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Russell Glasgow MS, PhD

Title: Principal Investigator; Research Professor, Department of Family Medicine University of Colorado Director, ACCORDS Dissemination and Implementation Science (D&I) Program

Contact: Russell.Glasgow@cuanschutz.edu

University of Colorado ACCORDS webpage

Personal Statement
I am trained as a behavioral scientist (clinical psychologist specifically), but most of the work I do is concerned with improving health systems or public health, and especially the interface between the two. I am particularly interested in patient-centered and team based intervention approaches for complex, sticky problems. For example, developing feasible and efficient ways to assist primary care in dealing with the wide range of health behavior, mental health and other risks faced by their patients or in helping patients with multiple chronic conditions manage their conditions and navigate the complex systems of illness care silos with which they have to contend.

The vast majority of my time is spent in research, but I am also passionate about training and making resources available to both researchers and practitioners who want to learn about areas such as implementation science, pragmatic research, or more generally helping facilitate the translation of research into practice and policy.

As an example, my colleagues and I have developed models and frameworks that point to and address issues that are critical to having real world impact, but are seldom addressed in traditional research studies. These models include the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework that has been broadly adopted (re-aim.org) and the newer Evidence Integration Triangle.

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Research Interest

Research Interests:
Implementation Science and Integration of Research into Practice and Policy: Use of conceptual models to identify key factors, review literature, plan, design, and evaluate interventions, promote rapid learning, and integrate research into practice and policy. See http://cancercontrol.cancer.gov/is/

Self-Management and Self-Management Support, especially for older multi-morbid adults: Particularly the development and evaluation of self-help and brief, low-intensity treatment and interactive and eHealth technology approaches; primary care, worksite and community applications. Policy issues related to inclusion of patient-centered measures and self-management criteria in guidelines and performance criteria.

Research Methodology: Particularly pragmatic research, practical behavioral and patient-centered assessment, evaluation of programs intended for translation, assessment of representativeness and generalization, comparative effectiveness research.& Use of Evidence Integration Triangle and RE-AIM frameworks for planning, analyzing, and reporting results of practical trials. See re-aim.org.

Multilevel and Systems Approaches to Prevention and Coping with Chronic Illness and Complex Problems: Especially adherence to medical regimens such as cancer, diabetes and behavioral issues of disease management among the elderly and those with multiple conditions (e.g., quality of life, patient models of illness, distress and depression, barriers to adherence, health literacy and numeracy, patient-centered care).

See Dr. Glasgow's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials.

The following images visualize Dr. Glasgow's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):

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Grants & Funding

Pragmatic Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary Care

We are developing methods and studying the role of costs and priorities from the perspective of different stakeholder types; as well as creating and testing various interactive tools and resources to build capacity for D&I science.
Funder: National Cancer Institute
NIH website
Publications of note:
— Developing a dissemination and implementation research agenda for aging and public health: The what, when, how, and why?
— Speeding implementation in cancer: The National Cancer Institute’s Implementation Science Centers in Cancer Control
— Creating research-ready partnerships: the initial development of seven implementation laboratories to advance cancer control
— Lung cancer screening in rural primary care practices in Colorado: time for a more team-based approach?

IMPlementation to Achieve Clinical Transformation (IMPACT): The Colorado Training Program

We propose a training program to develop faculty who can carry out "T4 research". T4 research addresses how best to implement interventions of proven effectiveness in actual clinical settings.
Our program provides in-depth, individually tailored training for scholars using classroom activity (courses, seminars, and workshops) and intensive embedded research experiences in two of the five partner settings conducting clinical research in heart, lung, blood, and sleep disorders.
Funder: National Heart, Lung, and Blood Institute
NIH website
Publications of note:
— Pragmatic considerations and approaches for measuring staff time as an implementation cost in health systems and clinics: key issues and applied examples
— How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems
— Stakeholder perspectives on current determinants of ultrasound-guided thoracentesis in resource limited settings: a qualitative study
— Using Iterative RE-AIM to enhance hospitalist adoption of lung ultrasound in the management of patients with COVID-19: an implementation pilot study

