Essential elements to "design for dissemination" within a research network-a modified Delphi study of the Community-Academic Aging Research Network (CAARN).

Autor: Mora Pinzon MC; Department of Medicine, Division of Geriatrics and Gerontology, School of Medicine and Public Health, University of Wisconsin - Madison, Madison, WI, USA. mmora2@wisc.edu.; Department of Family Medicine and Community Health. School of Medicine and Public Health, University of Wisconsin - Madison, Madison, WI, USA. mmora2@wisc.edu., Myers S; Wisconsin Institute for Healthy Aging, Madison, WI, USA., Renken J; Wisconsin Institute for Healthy Aging, Madison, WI, USA., Eggert E; Wisconsin Institute for Healthy Aging, Madison, WI, USA., Chewning B; School of Pharmacy, University of Wisconsin - Madison, Madison, WI, USA., Mahoney JE; Department of Medicine, Division of Geriatrics and Gerontology, School of Medicine and Public Health, University of Wisconsin - Madison, Madison, WI, USA.
Jazyk: angličtina
Zdroj: Implementation science communications [Implement Sci Commun] 2021 Feb 12; Vol. 2 (1), pp. 18. Date of Electronic Publication: 2021 Feb 12.
DOI: 10.1186/s43058-021-00122-z
Abstrakt: Background: The Community-Academic Aging Research Network (CAARN) was developed in 2010 to build partnerships, facilitate research, and ultimately accelerate the pace of development, testing, and dissemination of evidence-based programs related to healthy aging. CAARN has facilitated development and testing of 32 interventions, two of which are being packaged for scale-up, and three of which are being scaled up nationally by non-profit organizations. The purpose of this study is to describe CAARN's essential elements required to replicate its success in designing for dissemination.
Methods: We conducted a modified Delphi technique with 31 participants who represented CAARN's organization (staff and Executive Committee) and academic and community partners. Participants received three rounds of a web-based survey to rate and provide feedback about the importance of a list of potential key elements compiled by the authors. The criterion for establishing consensus was 80% of responses to consider the element to be extremely or very important.
Results: Response rate was 90% in Round 1, 82% in Round 2, and 87% in Round 3. A total of 115 items were included across rounds. Overall, consensus was achieved in 77 (67%) elements: 8 of 11 elements about academic partners, 8 of 11 about community partners, 29 of 49 about the role of the community research associate, 16 of 21 about the role of the director, 9 of 17 about the purveyor (i.e., the organization that scales up an intervention with fidelity), and 7 of 7 about the overall characteristics of the network.
Conclusions: The development of evidence-based programs designed for dissemination requires the involvement of community partners, the presence of a liaison that facilitates communications among academic and community stakeholders and a purveyor, and the presence of a pathway to dissemination through a relationship with a purveyor. This study delineates essential elements that meet the priorities of adopters, implementers, and end-users and provide the necessary support to community and academic partners to develop and test interventions with those priorities in mind. Replication of these key elements of the CAARN model may facilitate quicker development, testing, and subsequent dissemination of evidence-based programs that are feasible to implement by community organizations.
Databáze: MEDLINE
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