Grand Rounds Presentations
Understanding and Reducing Inequities in Substance Use Treatment
Data from the United States National Survey on Drug Use and Health (NSDUH, 2021) indicate that while certain racial/ethnic minoritized populations may have equivalent or lower rates of substance use disorders (SUD) compared to White people, evidence suggests that once developed, and given structural inequities and barriers, racial/ethnic minoritized people may suffer more deleterious consequences…
Read MoreDesign Considerations in Embedded Pragmatic Trials: Separating Rigor from Idolatry
This presentation will consider specific considerations in the design and implementation of embedded pragmatic trials, including: eligibility criteria, unit of allocation, method of allocation, standardization of “active” interventions, standardization of “control” interventions, blinding, and analytic strategy. For each of these design decisions, investigators must focus on the specific study question and consider scientific rigor, practical…
Read MoreSupercharging Implementation Science with Insights from Behavioral Economics
This presentation will describe efforts to apply the tools and insights from behavioral economics to improve upon implementation of evidence-based practices.
Read MoreInnovating Substance Use Disorder Treatment at Scale
Across medicine clinical innovations take years to disseminate widely into practice, while some best practices in addiction medicine fail to ever gain widespread adoption. This presentation describes two private medical practices (Groups Recover Together and Affect Therapeutics) which have brought underutilized and evidence-based interventions to scale across the United States. The presentation will focus on…
Read MoreDeveloping Metrics to Improve Equitable Implementation of HIV Prevention
A daily pill, PrEP, has changed HIV prevention and could help end the HIV epidemic in the U.S. Thus far, use of PrEP has not been evenly or effectively distributed. Much of the focus to date on PrEP delivery has been on linkage and initiation of PrEP. We know that effectiveness of PrEP depends not…
Read MoreProposing and Applying the Observational-Implementation Hybrid Approach
We recently proposed the observational-implementation hybrid approach, or the incorporation of implementation science elements into observational studies in order to collect information that will allow for anticipation, estimation, and/or inference about the effects of interventions and implementation strategies. We describe this approach, including examples of how we are applying it to an ongoing observational study…
Read MoreThe Economics of Efficiency in Implementation Science
Efficiency is upheld as a cornerstone of high-quality care. Unfortunately, the term efficiency is used in different contexts, creating substantial confusion about what it means. In this talk, I define efficiency as it relates to the delivery of health care. I then review different frameworks for measuring it and common strategies that can be used…
Read MoreDevelopment of an integrated implementation determinant framework for shared learning to promote health equity
As evidence-based innovations (EBIs) are translated into clinical and community settings, implementation determinant frameworks can help understand the factors that impede or facilitate implementation outcomes. Use of different frameworks across implementation initiatives can impede shared learning. To develop a framework for shared learning in the DECIPHeR Alliance (decipheralliance.org), we conducted a crosswalk of three determinant…
Read MoreBridging policy research and implementation science
Policy implementation is a key but often-ignored aspect of policy effectiveness. Public policy research typically considers the effects of having versus not having a policy on outcomes, without considering whether and how the policy was implemented – even though the effects of policies on their intended outcome depend upon degree of implementation. Experimental approaches to…
Read MoreProsocial Behaviors as a Marker of Health and Enhancer of Well-Being
Drawing upon a strengths-based, cultural assets perspective, I will present evidence on the growth properties of prosocial behaviors and assert the need to incorporate prosocial behaviors as a marker of health and well being. The presentation will focus on risk and protective correlates and consequences of prosocial behaviors in U.S. Latine youth. Implications for prevention…
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