abstract: 'Global disparities in breast cancer outcomes are attributable to a

  sizable gap between evidence and practice in breast cancer control and

  management. Dissemination and implementation science (D\&IS) seeks to

  understand how to promote the systematic uptake of evidence-based

  interventions and/or practices into real-world contexts. D\&IS methods

  are useful for selecting strategies to implement evidence-based

  interventions, adapting their implementation to new settings, and

  evaluating the implementation process as well as its outcomes to

  determine success and failure, and adjust accordingly. Process models,

  explanatory theories, and evaluation frameworks are used in D\&IS to

  develop implementation strategies, identify implementation outcomes, and

  design studies to evaluate these outcomes. In breast cancer control and

  management, research has been translated into evidence-based,

  resource-stratified guidelines by the Breast Health Global Initiative

  and others. D\&IS should be leveraged to optimize the implementation of

  these guidelines, and other evidence-based interventions, into practice

  across the breast cancer care continuum, from optimizing public

  education to promoting early detection, increasing guideline-concordant

  clinical practice among providers, and analyzing and addressing barriers

  and facilitators in health care systems. Stakeholder engagement through

  processes such as co-creation is critical. In this article, the authors

  have provided a primer on the contribution of D\&IS to phased

  implementation of global breast cancer control programs, provided 2 case

  examples of ongoing D\&IS research projects in Tanzania, and concluded

  with recommendations for best practices for researchers undertaking this

  work.'
affiliation: 'Rositch, AF (Corresponding Author), Johns Hopkins Bloomberg Sch Publ
  Hlth, Dept Epidemiol, 615 N Wolfe St,Room E6150, Baltimore, MD 21205 USA.

  Rositch, Anne F., Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, 615 N Wolfe
  St,Room E6150, Baltimore, MD 21205 USA.

  Unger-Saldana, Karla, CONACYT Natl Canc Inst, Mexico City, DF, Mexico.

  DeBoer, Rebecca J., Univ Calif San Francisco, Helen Diller Family Comprehens Canc
  Ctr, Global Canc Program, San Francisco, CA 94143 USA.

  Ng''ang''a, Anne, Minist Hlth, Natl Canc Control Program, Nairobi, Kenya.

  Weiner, Bryan J., Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA.'
author: Rositch, Anne F. and Unger-Saldana, Karla and DeBoer, Rebecca J. and Ng'ang'a,
  Anne and Weiner, Bryan J.
author-email: arositch@jhu.edu
author_list:
- family: Rositch
  given: Anne F.
- family: Unger-Saldana
  given: Karla
- family: DeBoer
  given: Rebecca J.
- family: Ng'ang'a
  given: Anne
- family: Weiner
  given: Bryan J.
da: '2023-09-28'
doi: 10.1002/cncr.32877
eissn: 1097-0142
files: []
issn: 0008-543X
journal: CANCER
keywords: 'breast cancer; Breast Health Global Initiative; Consolidated Framework

  for Implementation Research (CFIR); dissemination and implementation

  science; Tanzania'
keywords-plus: 'GUIDELINE IMPLEMENTATION; HEALTH-CARE; STRATEGIES; INTERVENTIONS;

  IMPROVEMENT; ONCOLOGY; INCOME; INNOVATIONS; PREVENTION; EVALUATE'
language: English
month: MAY 15
number: '10'
number-of-cited-references: '83'
orcid-numbers: Unger-Saldaña, Karla/0000-0002-9689-498X
pages: 2394-2404
papis_id: 33a2e8ff6c72d6663f2ee4dff7e9390e
ref: Rositch2020roledissemination
researcherid-numbers: Unger-Saldaña, Karla/AFI-7335-2022
times-cited: '27'
title: 'The role of dissemination and implementation science in global breast cancer
  control programs: Frameworks, methods, and examples'
type: Article
unique-id: WOS:000529295100006
usage-count-last-180-days: '2'
usage-count-since-2013: '7'
volume: '126'
web-of-science-categories: Oncology
year: '2020'