AGENDA

Improving Delivery of Preventive Interventions in Clinical Practice:
Practical Implications and Future Research Directions
June 11-12, 2009, Natcher Conference Center, NIH Campus


A joint workshop of the NHLBI Divisions of Prevention and Population Sciences (DPPS) and
the Division for the Application of Research Discoveries (DARD)

Thursday June 11th, 2009 (Room F)

SETTING THE STAGE: INTRODUCTION, BACKGROUND, and CONTEXT (8:00-10:00 a.m.)
Moderators:  Ira Ockene and Laura Svetkey, workshop chairs

  • Welcome and Introductions – Michael Lauer (DPPS Director) & Rob Fulwood (DARD Acting Director); Laura Svetkey & Ira Ockene (workshop chairs) (10 min)
  • Purpose and NHLBI context of the workshop – Denise Simons-Morton (5 min)
  • Clinical implementation in a broader context – Ira Ockene (15 min)
  • Efficacy to effectiveness to implementation – Laura Svetkey (10 min)
  • From evidence to practice: Developing guidelines – Ned Calonge(20 min)
  • From evidence to practice: NHLBI guidelines update process – Sid Smith (15 min)
  • NHLBI guidelines Implementation Work Group – Thomas Pearson (15 min)
  • Approaches and findings from clinical implementation research – David Goff (20 min)
  • General Discussion (10 min)
BREAK (10:00-10:15 a.m.)
STATE OF THE EVIDENCE AND PRELIMINARY RECOMMENDATIONS
Group 1:  Approaches addressing patient adherence (10:15 a.m.-12:15 p.m.)
Chair and Moderator: Martha Hill
  • Introduction (5 min) – Martha Hill
  • Overview on adherence research (15 min) – Lisa Cooper
  • Interventions to improve medication adherence by patients – (30 min) – Gbenga Ogedegbe and Jacqueline Dunbar-Jacob
  • Interventions to improve lifestyle adherence by patients – evidence, issues, and preliminary recommendations (30 min) – Jamy Ard and David Hyman
  • Full group discussion (40 min) – Martha Hill, moderator

LUNCH (12:15-1:00 p.m.)
Please bring your lunch back from the Cafeteria to continue our meeting.

Group 2:  Approaches addressing clinician adoption and implementation of evidence-based care in the clinic setting (1:00-3:00 p.m.)
Chair and Moderator: Laura Petersen
  • Introduction (5 min) – Laura Petersen
  • Conceptual and Theoretical Approaches to Implementation (15 min) – Paul Estabrooks
  • Education and training for clinician adoption and implementation of evidence-based care – evidence and preliminary recommendations (25 min) – Charles Eaton and Jonathan Tobin
  • Systems approaches for clinician adoption and implementation of evidence-based care – evidence and preliminary recommendations (25 min) – Judith Walsh and Laura Petersen
  • Issues to consider: Observations and Questions from a Decade of Implementation Research in Primary Care Practice  (15 min) – Steven Ornstein
  • Full group discussion (35 min) – Laura Petersen, moderator
BREAK (3:00-3:30)
Group 3:  Approaches using teams and connecting clinical to other settings (e.g., case management, pharmacist-clinician collaboration, community health workers, telemedicine, e-communication, home monitoring, et al.)  (3:30-5:30 p.m.)
Chair & Moderator: George Rust
  • Introduction (5 min) – George Rust
  • Team approaches in clinical care setting (e.g. case management systems and physician-pharmacist approaches) – evidence, issues, and preliminary recommendations (25 min) – Kathy Berra and Barry Carter
  • Teams connecting clinic and community settings (community health workers) – evidence, issues, and preliminary recommendations (25 min) – Hector Balcazar and Penny Feldman
  • Technology approaches linking clinic to home and community (e.g., health IT, telemedicine) evidence, issues, and preliminary recommendations (25 min) – Joseph Finkelstein, Beverly Green, and Hayden Bosworth
  • Full group discussion (40 min) – George Rust, moderator
DAY WRAP-UPLaura Svetkey & Ira Ockene (5:30 p.m.)

Friday June 12th, 2009 (Room D)

Expert Panel: Issues, Approaches, and Lessons Learned (9:00-11:00 a.m.)
(25 min talks, 10 min discussion for each)

Ira Ockene and Laura Svetkey, moderators
  • Methodological issues in clinical implementation research – Brian Mittman
  • Practical and feasibility issues relevant to implementation of guidelines in practice – Raymond Gibbons
  • Physician-patient communication – Howard Leventhal
  • General discussion (15 min)

LUNCH (11:00 a.m.-12:30 p.m.)
Please bring your lunch back from the cafeteria to continue our meeting.

RECOMMENDATIONS TO THE NHLBI (12:30 p.m.-2:30 p.m.)
Moderators: Ira Ockene & Laura Svetkey
  • Recommendations for strategies/approaches for practice
  • Recommendations for research: specific research questions and general research approaches
MEETING WRAPUP AND NEXT STEPS(2:30-3:00) – Laura Svetkey & Ira Ockene

Back to Report

Twitter iconTwitterExternal link Disclaimer         Facebook iconFacebookimage of external link icon         YouTube iconYouTubeimage of external link icon         Google+ iconGoogle+image of external link icon