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Implementation Research as Applied Science: Bridging the Research to Practice Gap.

Authors
  • Livingood, William C1
  • Bilello, Lori1
  • Lukens-Bull, Katryne1
  • Smotherman, Carmen1
  • Choe, Ulyee2
  • 1 University of Florida, Jacksonville, FL, USA.
  • 2 Florida Department of Health in Pinellas County, St. Petersburg, FL, USA.
Type
Published Article
Journal
Health promotion practice
Publication Date
Jan 01, 2020
Volume
21
Issue
1
Pages
49–57
Identifiers
DOI: 10.1177/1524839919858082
PMID: 31253063
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Implementation research is intended to address challenges posed by the slow adoption of evidence-based science by the medical and health promotion practice community. A case study approach is used to illustrate and discuss the use of Quality improvement and Evaluation as an applied approach to implementation science in contrast of more classic purposes of research. Quality improvement was the implementation model used to facilitate organizational change needed to adopt the use of texting to report sexually transmitted infection test results in over a fifth of Florida's larger county health departments. Both quantitative and qualitative methods were used to evaluate implementation. All seven participating county health departments were successful in enrolling clients in texting with extensive variation (24% to 72%) in texting enrollment at the end of the 10-month study. Statistically significant outcomes for those enrolled in texting were recorded through Florida's online sexually transmitted infection reporting system in the form of increased number of people receiving early (1-4 days) treatment and reductions in delayed (≥8 days) or no treatment. This study illustrates an applied approach to implementation research which may be critical to adapt emerging evidence and technologies to the multiple and complex characteristics of the diverse populations served by health promotion institutions.

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