Dissemination & Implementation Research Core (DIRC)

The Dissemination and Implementation Research Core (DIRC) provides methodological expertise to advance translational (T2) research to inform and move efficacious health practices from clinical knowledge into routine, real-world use. The DIRC works with ICTS scientists to move forward scientific agenda and grant writing related to dissemination and implementation (D&I) of health care discoveries. Furthermore, we develop tools and methods for studying D&I.

Services & Resources

  • Implementation Outcomes Collection, comprising a set of definitions and measurement tools for implementation outcomes (distinct from services and clinical outcomes)
  • Strategies Collection, an abstracted set of definitions and evidence about D&I and quality improvement strategies from a variety of fields, providing a menu of strategies interventions which ICTS investigators can test in their own D&I studies
  • Design expertise unique to T2 research, including multiple levels of measurement and analysis, randomization challenges, contamination, and power
  • Design expertise unique to T3 research

These services address a wide array of disciplines and can be applied to the three phases of D&I research:

  • Discovery – Aims to inform the shaping of implementation strategies. Discovery studies identify barriers and—more importantly—pathways to break through those barriers to the delivery of evidence-based health care. They assess setting and provider readiness to implement evidence supported treatments (ESTs), the acceptability of a specific EST to the providers, and the fit of ESTs to community preferences / beliefs, institutional history, population characteristics, and policy context.
  • Developmental – Aims to design new implementation strategies, and to adapt existing strategies for local context, toward integration of evidence based treatments. These studies tackle questions such as: What implementation models are most efficient, safe, and affordable? Developmental studies map pathways to EST uptake, penetration, and sustainability.
  • Testing - Examines the effects of an implementation strategy on implementation outcomes (vs. clinical outcomes). The results are evidence-based approaches to introducing and sustaining ESTs in specific service settings. Testing studies may compare an implementation strategy to implementation as usual, the long term effects of a strategy, or compare the effects of different strategies. These studies may also examine mediators and moderators of implementation strategies. Studies at this phase ensure readiness for full experimental tests of implementation.

Washington University Network for Dissemination and Implementation Research (WUNDIR)

The WUNDIR group was established in 2010. The group is an informal network of researchers with a common interest in dissemination and implementation science in a variety of different settings and sectors (e.g. mental health services, public health, acute care, emergency medicine, cancer, tobacco). Contact the DIRC for more information.

Facilities & Other Resources

Access the standard description of DIRC facilities and other resources for grant application purposes.

User Expectations

When you contact us for assistance, first we will ask about the general area of your interest and need. We may provide preliminary material for you to read prior to refining our services, in order to be more fully informed and to optimize the consultation time.

Helpful Tool and Links

See our table containing helpful tools and links of D&I resources available around the world.

Spotlight

New D&I funding opportunities
New AHRQ Funding schemes announced for D&I/PCOR
R18
R01

Both initiatives evaluate D&I of PCOR findings to improve heart health and to improve the capacity of primary care practices to implement PCOR findings into practice.

Assessing Program Sustainability
The Center for Public Health Science has created a new online tool to help organizations measure the sustainability of their public health or clinical care programs.  The
Program Sustainability Assessment Tool allows staff and stakeholders to quickly and easily rate their programs across eight key sustainability domains, including Funding Stability and Communications. The results can be used to identify areas for improvement, guide planning, and help ensure a more stable future. Learn more.