Quadruple Aim Program (renewal of Triple Aim QUERI Program)

Role: Co-PI
This is an expansion off our previously funded Triple Aim QUERI program that works to study the impact, costs, sustainment and generalizability of pragmatic implementation strategies including ‘iterative RE-AIM’ across different clinical areas and diverse implementation sites in different VA regions.
Funder: Veterans Affairs
NIH website

Improving Communication and Healthcare Outcomes for Patients with Communication Disabilities: the INTERACT Trial

Role: Co-PI
This project features strong and ongoing stakeholder engagement in the development and testing of patient and provider strategies and tools to enhance communication and patient outcomes. We focus on understanding the role of various levels and types of contextual factors using mixed methods approaches.
Funder: PCORI - Patient-Centered Outcomes Research Institute
PCORI website

Comparing Practice Implementation and Patient-Centered Outcomes of Standardized vs Patient-Driven Diabetes Shared Medical Appointment

Role: Co-PI
The purpose of this pragmatic, comparative effectiveness project is to compare diabetes shared medical appointments (SMAs) led by health educators using a standardized curriculum to a patient-driven, team-based SMA model.

Pragmatic Implementation Science Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary Care

We propose an Implementation Science Center for Cancer Control focusing on developing, validating, and sharing innovative, pragmatic models and methods related to the costs, benefits, and value of translating evidence-based cancer control programs and guidelines into rural primary care practice settings.
Our theme is `Pragmatic implementation science approaches to assess and enhance the value of cancer prevention and control in rural primary care.'
These approaches will inform strategies to implement lung cancer screening and other cancer prevention and control interventions and advance implementation science by providing measures, reporting guides, resources, training, and certification of competence.
Funder: National Cancer Institute
NIH website
Publications of note:
— Lung cancer screening in rural primary care practices in Colorado: time for a more team-based approach?
— Creating research-ready partnerships: the initial development of seven implementation laboratories to advance cancer control
— Speeding implementation in cancer: The National Cancer Institute’s Implementation Science Centers in Cancer Control
— Pragmatic considerations and approaches for measuring staff time as an implementation cost in health systems and clinics: key issues and applied examples

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Recent Publications

2023

Gustavson AM, Lewinski AA, Fitzsimmons-Craft EE, Coronado GD, Linke SE, O'Malley DM, Adams AS, Glasgow RE, Klesges LM. Strategies to Bridge Equitable Implementation of Telehealth. Interact J Med Res. 2023 May 15;12:e40358. doi: 10.2196/40358.
PMID: 37184909.
Learn more about this publication on Dimensions

Fort MP, Manson SM, Glasgow RE. Applying an equity lens to assess context and implementation in public health and health services research and practice using the PRISM framework. Front Health Serv. 2023 Apr 13;3:1139788. doi: 10.3389/frhs.2023.1139788. PMCID: PMC10137153.
PMID: 37125222.
Learn more about this publication on Dimensions

Glasgow RE, Brtnikova M, Dickinson LM, Carroll JK, Studts JL. Implementation strategies preferred by primary care clinicians to facilitate cancer prevention and control activities. J Behav Med. 2023 Apr 8. doi: 10.1007/s10865-023-00400-2. Epub ahead of print.
PMID: 37031347.
Learn more about this publication on Dimensions

Gomes R, Nederveld A, Glasgow RE, Studts JL, Holtrop JS. Lung cancer screening in rural primary care practices in Colorado: time for a more team-based approach? BMC Prim Care. 2023 Mar 3;24(1):62. doi: 10.1186/s12875-023-02003-x. PMCID: PMC9982804.
PMID: 36869308.
Learn more about this publication on Dimensions

Estabrooks PA, Glasgow RE. Developing a dissemination and implementation research agenda for aging and public health: The what, when, how, and why? Front Public Health. 2023 Feb 6;11:1123349. doi: 10.3389/fpubh.2023.1123349. PMCID: PMC9939692.
PMID: 36815160.
Learn more about this publication on Dimensions

