The Council of Academic Hospitals of Ontario (CAHO) Adopting Research to Improve Care (ARTIC) Program: Reach, Sustainability, Spread and Lessons Learned from an Implementation Funding Model

Moore, Julia E.; Grouchy, Michelle; Graham, Ian; Shandling, Maureen; Doyle, Winnie; Straus, Sharon E.

doi:10.12927/hcpol.2016.24629

Cited by 5 publications

(4 citation statements)

References 26 publications

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“…Only recently have researchers begun to examine sustainability across whole systems, communities, cities, or countries (40, 87,144). Although more research is needed, research to date suggests that additional factors to consider include synchronization between local, regional, and state policies; potential conflicting stakeholder interests; and the potential need for adaptation, given that homogenous implementation is difficult across systems.…”

Section: Whole Systems Changementioning

confidence: 99%

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Shelton

Cooper

Stirman

2024

Annual Review of Public Health

500

569

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intensity for the sustained achievement of desirable program goals and population outcomes. This understudied area has been identified as one of the most significant translational research problems. Adding to this challenge is uncertainty regarding the extent to which intervention adaptation and evolution are necessary to address the needs of populations that differ from those in which interventions were originally tested or implemented. This review critically examines and discusses conceptual and methodological issues in studying sustainability, summarizes the multilevel factors that have been found to influence the sustainability of interventions in a range of public health and health care settings, and highlights key areas for future research. AbstractThere is strong interest in implementation science to address the gap between research and practice in public health. Research on the sustainability of evidence-based interventions has been growing rapidly. Sustainability has been defined as the continued use of program components at sufficient (17,97,109). Although numerous evidence-based public health interventions and clinical preventive strategies and treatments are available, it can be challenging to implement and sustain them outside of controlled settings, particularly if they were originally tested in narrow populations or unrepresentative circumstances (49). As a rapidly growing field, implementation science has focused on understanding factors and strategies that influence the initial adoption and integration of evidence-based interventions (EBIs) in real-world settings (103). Whereas significant advancements have been made in understanding the adoption and implementation of EBIs across a range of community and health care settings, less is known about their sustainability. Recently, experts have prioritized sustainability as an understudied area (45), identifying it as "one of the most significant translational research problems of our time" (103, p. 2) and as a persistent challenge across a range of settings and service delivery sectors, and across health behaviors and outcomes.Maximizing the public health impact of EBIs will require investing in sustainability research. This research will enable us to better understand what factors and processes influence the sustainability of interventions and how to plan proactively for the continuation of EBIs. Moreover, there has been growing consideration of the policy and ethical implications of developing effective health programs without investing in sustainability (118). Researchers, health leaders, advocates, policy makers, practitioners, and funders alike have concerns about the long-term impact and value of their investment in discontinued interventions. In addition to lost investments, time, and resources, there are other reasons for which advancing our understanding of the sustainability of EBIs has value (99, 122). Maintaining effective programs and practices is critical for achieving health benefits, particularly if there is a latency period betwee...

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Section: Whole Systems Changementioning

confidence: 99%

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Shelton

Cooper

Stirman

2024

Annual Review of Public Health

500

569

View full text Add to dashboard Cite

show abstract

“…It should be noted that, in the United States, applicants can include researcher salary support, making direct comparisons with the Canadian setting difficult. Ontario's Adopting Research to Improve Care program provided total funding for direct costs of CA$7.6 million (an average of CA$1.27 million per project over 2-3 years) 30 . However, that program is more extensive and geared toward scaling up interventions province-wide, which likely accounts for the higher dollar amount per study.…”

Section: Discussionmentioning

confidence: 99%

Lessons Learned from a Cancer Knowledge Translation Grants Program: Results of an Evaluation

et al. 2019

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Background A novel way to build capacity in knowledge translation (KT) is through KT-focused grant competitions. Since 2009, the Knowledge Translation Research Network (KT-Net) has had a cancer-related KT grants program. We undertook an evaluation of the program to determine if KT-Net was achieving its aims of building capacity in cancer KT, advancing the science of KT, building partnerships, and leveraging funding.Methods An adapted framework guided the evaluation. Nine funded studies from 4 competitions were included. Semi-structured telephone interviews were held with researchers, stakeholders (including knowledge users), members of grant review panels, and experts in kt. Interview transcripts were audio-recorded, transcribed, and analyzed thematically. A review of proposal and report documents was also conducted.Results Funded researchers indicated that the grant competition was an essential funding program for cancer KT research. Competitions were perceived to build capacity in cancer KT among early-career researchers and to encourage innovative cancer KT research for which alternative funding sources are limited. The grants program resulted in incremental gains in advancing the science of kt. Suggestions to improve the program included stronger partnerships between the funder and the provincial cancer-system organization to optimize the application of research that is relevant to the organization’s strategic objectives.Conclusions The grants program met many of its aims by providing cancer researchers with an opportunity to gain capacity in cancer KT and by making incremental advances in KT science. Suggestions to improve the program included closer partnerships between the funder and the cancer-system organization.

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“…There is often a significant time lag between when research results emerge to when practitioners adopt new practices (Bell, Shaw, and Boaz 2011;Penfield et al 2014;Spaapen and van Drooge 2011). For example, in medical research, this lag can be up to 17 years (Moore et al 2016). The lag can be attributed to several factors, such as whether an organization is prepared to integrate new knowledge; the level of uncertainty surrounding new knowledge; and the pertinence of the new knowledge to the specific needs of the practitioners (Ford, Knight, and Pearce 2013;Green et al 2009;Oh and Rich 1996).…”

Section: Project Title: Summary Statement Of Impactsmentioning

confidence: 99%

Planning and Evaluating the Societal Impacts of Climate Change Research Projects: A guidebook for natural and physical scientists looking to make a difference

Meadow¹,

Owen²

2021

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As scientists, we aim to generate new knowledge and insights about the world around us. We often measure the impacts of our research by how many times our colleagues reference our work, an indicator that our research has contributed something new and important to our field of study. But how does our research contribute to solving the complex societal and environmental challenges facing our communities and our planet? The goal of this guidebook is to illuminate the path toward greater societal impact, with a particular focus on this work within the natural and physical sciences. We were inspired to create this guidebook after spending a collective 20+ years working in programs dedicated to moving climate science into action. We have seen firsthand how challenging and rewarding the work is. We’ve also seen that this applied, engaged work often goes unrecognized and unrewarded in academia. Projects and programs struggle with the expectation of connecting science with decision making because the skills necessary for this work aren’t taught as part of standard academic training. While this guidebook cannot close all of the gaps between climate science and decision making, we hope it provides our community of impact-driven climate scientists with new perspectives and tools. The guidebook offers tested and proven approaches for planning projects that optimize engagement with societal partners, for identifying new ways of impacting the world beyond academia, and for developing the skills to assess and communicate these impacts to multiple audiences including the general public, colleagues, and elected leaders.

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The Council of Academic Hospitals of Ontario (CAHO) Adopting Research to Improve Care (ARTIC) Program: Reach, Sustainability, Spread and Lessons Learned from an Implementation Funding Model

Cited by 5 publications

References 26 publications

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Lessons Learned from a Cancer Knowledge Translation Grants Program: Results of an Evaluation

Planning and Evaluating the Societal Impacts of Climate Change Research Projects: A guidebook for natural and physical scientists looking to make a difference

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