Dissemination and Implementation Research Core (DIRC)

Provides expertise in support of translational (T3 and T4) research to move clinical knowledge into real-world use.

The Dissemination and Implementation Research Core (DIRC) provides methodological expertise to advance translational (T3 and T4) 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 T3 and T4 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 DIRC for more information.

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.

Facilities & Other Resources

For a description of DIRC and other ICTS resources, see the Tools and Resources page.

DIRC & PCORI

DIRC Program and Associate Directors are featured as leaders in new PCORI efforts to promote dissemination and implementation. PCORI has developed a new PCORI D&I framework (pdf) and a recently released D&I toolkit (pdf) based on their landmark publications.

Request a Service

Complete the DIRC/CADR intake form to determine service needs. Email dirc@wustl.edu for consultation or inquiries.

Service available to

All entities, including for-profit organizations, with priority given to ICTS members.

Service Fees

The DIRC will provide language describing the dissemination and implementation (D&I) science methods expertise available to your study through the grant period, when the grant budget includes DIRC personnel or core services. 

Estimated hours required for each of the following services (each grant can receive more than one type of service):

Literature reviews (estimated time per request: 6 to 10 hours). We can perform basic, complex, or annotated searches of literature in D&I science. Due to copyright restrictions, we cannot provide original articles. Topics for our searches include:

  • Implementation science on the topic of your study (e.g., drug abuse, cancer)
  • Strategies for implementing evidence-based health practices
  • Sample articles reflecting various design and measurement options
  • Implementation barriers

Grant review & critique (estimated time 2 to 3 hours per draft). Our team will read your grant proposal draft and provide you with feedback related to the implementation and dissemination science of the grant.

Grant excerpts (estimated time 5 to 10 hours per draft). We will provide you with excerpts of text related to your request.

Manuscript preparation (estimated time 5+ hours). The time spent on the manuscript will depend on the authorship order and depth of our contribution. We can recommend specific team members, depending on required expertise, to participate on the manuscript.

National consultation in specialized areas (estimated time 1½  hours). Our team has relationships with national experts on D&I science. We can help connect you with an expert who can provide a one hour consultation; depending on the expert’s time and consultation fee.

Collaboration with other Cores. We are part of the Translational Research Methods and Analysis Center (TRAC), and we work closely with the following cores: Research Design and Biostatistics Group (RDBG); Center for Administrative Data Research (CADR); and the Center for Economic Evaluation in Medicine (CEEM). We will encourage you to contact these cores, depending on your research purposes, and will work closely with them to assist you on your application.

Contact

DIRC Team

Ana Baumann, PhD, Co-Director

Brittney Sandler, Administrative Coordinator