2022

Glasgow RE, Battaglia C, McCreight M, Ayele R, Maw AM, Fort MP, Holtrop JS, Gomes RN, Rabin BA. Use of the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework to guide iterative adaptations: Applications, lessons learned, and future directions. Front Health Serv. 2022 Oct 17;2:959565. doi: 10.3389/frhs.2022.959565. PMCID: PMC10012751.
PMID: 36925843.
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McCreight M, Rohs C, Lee M, Sjoberg H, Ayele R, Battaglia C, Glasgow RE, Rabin BA. Using a longitudinal multi-method approach to document, assess, and understand adaptations in the Veterans Health Administration Advanced Care Coordination program. Front Health Serv. 2022 Sep 9;2:970409. doi: 10.3389/frhs.2022.970409. PMCID: PMC10012685.
PMID: 36925896.
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Eisman AB, Kim B, Salloum RG, Shuman CJ, Glasgow RE. Advancing rapid adaptation for urgent public health crises: Using implementation science to facilitate effective and efficient responses. Front Public Health. 2022 Aug 24;10:959567. doi: 10.3389/fpubh.2022.959567. PMCID: PMC9448975.
PMID: 36091566.
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Brtnikova M, Studts JL, Robertson E, Dickinson LM, Carroll JK, Krist AH, Cronin JT, Glasgow RE. Priorities for improvement across cancer and non-cancer related preventive services among rural and non-rural clinicians. BMC Prim Care. 2022 Sep 9;23(1):231. doi: 10.1186/s12875-022-01845-1. PMCID: PMC9462636.
PMID: 36085005.
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Maw AM, Morris MA, Glasgow RE, Barnard J, Ho PM, Ortiz-Lopez C, Fleshner M, Kramer HR, Grimm E, Ytell K, Gardner T, Huebschmann AG. Using Iterative RE-AIM to enhance hospitalist adoption of lung ultrasound in the management of patients with COVID-19: an implementation pilot study. Implement Sci Commun. 2022 Aug 12;3(1):89. doi: 10.1186/s43058-022-00334-x. PMCID: PMC9372925.
PMID: 35962441.
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Trinkley KE, Ho PM, Glasgow RE, Huebschmann AG. How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems. Acad Med. 2022 Jul 5. doi: 10.1097/ACM.0000000000004801. Epub ahead of print.
PMID: 35796045.
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Jones LK, Strande NT, Calvo EM, Chen J, Rodriguez G, McCormick CZ, Hallquist MLG, Savatt JM, Rocha H, Williams MS, Sturm AC, Buchanan AH, Glasgow RE, Martin CL, Rahm AK. A RE-AIM Framework Analysis of DNA-Based Population Screening: Using Implementation Science to Translate Research Into Practice in a Healthcare System. Front Genet. 2022 May 25;13:883073. doi: 10.3389/fgene.2022.883073. PMCID: PMC9174580.
PMID: 35692820.
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Cox-Martin E, Phimphasone-Brady P, Hoffecker L, Glasgow RE. Psychosocial Interventions for Pain Management in Breast Cancer Survivors: A RE-AIM Evaluation. J Clin Psychol Med Settings. 2022 May 13. doi: 10.1007/s10880-022-09874-9. Epub ahead of print.
PMID: 35562602.
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Huebschmann AG, Trinkley KE, Gritz M, Glasgow RE. Pragmatic considerations and approaches for measuring staff time as an implementation cost in health systems and clinics: key issues and applied examples. Implement Sci Commun. 2022 Apr 15;3(1):44. doi: 10.1186/s43058-022-00292-4.
PMID: 35428326.
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Brownson RC, Shelton RC, Geng EH, Glasgow RE. Revisiting concepts of evidence in implementation science. Implement Sci. 2022 Apr 12;17(1):26. doi: 10.1186/s13012-022-01201-y. PMCID: PMC9004065.
PMID: 35413917.
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Michaud TL, Hill JL, Heelan KA, Bartee RT, Abbey BM, Malmkar A, Masker J, Golden C, Porter G, Glasgow RE, Estabrooks PA. Understanding implementation costs of a pediatric weight management intervention: an economic evaluation protocol. Implement Sci Commun. 2022 Apr 5;3(1):37. doi: 10.1186/s43058-022-00287-1. PMCID: PMC8981827.
PMID: 35382891.
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Huebschmann AG, Glasgow RE, Leavitt IM, Chapman K, Rice JD, Lockhart S, Stevens-Lapsley JE, Reusch JEB, Dunn AL, Regensteiner JG. Integrating a physical activity coaching intervention into diabetes care: a mixed-methods evaluation of a pilot pragmatic trial. Transl Behav Med. 2022 Mar 21:ibac014. doi: 10.1093/tbm/ibac014. Epub ahead of print.
PMID: 35312788.
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2021

