title: A framework for disseminating evidence-based health promotion practices.
abstract: Wider adoption of evidence-based, health promotion practices depends on developing and testing effective dissemination approaches. To assist in developing these approaches, we created a practical framework drawn from the literature on dissemination and our experiences disseminating evidence-based practices. The main elements of our framework are 1) a close partnership between researchers and a disseminating organization that takes ownership of the dissemination process and 2) use of social marketing principles to work closely with potential user organizations. We present 2 examples illustrating the framework: EnhanceFitness, for physical activity among older adults, and American Cancer Society Workplace Solutions, for chronic disease prevention among workers. We also discuss 7 practical roles that researchers play in dissemination and related research: sorting through the evidence, conducting formative research, assessing readiness of user organizations, balancing fidelity and reinvention, monitoring and evaluating, influencing the outer context, and testing dissemination approaches.
authors.affiliation: University of Washington, Health Promotion Research Center, Seattle, Washington, USA.
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Harris
authors.forename: Allen
authors.initials: A
authors.lastname: Cheadle
authors.forename: Peggy A
authors.initials: PA
authors.lastname: Hannon
authors.forename: Mark
authors.initials: M
authors.lastname: Forehand
authors.forename: Patricia
authors.initials: P
authors.lastname: Lichiello
authors.forename: Eustacia
authors.initials: E
authors.lastname: Mahoney
authors.forename: Susan
authors.initials: S
authors.lastname: Snyder
authors.forename: Judith
authors.initials: J
authors.lastname: Yarrow
mesh_terms: D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D014481:United States