Chapter

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

Lawrence W. Green and Mona Nasser

in Dissemination and Implementation Research in Health

Published in print March 2012 | ISBN: 9780199751877
Published online May 2012 | e-ISBN: 9780199933242 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199751877.003.0015
Furthering Dissemination and Implementation Research: The Need for More Attention to External Validity

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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

Chapter.  10094 words.  Illustrated.

Subjects: Public Health and Epidemiology

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