural Transitions of Care Nurse Program. BMC Health Serv Res, 22(1), 119. https://doi.org/10.1186/s12913-021-07420-1

Perez Jolles, M., Fernandez, M. E., Jacobs, G., De Leon, J., Myrick, L., & Aarons, G. A. (2022). Using Implementation Mapping to develop protocols supporting the implementation of a state policy on screening children for Adverse Childhood Experiences in a system of health centers in inland Southern California. Front Public Health, 10, 876769. https://doi.org/10.3389/fpubh.2022.876769

Perez Jolles, M., Mack, W. J., Reaves, C., Saldana, L., Stadnick, N. A., Fernandez, M. E., & Aarons, G. A. (2021). Using a participatory method to test a strategy supporting the implementation of a state policy on screening children for adverse childhood experiences (ACEs) in a Federally Qualified Health Center system: a stepped-wedge cluster randomized trial. Implement Sci Commun, 2(1), 143. https://doi.org/10.1186/s43058-021-00244-4

Perez Jolles, M., Willging, C. E., Stadnick, N. A., Crable, E. L., Lengnick-Hall, R., Hawkins, J., & Aarons, G. A. (2022). Understanding implementation research collaborations from a co-creation lens: Recommendations for a path forward. Front Health Serv, 2. https://doi.org/10.3389/frhs.2022.942658

Phimphasone-Brady P, Chiao J, Karamsetti L, Sieja A, Johnson R, Macke L, Lum H, Lee R, Farro S, Loeb D, Schifeling C, Huebschmann AG. Clinician and staff perspectives on potential disparities introduced by the rapid implementation of telehealth services during COVID-19: a mixed-methods analysis. Transl Behav Med. 2021 Jul 29;11(7):1339-1347. https://doi.org/10.1093/tbm/ibab060

Rabin BA, Cakici J, Golden CA, Estabrooks PA, Glasgow RE, Gaglio B. A citation analysis and scoping systematic review of the operationalization of the Practical, Robust Implementation and Sustainability Model (PRISM). Implement Sci. 2022 Sep 24;17(1):62. https://doi.org/10.1186/s13012-022-01234-3. PMID:

Rabin BA, Cain KL, Salgin L, Watson PL Jr, Oswald W, Kaiser BN, Ayers L, Yi C, Alegre A, Ni J, Reyes A, Yu KE, Broyles SL, Tukey R, Laurent LC, Stadnick NA. Using ethnographic approaches to document, evaluate, and facilitate virtual community-engaged implementation research. BMC Public Health. 2023 Feb 28;23(1):409. https://doi.org/10.1186/s12889-023-15299-2

Studts, C. R. (2022). Implementation Science: Increasing the Public Health Impact of Audiology Research. Am J Audiol, 31(3S), 849-863. https://doi.org/10.1044/2022_AJA-21-00205

Szefler SJ, Cicutto L, Brewer SE, Gleason M, McFarlane A, DeCamp LR, Brinton JT, Huebschmann AG. Applying dissemination and implementation research methods to translate a school-based asthma program. J Allergy Clin Immunol. 2022 Sep;150(3):535-548. https://doi.org/10.1016/j.jaci.2022.04.029

Tabak, R. G., Bauman, A. A., & Holtrop, J. S. (2021). Roles dissemination and implementation scientists can play in supporting research teams. Implement Sci Commun, 2(1), 9. https://doi.org/10.1186/s43058-020-00107-4

Trinkley, K. E., Ho, P. M., Glasgow, R. E., & Huebschmann, A. G. (2022). How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems. Academic Medicine, 97(10), 1447-1458. https://doi.org/10.1097/Acm.0000000000004801

Trinkley, K. E., Kroehl, M. E., Kahn, M. G., Allen, L. A., Bennett, T. D., Hale, G., Haugen, H., Heckman, S., Kao, D. P., Kim, J., Matlock, D. M., Malone, D. C., Page Nd, R. L., Stine, J., Suresh, K., Wells, L., & Lin, C. T. (2021). Applying Clinical Decision Support Design Best Practices With the Practical Robust Implementation and Sustainability Model Versus Reliance on Commercially Available Clinical Decision Support Tools: Randomized Controlled Trial. JMIR Med Inform, 9(3), e24359. https://doi.org/10.2196/24359

Tyler, A., & Glasgow, R. E. (2021). Implementing Improvements: Opportunities to Integrate Quality Improvement and Implementation Science. Hosp Pediatr, 11(5), 536-545. https://doi.org/10.1542/hpeds.2020-002246

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Rural Cancer Advisory Board

An Opportunity for Cancer Researchers to Engage Rural Patient Advisors for Input

Sep 7, 2022

The Rural Cancer Advisory Board is currently comprised of 9 women from all over the state. While not experts in healthcare, they are experts in rural living with a variety of backgrounds such as ranchers, teachers, and regional health connectors. The primary purpose of the group is to provide insight, feedback, and recommendations to cancer researchers from a rural patient and caregiver perspective. Our research advisors are volunteers. They have varying levels of experience with cancer; some personally, some as family caregivers, and some as community support.

The group meets every other month in a virtual format. Please contact Adreanne Brungardt for more information, including if you would like to present your research study for input from these patient advisors – Adreanne.brungardt@cuanschutz.edu

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D&I Science Program

Adult & Child Center for Outcomes Research & Delivery Science

Our Research

Program Expertise

High Level Areas of Expertise

Recent D&I Research Team Publications

Publications from Our D&I Scientists

Designing for Dissemination and Sustainability to Promote Equitable Impacts on Health

Using Iterative RE-AIM to enhance hospitalist adoption of lung ultrasound in the management of patients with COVID-19: an implementation pilot study

Applying an equity lens to assess context and implementation in public health and health services research and practice using the PRISM Framework

Using Implementation Mapping to develop protocols supporting the implementation of a state policy on screening children for Adverse Childhood Experiences in a system of health centers in inland Southern California

Newsroom

Featured Stores & Announcements

Rural Cancer Advisory Board

An Opportunity for Cancer Researchers to Engage Rural Patient Advisors for Input

ACCORDS