Grand Rounds Presentations
Four Ways to Conceptualize and Study Policy in Implementation Science Research
Jonathan Purtle, DrPH, MSc | February 13, 2024: This presentation will offer a typology of four ways to conceptualize policy in implementation science research: 1) Policy as something to adopt, 2) Policy as something to implement, 3) Policy as context to understand, and 4) Policy as strategy to use. Examples will be provided of studies…
Read MoreDesigning for Dissemination and Sustainability: Methods, Frameworks, Tools, and a Diabetes Case Example
Bethany M. Kwan, PhD, MSPH, FSBM | January 30, 2024: Designing for dissemination and sustainability (D4DS) refers to the process of ensuring that the products of research are likely to be adopted, implemented, and sustained in the context of intended use. D4DS involves use of methods such as participatory co-design, active dissemination planning, and pragmatic…
Read MorePrevention Science and Methodology: Considerations for Working with Indigenous Populations
Donald Warne, MD, MPH | January 23, 2024: American Indians and Alaska Natives (AI/ANs) endure some of the worst health disparities in the nation. The history of marginalization and exclusion of Indigenous voices from setting the research agenda, determining priorities, and conducting research will be explored. We will also define American Indian, Alaska Native, Native…
Read MoreBeyond Jacobson & Truax: Modern Methods for Estimating Clinically Significant Change
Antonio Morgan-Lopez, PhD | January 16, 2024: In the majority of randomized controlled trials (RCTs) the focus is on differences in the average change over time on outcomes across intervention conditions, with variation in individual trajectories often treated as nuisance. In contrast, a primary focus on inferences regarding the improvement (or worsening) of individual participants…
Read MorePeer-delivered Intervention to Improve Retention and Polysubstance Use in Mobile Telemedicine in Rural Maryland
Jessica Magidson, PhD and Sarah Kattakuzhy, MD, MPH | December 5, 2023: There is a severe shortage of providers to treat opioid use disorder (OUD), which is further exacerbated in rural areas. Similar to the shortage of prescribers, there is also a severe shortage of trained behavioral health providers to meet the needs of patients…
Read MoreAdapting to the Fentanyl Epidemic: Implications for Translation of a Multi-Component Intervention and RCT in the Emergency Department and Real World Lessons from an Implementation Practitioner
Lauren K. Whiteside, MD, MS | November 14, 2023: The opioid epidemic is rapidly evolving with the proliferation of nonpharmaceutical fentanyl. Simultaneously, researchers, public health officials, and clinicians are working to develop and implement interventions to improve clinical care for patients with opioid use disorder (OUD). The Emergency Department Longitudinal Integrated Care (ED-LINC) randomized clinical…
Read MoreUnderstanding and Reducing Inequities in Substance Use Treatment
Lesia Ruglass, PhD | October 31, 2023: 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…
Read MoreDesign Considerations in Embedded Pragmatic Trials: Separating Rigor from Idolatry
Gregory Simon, MD, MPH | September 12, 2023: 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…
Read MoreSupercharging Implementation Science with Insights from Behavioral Economics
Rinad Beidas, MA, PhD | September 19, 2023: 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
Jeffrey De Flavio, MD | September 26, 2023: 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…
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