2023-09-28 14:46:10 +00:00
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abstract: 'Global disparities in breast cancer outcomes are attributable to a
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sizable gap between evidence and practice in breast cancer control and
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management. Dissemination and implementation science (D\&IS) seeks to
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understand how to promote the systematic uptake of evidence-based
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interventions and/or practices into real-world contexts. D\&IS methods
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are useful for selecting strategies to implement evidence-based
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interventions, adapting their implementation to new settings, and
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evaluating the implementation process as well as its outcomes to
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determine success and failure, and adjust accordingly. Process models,
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explanatory theories, and evaluation frameworks are used in D\&IS to
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develop implementation strategies, identify implementation outcomes, and
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design studies to evaluate these outcomes. In breast cancer control and
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management, research has been translated into evidence-based,
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resource-stratified guidelines by the Breast Health Global Initiative
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and others. D\&IS should be leveraged to optimize the implementation of
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these guidelines, and other evidence-based interventions, into practice
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across the breast cancer care continuum, from optimizing public
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education to promoting early detection, increasing guideline-concordant
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clinical practice among providers, and analyzing and addressing barriers
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and facilitators in health care systems. Stakeholder engagement through
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processes such as co-creation is critical. In this article, the authors
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have provided a primer on the contribution of D\&IS to phased
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implementation of global breast cancer control programs, provided 2 case
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examples of ongoing D\&IS research projects in Tanzania, and concluded
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with recommendations for best practices for researchers undertaking this
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work.'
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affiliation: 'Rositch, AF (Corresponding Author), Johns Hopkins Bloomberg Sch Publ
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Hlth, Dept Epidemiol, 615 N Wolfe St,Room E6150, Baltimore, MD 21205 USA.
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Rositch, Anne F., Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, 615 N Wolfe
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St,Room E6150, Baltimore, MD 21205 USA.
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Unger-Saldana, Karla, CONACYT Natl Canc Inst, Mexico City, DF, Mexico.
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DeBoer, Rebecca J., Univ Calif San Francisco, Helen Diller Family Comprehens Canc
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Ctr, Global Canc Program, San Francisco, CA 94143 USA.
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Ng''ang''a, Anne, Minist Hlth, Natl Canc Control Program, Nairobi, Kenya.
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Weiner, Bryan J., Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA.'
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author: Rositch, Anne F. and Unger-Saldana, Karla and DeBoer, Rebecca J. and Ng'ang'a,
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Anne and Weiner, Bryan J.
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author-email: arositch@jhu.edu
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author_list:
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- family: Rositch
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given: Anne F.
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- family: Unger-Saldana
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given: Karla
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- family: DeBoer
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given: Rebecca J.
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- family: Ng'ang'a
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given: Anne
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- family: Weiner
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given: Bryan J.
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da: '2023-09-28'
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doi: 10.1002/cncr.32877
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eissn: 1097-0142
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files: []
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issn: 0008-543X
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journal: CANCER
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keywords: 'breast cancer; Breast Health Global Initiative; Consolidated Framework
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for Implementation Research (CFIR); dissemination and implementation
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science; Tanzania'
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keywords-plus: 'GUIDELINE IMPLEMENTATION; HEALTH-CARE; STRATEGIES; INTERVENTIONS;
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IMPROVEMENT; ONCOLOGY; INCOME; INNOVATIONS; PREVENTION; EVALUATE'
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language: English
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month: MAY 15
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number: '10'
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number-of-cited-references: '83'
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orcid-numbers: Unger-Saldaña, Karla/0000-0002-9689-498X
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pages: 2394-2404
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papis_id: 33a2e8ff6c72d6663f2ee4dff7e9390e
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ref: Rositch2020roledissemination
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researcherid-numbers: Unger-Saldaña, Karla/AFI-7335-2022
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times-cited: '27'
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title: 'The role of dissemination and implementation science in global breast cancer
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control programs: Frameworks, methods, and examples'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000529295100006
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usage-count-last-180-days: '2'
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usage-count-since-2013: '7'
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volume: '126'
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web-of-science-categories: Oncology
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year: '2020'
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