Kwan BM, Brownson RC, Glasgow RE, Morrato EH, Luke DA. Designing for Dissemination and Sustainability to Promote Equitable Impacts on Health. Annu Rev Public Health. 2022 Jan 4. doi: 10.1146/annurev-publhealth-052220-112457. Epub ahead of print.
PMID: 34982585.
Find more information on this paper from the Dimensions website

Sandy LC, Glorioso TJ, Weinfurt K, Sugarman J, Peterson PN, Glasgow RE, Ho PM. Leave me out: Patients' characteristics and reasons for opting out of a pragmatic clinical trial involving medication adherence. Medicine (Baltimore). 2021 Dec 23;100(51):e28136. doi: 10.1097/MD.0000000000028136.
PMID: 34941059.
Find more information on this paper from the Dimensions website

Mehta AB, Lockhart S, Reed K, Griesmer C, Glasgow RE, Moss M, Douglas IS, Morris MA. Drivers of Burnout Among Critical Care Providers: A Multi-Center Mixed Methods Study. Chest. 2021 Dec 8:S0012-3692(21)04436-6. doi: 10.1016/j.chest.2021.11.034. Epub ahead of print.
PMID: 34896094.

O'Loughlin K, Huffstetler AN, Shadowen H, Brooks EM, Hinesley J, Huebschmann AG, Glasgow RE, Bohannon A, Krist AH. Stakeholder input on a care planning tool to address unhealthy behaviors, mental health needs, and social risks: The value of different stakeholder perspectives. J Clin Transl Sci. 2021 Oct 7;5(1):e188. doi: 10.1017/cts.2021.864. PMCID: PMC8596059.
PMID: 34849263

Guerin RJ, Harden SM, Rabin BA, Rohlman DS, Cunningham TR, TePoel MR, Parish M, Glasgow RE. Dissemination and Implementation Science Approaches for Occupational Safety and Health Research: Implications for Advancing Total Worker Health. Int J Environ Res Public Health. 2021 Oct 21;18(21):11050. doi: 10.3390/ijerph182111050.
PMID: 34769573.

Glasgow RE, Gurfinkel D, Waxmonsky J, Rementer J, Ritchie ND, Dailey-Vail J, Hosokawa P, Dickinson LM, Kwan BM. Protocol refinement for a diabetes pragmatic trial using the PRECIS-2 framework. BMC Health Serv Res. 2021 Oct 2;21(1):1039. doi: 10.1186/s12913-021-07084-x.
PMID: 34598702

Fort MP, Mundo W, Paniagua-Avila A, Cardona S, Figueroa JC, Hernández-Galdamez D, Mansilla K, Peralta-García A, Roche D, Palacios EA, Glasgow RE, Gulayin P, Irazola V, He J, Ramirez-Zea M. Hypertension in Guatemala's Public Primary Care System: A Needs Assessment Using the Health System Building Blocks Framework. BMC Health Serv Res. 2021 Sep 3;21(1):908. doi: 10.1186/s12913-021-06889-0. PMCID: PMC8414027.
PMID: 34479559

