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Up next (for me) at #SIRC2019 - Bridging the Implementation Research to Practice Gap. Purpose of the session is discussion/dialogue - NO PRESENTATIONS from panelists
On the panel: Dr. Byron Powell (WUSTL), Dr. Bob Franks (Judge Baker Children's Center), Dr. Jenna McWilliam (Triple P Intnatl), with @Aaron_Lyon (UW) as discussant. #SIRC2019
@Aaron_Lyon Chair: Dr. Jackie Brown - consults with organizations to help them use implementation strategies to address their problems. #SIRC2019
@Aaron_Lyon Themes from previous (but similar) discussions:
Relationships btwn researchers/orgs
Partnerships being balanced in terms of power
Practice-based research
Need for shared language
Co-identification of priorities
Time/resources/funding needed #SIRC2019
@Aaron_Lyon Aim of the session: dialogue to explore strategies/actions to address gap btwn #ImplementationScience and practice. Structure: panelist offer thoughts + brief comments + open discussion of 3 questions...#SIRC2019
@Aaron_Lyon Addl aims: increasing awareness of needs, challenges, opportunities for collab across perspectives, identify priorities for research/partnership, identify 3 areas of action moving forward #SIRC2019
@Aaron_Lyon Q1: What actions can we take to increase collab btwn various contributors to #ImplementationScience and practice? #SIRC2019
@Aaron_Lyon A1 (Dr. Franks): Collaboration is essential. Lesson learned from "Safe Start" initiative. Training at the institution was didactic/traditional and this model was brought to diverse communities and it was clear not enough was being done to understand them. #SIRC2019
@Aaron_Lyon A1: (Dr. Franks cont'd): When you enter a system, take actions to understand the stakeholders. Motivation to be involved sometimes come from funding initiatives or from a need or a political agenda. Need to understand these relationships as well as historical ones. #SIRC2019
@Aaron_Lyon A1 (Dr. McWilliam from triplep.net/glo-en/home/): Figure out how to build relationships, establish trust, and then you know who you can approach with ideas/problems needing to be solved. Doing it at the start is better than waiting. #SIRC2019
@Aaron_Lyon A1 (Dr. Byron Powell): Challenge with language. People not on the same terms with something as simple as "implementation science". Notion of partnerships is fundamental to our work but also have a purpose and roles for ppl. #SIRC2019
@Aaron_Lyon A1 (Dr. Byron Powell): Don't make assumptions about what people can do. Respect the contributions others can make. All players have insights important to advancing the science. #SIRC2019
@Aaron_Lyon [open floor for discussion for 10 mins. I'll try my best, hahaha]
@Aaron_Lyon From audience: practitioner NoE has been having the same convo and can @ImplementCollab create guidance document around this. How do we best collect what is known and make it accessible to ALL? #SIRC2019
@Aaron_Lyon @ImplementCollab From audience: Not a fully resolvable issue. All we can do is strategize to mitigate the issue (short/long term). Variety of systems, conferences w/different goals, we are our own exercise in systems change. Where else can we look for solutions (e.g., Boulder model from psych)
@Aaron_Lyon @ImplementCollab Scientist-practitioner model of training for #ImplementationScience ? (I am kind of into this idea, personally. Psych bias, maybe) #SIRC2019
@Aaron_Lyon @ImplementCollab From audience working in funding agency: Funding mechanisms require collaboration in proposals but also sustainability is a challenge. So, they also fund just collaboration. How do you make them worthwhile? #SIRC2019
@Aaron_Lyon @ImplementCollab From audience: is community-based practice research different from implementation science or not? A: Many people in ImpSci draw from this research base. But w/many layers of systems in a project difficult to engage all stakeholders. #SIRC2019
@Aaron_Lyon @ImplementCollab From audience: ImpSci could become more like an add-on or attachment into any effort where teams can be flexible. You don't have to have the content expertise - rely on partners for that. Scientists are there for improving the application. Onus is on us to help practitioners.
