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Center for D&I and partner funds five projects

The Center for Dissemination and Implementation pilot and small grants program at the Institute for Public Health announces the award of funding for five new projects.

One of the grants is fully funded by the Institute of Clinical and Translational Sciences at the Washington University School of Medicine and four are fully funded by our Center for Dissemination and Implementation.

Dissemination of Cascade Genetic Testing for Families at High Risk of Gynecologic Cancer

PI: Andrea R Hagemann, MD, MSCI, Associate Professor at the School of Medicine

This project seeks to better understand family barriers to genetic testing for prevention of ovarian, breast and uterine cancer. Surveys will capture patients’ preferences for videos and websites that can help increase communication among high-risk family members, with the goal of disseminating education strategies that improve genetic testing rates and make a rapid impact on women’s cancer prevention.

Pilot grant funded by the Center for Dissemination and Implementation.

Adapting the Program Sustainability Assessment Tool for Clinical Settings

PI: Douglas Luke, PhD, Professor at the Brown School

Without sustaining effective clinical care practices over time, we risk not being able to see the full return on investment in clinical and translational science. This study will establish a new method and resource for measuring sustainability of evidence-based practices in clinical settings by developing a clinical sustainability assessment tool and pilot-testing it in a set of hospital-based critical care units.

Pilot grant funded by the Center for Dissemination and Implementation.

Development of a Sustainable Contraceptive Education Intervention

PI: Tessa Madden, MD, MPH, Associate Professor at the School of Medicine, Department of Obstetrics & Gynecology, Division of Family Planning

In collaboration with Family Care Health Centers (FCHC), this project seeks to understand how contraceptive education based on the Contraceptive CHOICE Project counseling script can be best provided. The CHOICE project began in 2007 as an initiative to remove the financial barriers to contraception, promote the most effective methods of birth control, and reduce unintended pregnancy in the St. Louis area. This pilot study will create a plan for providing contraception education as informed by the collaboration with FCHC staff, providers and patients. The study team will engage reproductive-age, female patients to test and provide feedback on the contraceptive education using face-to-face surveys.

Pilot grant funded by the Institute of Clinical and Translational Sciences at the Washington University School of Medicine.

Office-Based Spirometry for Low-Risk Surgery Patients: Barriers and Facilitators of Change

PI: Aimee James, PhD, MPH, Associate Professor, School of Medicine, Department of Surgery, Division of Public Health Sciences

Complications are the leading cause of death after lung surgery to remove cancerous tissue. The current standard of care is sorting patients into treatment regimens based on lung function testing with laboratory spirometry. There is evidence that low-risk patients can be adequately and safely assessed using low-technology office spirometry instead of laboratory spirometry, with significant time and cost savings. This study explores the barriers and facilitators of using office spirometry. The multidisciplinary study team will then construct a detailed plan for the implementation of office spirometry and de-implementation of laboratory spirometry.

Small grant funded by the Center for Dissemination and Implementation.

Integrating Parenting Intervention in Pediatric Primary Care

PI: Ana A. Baumann, PhD, Research Assistant Professor, Brown School

Parenting practices affect child outcomes, and primary care settings are a powerful place to reach families. Because of this, it is critical to identify “how” to integrate parent interventions in primary care settings. This study lays the groundwork for implementation of the Parent Management Training-Oregon Model (PMTO) in the Washington University Pediatric and Adolescent Ambulatory Research Consortium (WU PAARC). The study will evaluate barriers, facilitators and strategies for implementation, design a cost-effectiveness analysis approach, collect feasibility and acceptability data.

Small grant funded by the Center for Dissemination and Implementation.