Maw AM, Ho PM, Morris MA, Glasgow RE, Huebschmann AG, Barnard JG, Metter R, Tierney DM, Mathews BK, Havranek EP, Kissler M, Fleshner M, Burian BK, Platz E, Soni NJ. Hospitalist Perceptions of Barriers to Lung Ultrasound Adoption in Diverse Hospital Environments. Diagnostics (Basel). 2021 Aug 11;11(8):1451. doi: 10.3390/diagnostics11081451. PMID: 34441385; PMCID: PMC8391960.
PMID: 34441385

Glasgow RE, Knoepke CE, Magid D, Grunwald GK, Glorioso TJ, Waughtal J, Marrs JC, Bull S, Ho PM. The NUDGE trial pragmatic trial to enhance cardiovascular medication adherence: study protocol for a randomized controlled trial. Trials. 2021 Aug 11;22(1):528. doi: 10.1186/s13063-021-05453-9.
PMID: 34380527

Eisman AB, Quanbeck A, Bounthavong M, Panattoni L, Glasgow RE. Implementation science issues in understanding, collecting, and using cost estimates: a multi-stakeholder perspective. Implement Sci. 2021 Aug 3;16(1):75. doi: 10.1186/s13012-021-01143-x. PMCID: PMC8330022.
PMID: 34344411

Holtrop JS, Scherer LD, Matlock DD, Glasgow RE, Green LA. The Importance of Mental Models in Implementation Science. Front Public Health. 2021 Jul 6;9:680316. doi: 10.3389/fpubh.2021.680316. PMCID: PMC8290163.
PMID: 34295871

Maw AM, Morris MA, Barnard JG, Wilson J, Glasgow RE, Huebschmann AG, Soni NJ, Fleshner M, Kaufman J, Ho PM. Multi-Level Stakeholder Perspectives on Determinants of Point of Care Ultrasound Implementation in a US Academic Medical Center. Diagnostics (Basel). 2021 Jun 28;11(7):1172. doi: 10.3390/diagnostics11071172.
PMID: 34203357

Estabrooks PA, Gaglio B, Glasgow RE, Harden SM, Ory MG, Rabin BA, Smith ML. Editorial: Use of the RE-AIM Framework: Translating Research to Practice With Novel Applications and Emerging Directions. Front Public Health. 2021 Jun 11;9:691526. doi: 10.3389/fpubh.2021.691526. PMCID: PMC8226070.
PMID: 34178933

Holtrop JS, Estabrooks PA, Gaglio B, Harden SM, Kessler RS, King DK, Kwan BM, Ory MG, Rabin BA, Shelton RC, Glasgow RE. Understanding and applying the RE-AIM framework: Clarifications and resources. J Clin Transl Sci. 2021 May 14;5(1):e126. doi: 10.1017/cts.2021.789. PMCID: PMC8327549.
PMID: 34367671

Tyler A, Glasgow RE. Implementing Improvements: Opportunities to Integrate Quality Improvement and Implementation Science. Hosp Pediatr. 2021 May;11(5):536-545. doi: 10.1542/hpeds.2020-002246. PMCID: PMC8074111.
PMID: 33910971

Baker TB, Berg KM, Adsit RT, Skora AD, Swedlund MP, Zehner ME, McCarthy DE, Glasgow RE, Fiore MC. Closed-Loop Electronic Referral From Primary Care Clinics to a State Tobacco Cessation Quitline: Effects Using Real-World Implementation Training. Am J Prev Med. 2021 Mar;60(3 Suppl 2):S113-S122. doi: 10.1016/j.amepre.2019.12.026.
PMID: 33663698

Thompson JS, Fitzgerald MD, Allen LA, McIlvennan CK, Glasgow RE, Wynia M, Morris MA, Beilenson J, Gherst C, Matlock DD. Shared Decision-Making for Left Ventricular Assist Devices: Rationale and Design of a Nationwide Dissemination and Implementation Project. Circ Cardiovasc Qual Outcomes. 2021 Feb 3:CIRCOUTCOMES120007256. doi: 10.1161/CIRCOUTCOMES.120.007256. Epub ahead of print.
PMID: 33530698