@Aaron_Lyon @ImplementCollab From audience: A critical piece of collaboration - researchers need to LISTEN (be humble on the academic side). On the community side, value science. Meet scientists half-way. Both of these are honestly very challenging. #SIRC2019
@Aaron_Lyon @ImplementCollab From audience (practitioner view): Begin working with collaborations that already exist. There are opportunities for embedding scientists in partnerships. And orgs have trouble finding researchers wanting to work on the problems important to the orgs. #SIRC2019
@Aaron_Lyon @ImplementCollab From audience: What have been the barriers to collaboration? (This happens to be the next question in the session) #SIRC2019
@Aaron_Lyon @ImplementCollab Q2: What are the barriers you experience that might interfere with actions to collaborate or increase collaboration? #SIRC2019
@Aaron_Lyon @ImplementCollab A2 (Dr. Franks) - Create forums for dialogue to learn from one another and confront these challenges. Respect expertise that others share. Recognize your own assumptions based on your context to avoid division. #SIRC2019
@Aaron_Lyon @ImplementCollab A2 (Dr. Franks) - Idea of cross-training is important. Experience with implementation, research, clinical work. Not too many learning opportunities for those that want to pursue this field. #SIRC2019
@Aaron_Lyon @ImplementCollab A2 (Dr. McWilliam): Identity as a person involved in implementation & its relation to the field. Divisions btwn practice/research, etc. need to be avoided. Barrier is the potential for field to be fragmented w/o definitions of our identities. #SIRC2019
@Aaron_Lyon @ImplementCollab A2 (Dr. McWilliam): from psych, it means something to be a "psychologist" and the divisions are meaningful (defined areas of expertise; e.g., I/O psych v. cognitive). We need this level of clarity in ImpSci. Don't expect others to engage with us if they don't know who we are.
@Aaron_Lyon @ImplementCollab A2 (Dr. Powell): Barrier is failing to benefit from expertise in teams. This can result from lack of $$ (can't pay to obtain the expertise). Is the culture of funding, grant review a barrier? We should start making the argument for sig collabs. #SIRC2019
@Aaron_Lyon @ImplementCollab Q2 from audience: To the point of cross-training. Focus is on post-docs w/research training who can come in for res & on-the-ground work. But can we invite on-the-ground folks to come in and receive the training? This builds internal capacity. #SIRC2019
@Aaron_Lyon @ImplementCollab F/u: funding to bring those people in to work on projects, traing them, etc. would benefit projects. #SIRC2019
@Aaron_Lyon @ImplementCollab Q2 from audience: From intermediary perspective, being an intermediary is the problem. Org folks are afraid to talk to researchers and intermediaries are basically systemic support of the division btwn researchers and practitioners. #SIRC2019
@Aaron_Lyon @ImplementCollab cont'd - let's create shared language and facilitate these discussions rather than leading/taking on the discussion. #SIRC2019
@Aaron_Lyon @ImplementCollab Q2 from audience: Researchers could also benefit from being on-the-ground and learning from groups rather than having community reps come to us. #SIRC2019
@Aaron_Lyon @ImplementCollab Q2 from audience: Shared language and definition is key. Such variation in the intermediaries in expertise & approach. How do we create consistent expectations of what an "intermediary" brings to the table? Success and sustainability depends on this. #SIRC2019
@Aaron_Lyon @ImplementCollab Q2 from audience: Point about training from within is important. Creates inclusivity, representativeness, more identification with community. ImpSci scholar program where post-docs matched with clinicians to work on project of interest to the clinician. #SIRC2019
@Aaron_Lyon @ImplementCollab cont'd - this experience is cool b/c otherwise we fall into a scarcity mindset but we can be more flexible with our work boundaries to get more done. #SIRC2019
@Aaron_Lyon @ImplementCollab Q2 from audience: Emphasize practitioner-led research questions. Work on what is relevant to the agency. And the knowledge developed from that work would be widely applicable. #SIRC2019
@Aaron_Lyon @ImplementCollab Q2 from audience (I'm paraphrasing, but what I hear is...): we need to focus on deimplementation as well to direct resources towards the things that are working (instead of those that aren't). How do we communicate when something doesn't work but agency receives funding from that
@Aaron_Lyon @ImplementCollab Q3: What are the opportunities/enablers you could use to promote collaborative development of Implementation Science and practice? #SIRC2019
@Aaron_Lyon @ImplementCollab Final thoughts - solutions need to be for now, not necessarily for 5-10 years from now. All fields, inc our own, are on a trajectory. We should anticipate future issues, but work on now. Return in iterative sense to problem solve.
@Aaron_Lyon @ImplementCollab Final thoughts from audience: opportunity is at funding level to educate about Implementation Science. At NIH, they fund innovation. Researchers need to advocate/lobby with reviewers for the type of funding the field needs. #SIRC2019
@Aaron_Lyon @ImplementCollab Final thoughts from audience: everyone has a shared goal and we all need to understand one another better to reach the goal. #SIRC2019
@Aaron_Lyon @ImplementCollab Final thoughts from audience: Challenge to @ImplementCollab - work to set a value of training multiple skills and work with other leaders to set field standard - then the people and the funders will follow #SIRC2019
@Aaron_Lyon @ImplementCollab Final thoughts from audience: NIH working on global learning needs assessment to better understand what stakeholders need from a training perspective. #SIRC2019
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