A framework for disseminating evidence-based health promotion practices
Harris, J. R. Cheadle, A. Hannon, P. A. Forehand, M. Lichiello, P. Mahoney, E. Snyder, S. Yarrow, J.
Preventing Chronic Disease, 2012;9:110081. DOI: http://dx.doi.org/10.5888/pcd9.110081
Wider adoption of evidence-based, health promotion practices depends on developing and testing effective dissemination approaches. To assist in developing these approaches, we created a practical framework drawn from the literature on dissemination and our experiences disseminating evidence-based practices. The main elements of our framework are 1) a close partnership between researchers and a disseminating organization that takes ownership of the dissemination process and 2) use of social marketing principles to work closely with potential user organizations. We present 2 examples illustrating the framework: EnhanceFitness, for physical activity among older adults, and American Cancer Society Workplace Solutions, for chronic disease prevention among workers. We also discuss 7 practical roles that researchers play in dissemination and related research: sorting through the evidence, conducting formative research, assessing readiness of user organizations, balancing fidelity and reinvention, monitoring and evaluating, influencing the outer context, and testing dissemination approaches.