Getting Research Findings Used
Cindy Brach
Agency for Healthcare Research and Quality
Center for Delivery,
y Organization,
g
and Markets
June 29, 2010
Roadmap
 Early User Buy
Buy--In: CHIRITM
 How do Implementers Think?: Will It Work
Here?
H ?
 Turning Research Into Products: Pharmacy
Health Literacy
 Audience Testing:
g Health Literacy
y Universal
Precautions Toolkit
Early User BuyBuy-in:
a
 Don’t wait until you have findings to work
with target
g audiences
– Worked with local policymakers when
formulating research
– Multiple contacts
– National
N ti
lU
Users G
Group
trusted source
 Provided researchers feedback
 Assisted with dissemination
Know Your Audience and
How to Reach Them
 CHIRITM Issue Briefs –
don’t have to read past
page.
g
1st p
 Dissemination Strategy
– Establish dissemination
partnerships with key
constituencies
– Utilize a variety of
mechanisms
You Can
Can’tt Implement Findings
 What information is
need for replication?
 Which audiences do
you need to reach?
 What mechanisms will
reach them?
Project RED finding: 30%
reduction in readmissions
& ED
Will It Work Here?
What implementers consider:
 Module I: Does this innovation fit?
 Module II: Should we do it here?
 Module III: Can we do it here?
 Module IV: How can we do it here?
www.innovations.ahrq.gov/resources/resources.aspx
What Is the Innovation?
Wh Thi
Why
This M
Matters
tt
Assessing the feasibility of adopting a particular innovation begins with
an understanding of how the innovation works and the scope of the
innovation Decisionmakers should also examine other organizations’
innovation.
experiences with the innovation. What may work effectively in one
setting may not work as well in another, so it is important to consider
factors such as context, setting, and circumstances, along with evidence
of success.
Key Questions to Consider




How does the innovation work?
What is the scope of the innovation?
Where has the innovation been implemented?
What is the evidence that the innovation worked?
Research
PILL Study
Evaluate health literacy
intervention:
Train Pharmacists
Counsel with Pill Card
Automated Telephone
Reminder System (ATRS)
Products
Implementation Aids
Assessment Guide
Training Curriculum
Pill C
Card
dM
Manuall
ATRS Script
User--Driven Product Design
User
 Audience members are not researchers
 Researchers are not product design experts
– Development team: research translators,
graphic designers, communication experts
 Easy
Easy--toto-read
– Language, content, format
 Easy
Easy--toto-Use
– No special
p
hardware or software required
q
– Clear instructions
Audience Testing
 Is it understandable? Is it confusing?
 Is it easy to find and use the information?
 Is it credible?
 Does it use language that your audience uses?
 Is
I the
th level
l
l off detail
d t il right?
i ht? H
How d
do th
they see
themselves using the information?
 What do they find helpful?
 What would they change?
Health Literacy Universal
Precautions Toolkit
 Web
Web--based toolkit
 For adult and pediatric
primary care practices
 Six
Six--step plan for
implementing the toolkit
 20 short tools to identify
and address areas needing
g
improvement
http://ahrq.gov/qual/literacy
Listening to Feedback

Tested with 8 practices
–
–
–
–
Quick Start Guide
Keep it Short
Real world examples
Tracking
g Progress
g
Worksheets to Track Progress
What Questions Do You Have?
www.ahrq.gov