Presentation is loading. Please wait.

Presentation is loading. Please wait.

Embedded research and development – design for RU - for policy & practice change HOW TO GUIDE ON RESEARCH & DEVELOPMENT: THE EMBEDDED APPROACH.

Published byMelany Hudgeons Modified over 10 years ago

Similar presentations

Presentation on theme: "Embedded research and development – design for RU - for policy & practice change HOW TO GUIDE ON RESEARCH & DEVELOPMENT: THE EMBEDDED APPROACH."— Presentation transcript:

1 Embedded research and development – design for RU - for policy & practice change HOW TO GUIDE ON RESEARCH & DEVELOPMENT: THE EMBEDDED APPROACH

2 Problems of getting research into practice The usual research - dissemination model 1.Research “discovers” solutions, then try to 2.“Market” to busy decision-makers & practitioners Is necessary, but not sufficient, as not: 1.start from needs of policy-makers & practitioners 2.a typical service context – so not replicable 3.Evidence products; guidelines, tools - for scale-up. To change policy and practice, best embed research within MoH programme - priorities, policies & sites

3 Embedded R and D – design for RU - policy and practice change at scale Intervention- trial & qualitative & costing studies Evidence-based intervention-package design to be effective, replicable & sustainable

4 Communications & RU - COMDIS H Service Delivery Communication related activities include: Priority setting-coordination meetings, MoH Technical working group – eg draft guidelines Steering group, approval, decision to scale up Evidence products (synthesise existing & new K): Clinical, operational, planning etc. guidelines WHO level of evidence & strength of recommendation Training modules & tools – used in scale-up Policy briefs, case studies Peer-reviewed papers See the COMDIS Communications Handbook Research Uptake (RU) The policy and practice change - objectives outcomes achieved

5 Four stages of research & development: with the policy-makers and users 1. Design and develop, evidence based review, and if required explanatory research 2. Pre-test and pilot the intervention package guidelines, modules, registers and other tools 3. Implement and trial the intervention/ package 4. Support policy and practice change (RU) – go to scale in country, and X countries

6 STAGE 1 Design and develop service delivery package in line with MoH national priorities STAGE 2 Pre-test and pilot package (e.g. guidelines, materials and research tools) STAGE 3 Implement and evaluate the intervention STAGE 4 Support both policy and practice change (RU) nationally and internationally Stages of Embedded R and D Stages of Embedded R and D – leading to policy and practice change (RU)

7 STAGE 1 Evidence-b review & generic clinical and life-style guides & package developed China, adapted in line MoH rural insurance and public health package policies STAGE 2 Pilot package guidelines, materials. Revision of design of the trial China STAGE 3 Implement and evaluate intervention cluster RCT STAGE 4 Support both policy and practice change - evidence products - nationally and internationally Embedded R and D for CVD-diabetes in primary care Similarly in Pakistan, Nigeria, Tanzania & Swaziland

8 NCDs – CVD-diabetes primary care Lunchtime IVI Antibiotics! Antibiotic Misuse & drug resistance Project ZHEJIANG PROVINCE CDC AND UNIVERSITY COMDIS CHINA AND LEEDS China Cardiovascular disease prevention and control deskguide Identify and manage cardiovascular disease or risk Draft 1 of 6.1.11 CVD risk - Diabetes Drafted clinical & lifestyle guides Pilot on-going Cluster RCT to start April Design the service delivery package within policies and context - so likely replicable and sustainable

Download ppt "Embedded research and development – design for RU - for policy & practice change HOW TO GUIDE ON RESEARCH & DEVELOPMENT: THE EMBEDDED APPROACH."

Similar presentations

Team/Organization Name Background and structure Location Brief system information (type, size) Pilot population.

Team/Organization Name Background and structure Location Brief system information (type, size) Pilot population.
WHO training courses on family violence prevention | February 21, 2014 February 21, 2014 1 |1 | Strengthening capacity for the prevention of family violence.

WHO training courses on family violence prevention | February 21, 2014 February 21, |1 | Strengthening capacity for the prevention of family violence.
February 2006 WHO's Contribution to Scaling Up towards Universal Access to HIV/AIDS Prevention, Care and Treatment 2006-2010 Department of HIV/AIDS.

