Implementation Science 101: what works in theory and practice for clinical interventions

Dr. Lindsay Nettlefold will provide a brief introduction to IS, exploring what it is and why it is important. She will also define key terms and introduce important theories, models and frameworks that can be used to implement, scale-up and evaluate interventions.

Dr. Sarah Munro will present a hybrid effectiveness-implementation trial that involved embedding contraception shared decision-making tools in clinical practice.

Dr. Sonia Singh will present a multiple case study of the implementation and spread of an evidence-based model of care to prevent recurrent fractures in BC.

These examples will demonstrate the importance of understanding the implementation context when translating evidence-based tools into clinical care and illustrate the practical strategies for designing implementation science trials.

Join us February 3, 2023 at 12 p.m.

After this webinar, the audience will be able to:

• Define implementation science and relevant terms.
• Describe key theories, models and frameworks used to implement, scale and evaluate clinical interventions.
• Illustrate the process through examples from two case studies.

The three presentations will run for 45 minutes with the final 15 minutes for questions.

Speakers

Dr. Lindsay Nettlefold is a senior scientist with the Active Aging Research Team at the University of British Columbia in Vancouver, Canada. With a background in exercise physiology, Lindsay aims to support individuals of all ages and abilities to improve and maintain their physical and social health through physical activity. Lindsay’s research applies and evaluates principles of implementation and scale-up science to health-promoting interventions across settings (e.g. schools, communities) to maximize outcomes and positively impact population-level health. Lindsay is currently supporting implementation, scale-up and evaluation of Choose to Move, a choice-based physical activity program for older adults being scaled-up across British Columbia, Canada.

Dr. Sarah Munro is an assistant professor with the Department of Obstetrics & Gynaecology at the University of British Columbia, the knowledge translation program head with the Centre for Health Evaluation and Outcome Sciences and co-director of the Contraception and Abortion Research team. Using qualitative and knowledge translation methods, she investigates the factors that influence implementation of evidence-based innovations in health services and systems. Her focus is on improving equity and access to sexual and reproductive health care for underserved populations. Her program of research is supported by a Michael Smith Health Research BC Scholar award and the Canadian Institutes of Health Research.

Dr. Sonia Singh is a hospitalist physician and osteoporosis consultant based at Peace Arch Hospital (PAH) in White Rock, British Columbia. She worked for 25 years as an emergency room (ER) physician and frequently cared for patients presenting with repeat fractures related to osteoporosis. Her ER experience highlighted for her that patients were not receiving the appropriate fracture prevention interventions after they had sustained their first low trauma fracture (a fracture due to minimal trauma or occurring spontaneously). In 2007, she spearheaded the opening of Fraser Health’s multi-disciplinary Healthy Bones Clinic at PAH. She leads a knowledge translation research team that started the first Fracture Liaison Service (FLS) in BC at PAH in 2015. FLS is a well-researched model of care designed to prevent repeat osteoporosis related fractures. In 2019, her team was awarded an Implementation Science Team grant from Michael Smith Health Research BC to scale up and spread this BC adapted FLS model to other hospitals in BC. Sonia holds a research fellowship from the PAH Foundation and holds academic appointments at the University of British Columbia and Simon Fraser University. She is a member of the Scientific Advisory Committee of Osteoporosis Canada, the co-chair of the International Fragility Fracture Network Special Interest Group in Secondary Fracture Prevention and the co-chair of the BC Coalition of Osteoporosis Physicians FLS Special Interest Group. Her awards include a Fraser Health Above and Beyond Award for Evidence Based Practice (2015) and an Osteoporosis Canada’s Community BackBone Award (2022).