Should we undertake implementation and effectiveness research in parallel or in sequence? Lessons from an NIHR Programme Grant.
Elizabeth Murray, professor eHealth and primary care, UCL.
Elizabeth established the eHealth Unit at UCL in 2003 to focus on the use of digital technologies to improve health and health care. The Unit now has an international reputation for its work on developing, evaluating and implementing digital health interventions.
She writes: ‘In this talk, I will present results from two parallel studies undertaken on a web-based self-management programme for people with type 2 diabetes, known as HeLP-Diabetes. One was a standard, individually randomised controlled trial to determine effectiveness and cost-effectiveness; the second a mixed-methods implementation study that aimed to explore how HeLP-Diabetes could best be implemented into routine care, and how it was used once implemented. The two studies provided complementary data, which, taken together, have enabled a rapid progression from research to practice, with HeLP-Diabetes now a service commissioned by several clinical commissioning groups. I will describe the two studies, discuss the advantages and disadvantages of this approach, and consider implications for research into complex interventions.’
For details of upcoming, and previous, seminars about improvement and implementation please see the KIS website.
These monthly end-of-afternoon lectures take place at the Institute of Psychiatry, Psychology & Neuroscience [IoPPN] main building in de Crespigny Park, London SE5 8AF. Anyone who is interested in improvement and implementation is welcome to attend. The seminars are organised by King's Improvement Science postdoctoral fellows.
KIS is part of the Centre for Implementation Science at the National Institute for Health Research [NIHR] Collaboration for Leadership in Applied Health Research [CLAHRC] South London, also based at King's College London. The CIS is home to a team of expert researchers, including health economists and statisticians. They investigate how best to help implement evidence-based practice and research results within health services in south London and further afield.