February 2006 WHO's Contribution to Scaling Up towards Universal Access to HIV/AIDS Prevention, Care and Treatment Department of HIV/AIDS.
The U.S. Presidents Emergency Plan for AIDS Relief Title The U.S Presidents Emergency Plan for AIDS Relief PEPFAR Male Circumcision Technical Working Group.

The U.S. Presidents Emergency Plan for AIDS Relief Title The U.S Presidents Emergency Plan for AIDS Relief PEPFAR Male Circumcision Technical Working Group.
February Dakar, Senegal

February Dakar, Senegal
Expert consultation on TB/HIV research priorities, 14-15 February 2005 Mesdames et messieurs, soyez les bienvenus On behalf of the organizing committee.

Expert consultation on TB/HIV research priorities, February 2005 Mesdames et messieurs, soyez les bienvenus On behalf of the organizing committee.
Regional Hunger & Vulnerability Programme. RHVP context  Growing caseload of chronically vulnerable to hunger.  Continued reliance on short term responses.

Regional Hunger & Vulnerability Programme. RHVP context  Growing caseload of chronically vulnerable to hunger.  Continued reliance on short term responses.
NICE and national clinical audit

NICE and national clinical audit
2 nd National Staff Meeting April 19 – 21, 2006 Tagaytay City Updates on FOURmula 1 for Health (NSM Resolution No. 2005-01-01) Mario C. Villaverde, MD,MPH,MPM,CESO.

2 nd National Staff Meeting April 19 – 21, 2006 Tagaytay City Updates on FOURmula 1 for Health (NSM Resolution No ) Mario C. Villaverde, MD,MPH,MPM,CESO.
NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS 2006-2009 Activity Plan of NCQSA-HI with World Bank Project (WB)

NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS Activity Plan of NCQSA-HI with World Bank Project (WB)
Level Health Equally Well Key findings from a literature review informing collaborative efforts to improve the physical health outcomes of people with.

Level Health Equally Well Key findings from a literature review informing collaborative efforts to improve the physical health outcomes of people with.
Health and Wellbeing Health Service Executive Healthy Ireland – The policy context for addressing health inequalities in Ireland Dr. Stephanie O’Keeffe,

Health and Wellbeing Health Service Executive Healthy Ireland – The policy context for addressing health inequalities in Ireland Dr. Stephanie O’Keeffe,
Information and Communication Technology Research Initiative www.ictri.port.ac.uk Supporting the self management of obesity: The role of ICTs University.

Information and Communication Technology Research Initiative Supporting the self management of obesity: The role of ICTs University.
From Research to Practice: Scale-up of Male Circumcision for HIV prevention in Tanzania Wambura Mwita National Institute for Medical Research Mwanza, Tanzania.

From Research to Practice: Scale-up of Male Circumcision for HIV prevention in Tanzania Wambura Mwita National Institute for Medical Research Mwanza, Tanzania.
1. 2 Implementing and Evaluating of an Evidence Based Nursing into Practice Prepared By Dr. Nahed Said El nagger Assistant Professor of Nursing 1430-1431H.

1. 2 Implementing and Evaluating of an Evidence Based Nursing into Practice Prepared By Dr. Nahed Said El nagger Assistant Professor of Nursing H.
Clinical Lead Self Care and Prevention

Clinical Lead Self Care and Prevention
Orientation to the Health and Career Education K to 7 Integrated Resource Package 2006.

Orientation to the Health and Career Education K to 7 Integrated Resource Package 2006.
International Diabetes Federation. Capacity Building Diabetes Project (2007-2009) Cardiovascular Disease Project (2010-2013) Davao City, Philippines Capacity.

International Diabetes Federation. Capacity Building Diabetes Project ( ) Cardiovascular Disease Project ( ) Davao City, Philippines Capacity.
Achieving improved cancer outcomes- a pathway approach, engaging primary care and partners Kathy Elliott Programme Director – NHS Improving Quality (Delivery.

Achieving improved cancer outcomes- a pathway approach, engaging primary care and partners Kathy Elliott Programme Director – NHS Improving Quality (Delivery.
INRUD International Network for Rational Use of Drugs.

INRUD International Network for Rational Use of Drugs.

Similar presentations

Ads by Google