2020

McNeal DM, Glasgow RE, Brownson RC, Matlock DD, Peterson PN, Daugherty SL, Knoepke CE. Perspectives of scientists on disseminating research findings to non-research audiences. J Clin Transl Sci. 2020 Dec 7;5(1):e61. doi: 10.1017/cts.2020.563. PMCID: PMC8057369.
PMID: 33948281

Brewer SE, Cataldi JR, Fisher M, Glasgow RE, Garrett K, O'Leary ST. Motivational Interviewing for Maternal Immunisation (MI4MI) study: a protocol for an implementation study of a clinician vaccine communication intervention for prenatal care settings. BMJ Open. 2020 Nov 17;10(11):e040226. doi: 10.1136/bmjopen-2020-040226. 33203635.
PMID: 33203635

Kilbourne AM, Glasgow RE, Chambers DA. What Can Implementation Science Do for You? Key Success Stories from the Field. J Gen Intern Med. 2020 Oct 26. doi: 10.1007/s11606-020-06174-6. Epub ahead of print.
PMID: 33107001

Matlock DD, Fukunaga MI, Tan A, Knoepke C, McNeal DM, Mazor KM, Glasgow RE. Enhancing Success of Medicare's Shared Decision Making Mandates Using Implementation Science: Examples Applying the Pragmatic Robust Implementation and Sustainability Model (PRISM). MDM Policy Pract. 2020 Oct 15;5(2):2381468320963070. doi: 10.1177/2381468320963070. PMID: 33117890; PMCID: PMC7570787.
PMID: 33117890

Trinkley KE, Kahn MG, Bennett TD, Glasgow RE, Haugen H, Kao DP, Kroehl ME, Lin CT, Malone DC, Matlock DD. Integrating the Practical Robust Implementation and Sustainability Model With Best Practices in Clinical Decision Support Design: Implementation Science Approach. J Med Internet Res. 2020 Oct 29;22(10):e19676. doi: 10.2196/19676.
PMID: 33118943

Fisher L, Glasgow RE, Huebschmann A. A Scoping Review and General User's Guide for Facilitating the Successful Use of eHealth Programs for Diabetes in Clinical Care [published online ahead of print, 2020 Aug 31]. Diabetes Technol Ther. 2020;10.1089/dia.2020.0383. doi:10.1089/dia.2020.0383
PMID: 32865431

Ayele RA, Liu W, Rohs C, et al. VA Care Coordination Program Increased Primary Care Visits and Improved Transitional Care for Veterans Post Non-VA Hospital Discharge [published online ahead of print, 2020 Aug 10]. Am J Med Qual. 2020;1062860620946362. doi:10.1177/1062860620946362
PMID: 32772849

Glasgow RE, Estabrooks PA, Ory MG. Characterizing evolving frameworks: issues from Esmail et al. (2020) review. Implement Sci. 2020 07 02; 15(1):53.
PMID: 32611414.

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Current Grants

Pragmatic Implementation Science Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary Care

Grant number: P50CA244688
Funding amount: $1,929,834.00
Start/End date: 9/20/2019 - 8/31/2024
Funder: National Cancer Institute
NIH website: https://reporter.nih.gov/project-details/10021633

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Cyberseminars etc.

QUERI Implementation Research Group
Iterative Pragmatic Approaches to Guiding and Evaluating Adaptations in Real-World Settings with Examples from the VA

by Russell Glasgow, PhD ; Borsika Rabin, Pharm.D, PhD, MPH
Seminar date: 9/2/2021

Description: This presentation will provide an overview of concepts and models for adaptations and describe iterative and pragmatic approaches to plan, document, and evaluate adaptations in real-world community and clinical settings. The presenters will describe a methodology on how to use the RE-AIM framework to plan adaptations before implementation and make adaptations mid-course. The presenters will also describe a multi-method approach to documenting and evaluating adaptations in real-world studies. Applications to these methodologies to research within the VA will be presented and discussed. Target Audience: Researchers and implementers

View archived session video:

DOWNLOAD: PDF handout | Audio only (mp3) | transcript

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