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Improving the Practical Implementation of Effectiveness Trials in a Primary Care Setting
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| Presenter(s):
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| Katarzyna Alderman, Battelle Memorial Institute, aldermank@battelle.org
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| Margaret J Gunter, LCF Research, maggie@lcfresearch.org
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| Judith Lee Smith, Centers for Disease Control and Prevention, jleesmith@cdc.gov
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| Gary Chovnick, Battelle Memorial Institute, chovnickg@battelle.org
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| Linda Winges, Battelle Memorial Institute, winges@battelle.org
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| Susan Pearce, Battelle Memorial Institute, pearce@battelle.org
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| April Salisbury, LCF Research, april.salisbury@lcfresearch.org
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| Deirdre Shires, Henry Ford Health System, dshires1@hfhs.org
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| Danuta Kasprzyk, Battelle Memorial Institute, kasprzyk@battelle.org
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| Daniel Montano, Battelle Memorial Institute, montano@battelle.org
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| Jennifer Elston Lafata, Virginia Commonwealth University, jelstonlafat@vcu.edu
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| Abstract:
There has been a recent movement in prevention research toward combining the strengths of both efficacy and effectiveness trials to increase translation and implementation (Bierman, 2006; Weissberg and Greenberg, 1998). Effectiveness, or pragmatic trials, may increase a study’s “real world” effects, but may incur a loss of fidelity of its core design (Bierman, 2006). Conversely, shielding the evaluation from real world influences may limit its adoption and implementation. Effectiveness trials usually involve multiple groups; therefore evaluating these trials requires involvement of multiple perspectives. This collaborative element, while beneficial, has certain challenges. In a project funded by the Centers for Disease and Control and Prevention (CDC), scientists from CDC, Battelle, and two major health care organizations, designed and implemented an evaluation of an intervention to increase colon cancer screening in primary care clinics. Presenters will describe how to improve the practical implementation of effectiveness trials in a primary care setting.
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Participatory Evaluation in a Program to Promote Well-Aging Among Persons With Intellectual and Developmental Disability
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| Presenter(s):
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| Karen Widmer, Claremont Graduate University, karenwidmer@earthlink.net
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| Abstract:
Participatory evaluation is both socially just and mission-critical for programs aimed at promoting health among adults with Intellectual and Developmental Disabilities (IDD). More than most other populations, adults with IDD require a social network (formal or informal) to carry out behaviors that effectively preserve and promote health and well-being. This paper will take an in-depth look at the logic model and participatory tool components designed to evaluate a center of excellence for healthy aging among adults living in group homes. The logic model contained two distinct constructs: health behavior change and future planning. Data collection is being conducted at a third-grade conversation skill level and includes residents, peers, staff, and family members. Without participatory tools adapted for atypical communication styles, persons from this vulnerable population may be denied self-determination. Findings generalize to inclusion of participants of all abilities in evaluations of a wide array of health interventions.
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