title: An evidence integration triangle for aligning science with policy and practice.
abstract: Over-reliance on decontextualized, standardized implementation of efficacy evidence has contributed to slow integration of evidence-based interventions into health policy and practice. This article describes an "evidence integration triangle" (EIT) to guide translation, implementation, prevention efforts, comparative effectiveness research, funding, and policymaking. The EIT emphasizes interactions among three related components needed for effective evidence implementation: (1) practical evidence-based interventions; (2) pragmatic, longitudinal measures of progress; and (3) participatory implementation processes. At the center of the EIT is active engagement of key stakeholders and scientific evidence and attention to the context in which a program is implemented. The EIT model is a straightforward framework to guide practice, research, and policy toward greater effectiveness and is designed to be applicable across multiple levels-from individual-focused and patient-provider interventions, to health systems and policy-level change initiatives.
authors.affiliation: Division of Cancer Control and Population Sciences, National Cancer Institute, NIH, Rockville, MD 20852, USA. glasgowre@mail.nih.gov
authors.forename: Russell E
authors.initials: RE
authors.lastname: Glasgow
authors.forename: Lawrence W
authors.initials: LW
authors.lastname: Green
authors.forename: Martina V
authors.initials: MV
authors.lastname: Taylor
authors.forename: Kurt C
authors.initials: KC
authors.lastname: Stange
mesh_terms: D057186:Comparative Effectiveness Research; D019033:Delivery of Health Care, Integrated; D019317:Evidence-Based Medicine; D005378:Financial Support; D006291:Health Policy; D033183:Interdisciplinary Communication; D017146:Models, Organizational; D057170:Translational Research, Biomedical; D014481:United States