Case 2: Implementation: more complex than you thought? 18
Case 3: Vitality at Work! Implementing health promotion in the workplace 27
Case 4: Process and effect evaluation: (how) does it work? 40
Case 5: Economic evaluation to the rescue 49
Lecture: Dynamic systems 56
,Introduction lecture
D&I = dissemination and implementation plan
Limited impact in real life
• EBI based on theories and empirical research
• Tested in efficacy trials (controlled and thus focus on internal validity)
• Compared with drug developed in medical research:
o Tested under highly artificial conditions ≠ implementation in real life
o Tested with motivated people and strict inclusion criteria ≠ effectiveness in real life
Features of EBIs
• Difficult to understand advantages; how and under which circumstances will it work?
• Effects not clearly and immediately visible for users
• Programmes are often complex
o With many elements (e.g. a lifestyle programme or workplace)
when is this EBI ‘completely’ used?
o Is it allowed to delete or adopt?
Because complexity EBIs
• More likely to have elements that are incompatible with setting
• Evokes resistance
• Or attempts to adapt the EBI
Gap between research and practice
• Researchers
o Tradition-bound practitioners insist on practicing their way
o They claim to know their target group best
• Practitioners
o The lack of relevance and fit of evidence
o Barriers to implementation
Funnel by Green
It takes around 17 years for knowledge that we have to be implemented into practice and it is
funnel shaped because it gets adapted.
1
, Dissemination and implementation are of concern of scientists
Implementation science = the scientific study of methods to promote the systematic uptake of
research findings and other evidence-based practices into routine practice. It includes the study
of influences on healthcare professionals and organizational behaviour.
Definitions D&I
• Dissemination = the targeted distribution of information and intervention materials to a
specific public health audience
• Implementation = increasing the integration of EBIs into routing real-world practices
→ Different authors use different definitions and therefore we use the definitions of
Brownson et al. 2018.
Framework: steps
2
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller gzwstudent. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.56. You're not tied to anything after your purchase.