Dissemination and implementation of comparative effectiveness evidence: key informant interviews with Clinical and Translational Science Award institutions.
OBJECTIVE
To identify ongoing practices and opportunities for improving national comparative effectiveness research (CER) translation through dissemination and implementation (D&I) via NIH-funded Clinical and Translational Science Award (CTSA) institutions.


METHODS
Key informant interviews were conducted with 18 CTSA grantees sampled to represent a range of D&I efforts.


CONCLUSIONS
The institutional representatives endorsed fostering CER translation nationally via the CTSA Consortium. However, five themes emerged from the interviews as barriers to CER D&I: lack of institutional awareness, insufficient capacity, lack of established D&I methods, confusion among stakeholders about what CER actually is and limited funding opportunities. Interviewees offered two key recommendations to improve CER translation: development of a centralized clearing house to facilitate the diffusion of CER D&I resources and methods across CTSA institutions; and formalization of the national CTSA network to leverage existing community engagement relationships and resources for the purpose of adapting and disseminating robust CER evidence locally with providers, patients and healthcare systems.
Health Systems, Management & Policy, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, CO, USA. elaine.morrato@ucdenver.edu.
Elaine H
EH
Morrato
Thomas W
TW
Concannon
Paul
P
Meissner
Nilay D
ND
Shah
Barbara J
BJ
Turner
D057186:Comparative Effectiveness Research; D004059:Diffusion of Innovation; D006801:Humans; D033181:Information Dissemination; D007400:Interprofessional Relations; D007407:Interviews as Topic; D009937:Organizational Objectives; D057170:Translational Research, Biomedical; D014481:United States