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Glasgow, R.E., Marcus, A., Bull, S.S., Wilson, K. (2004). Disseminating effective cancer screening interventions. Cancer 101 (Suppl 5):1239-1250. Background: A large gap exists between research on efficacious cancer screening programs and what is delivered in practice. This paper discusses issues in, barriers to, and lessons learned regarding dissemination of interventions. Methods: We summarize previous reviews, exemplary studies, and theory regarding diffusion and dissemination of cancer screening interventions. Results: Nine key lessons learned describe the involvement of key stakeholders, factors influencing diffusion, the need for different types of efficacy and effectiveness studies with greater attention to external validity, replication, the use of theoretical and evaluation models, and the importance of policy infrastructure. Conclusion(s): Recommendations are made for future research and practice, including better understanding of intervention process, and changes in the types of grants funded and review criteria. Also needed are an enhanced infrastructure, including policies to support dissemination, and involvement of researchers, healthcare administrators, clinicians, and funding organizations if we are to reduce the gap between research and practice. KEY WORDS: Dissemination, generalization, cancer screening,
interventions, research design, evaluation. |
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