Methods in Health Care Research
- Implementation and Dissemination Research
Implementation and Dissemination Research
“How can innovations and interventions be integrated sustainably into care practice?”
From the perspective of implementation and dissemination research it can be determined that a) only a fraction of interventions for people with dementia is translated into care practice, for example, in the form of expert standards or guidelines, b) the of interventions is not carried out systematically, and c) the systematic, structured, and sustainable implementation and dissemination as well as the continuous evaluation of implementation and dissemination effects are usually omitted. With this in mind, implementation and dissemination research can be considered as an integrative part of health care research.
The public health sector is facing the challenge of implementing evidence-informed practice, and this requires dealing with existing operation routines. Initiating changing processes refers to both, to the individual person as well as to the organization, and to the general socio-political framework. The outcome of this is a plurality of heterogeneous factors which impact on the predictability and controllability of these processes. As a result, the implementation and dissemination process necessary for transferring innovations and interventions into daily operation routines often stretches over several years.
Effective strategies are essential to develop more successful implementation and dissemination processes in terms of sustainably influencing the quality of care. Theoretical models of implementation and dissemination processes are necessary for the development of these strategies. Both, the effectiveness of the implementation/dissemination (implementation success) as well as the outcome of an intervention are focus of this kind of research. Whereas internationally there is already a pool of relevant knowledge available, in Germany implementation and dissemination research is still a very young branch of science. Therefore, the research group “Implementation and Dissemination Research” (ImDi) is not only engaged in the generation of its concepts but also in the transferability of this knowledge into the German health system.
The research group ImDi is concerned with the following questions:
- Which conceptual models are suitable to develop successful strategies for implementation and dissemination processes in terms of sustainably influencing the quality of care for people with dementia more effectively?
- How can care practice questions be translated into questions of implementation and dissemination research, and how can ideas for solutions be tested and evaluated?
- What can implementation and dissemination research contribute towards evidence-informed practice becoming part of care routines?
- Care Interventions
Methods in Health Care Research
The working group Methods in Health Care Research follows a twin-track approach aimed at (a) establishing and further developing methodological and statistical expertise and (b) advising and supporting the work of the different research lines at the DZNE Witten. The members’ expertise covers quantitative as well as qualitative research approaches. The group’s work is focused on the following issues:
Methodology clarifies the conditions for the possibility of scientific knowledge, it’s fundamental theoretical assumptions and premises. Methodologies inform the linkage of theory and method. They not only have a determining influence on the selection of specific methods for data collection and analysis, but also on the overall conceptual design of empirical research studies.
The person in its living situation and environment is at the center of health care research with persons with dementia and other neurodegenerative diseases. Accordingly, the working group aims at selecting, adjusting and developing research methods that are appropriate for the research subject and the target population.
Given the characteristic of this field of study, it is a key challenge to find the most suitable strategy for data analysis and interpretation. To ensure the best possible quality of results, it is required to consider questions of analysis from the beginning of every research endeavor.
The data management unit supports all the site’s research projects by organizing their data throughout the research process from planning to publication. The data managers acquire, process and file the quantitative and qualitative data and offer advice on managing the data within the projects.