Introduction to the Center
View a presentation on the overview of the Center. The CHEDIR was founded to conduct applied health research to build the scientific basis for a field of translational studies. Translational studies consist of translational practice and translational research. Initial core funding for CHEDIR is provided by the Institute for Health Research (IHR).
Conduct research on the production and dissemination of applicable concepts and practical tools for the integration of health care research and practice. To serve as a collaborative learning laboratory and a resource to stimulate, support, and evaluate high-priority translational research.
The vision for the Center for Health Education Dissemination and Implementation Research (CHEDIR) is to advance the field of dissemination and implementation research and to offer concrete assistance to narrow the gap between health research, practice and policy, especially as they apply to reducing health disparities. We do this by partnering with organizations and on projects targeting disparities in health and health care among racial, ethnic, socioeconomic, health literacy, and geopolitical populations and offering tools and technical assistance at the planning, implementation, evaluation, and reporting stages for interventions. To contribute prominently in setting the national agenda for defining and advancing the fields of
1) implementation and dissemination research in terms of both translational research (the science of dissemination) and
2) Identification and use of best processes for translational practice (the art of translation)
The Center, while focused at multiple levels, including regional, national and international, also has a research and technical assistance role with the national Kaiser Permanente system. This role helps to improve the quality, equity and efficiency of healthcare delivery through the provision and study of:
• Formative evaluation, including social network analysis and health literacy issues;
• Research-based translation strategies;
• Tools to enhance implementation and dissemination success; and
• Organizational processes.
One research track concerns tests of the purposive spread of evidence-based practices among diverse settings. Another track concerns tests of the factors responsible for the generalizability and replication of program effectiveness. In both cases, a third CHDIR research emphasis of economic and cost-effectiveness analyses is being integrated with other measures, such as rate of adoption, program reach, organizational adaptation, theoretic fidelity (implementation of theory-based principles), and program re-invention or modification, and maintenance.
Who We Are
James W. Dearing, PhD, Co-Director, Contact Dr. Dearing
Dr. Dearing was Professor of Communication and Director of Graduate Studies in the School of Communication Studies at Ohio University, was on the faculty of Michigan State University, and a visiting faculty member at the University of California, Berkeley, and at the University of Michigan. He studies the strategic use of diffusion of innovation concepts to accelerate the spread of evidence-based practices, programs, and policies. He studied under and worked closely with Everett M. Rogers for 20 years. Dr. Dearing is the Director and PI of the Cancer Communication Research Center, and chair of the Discovery Core. Dr. Dearing is a senior scientist with the Institute for Health Research. He studies the diffusion of innovations, with emphasis on intervention design to accelerate the spread of evidence-based knowledge, practices, programs, and policies. His research concerns advice networks among health practitioners, eHealth portrayals of innovations, and the adaptation of innovations in organizations.
Arne L. Beck, PhD, Co-Director, Contact Dr. Beck
Dr. Beck is the Director of Quality Improvement and Strategic Research of the Institute for Health Research and Associate Professor of Family Medicine at the University of Colorado Denver Health Sciences Center. He is also the KPCO site investigator for the Mental Health Research Network and is Chair Emeritus for Board of Directors of the Jefferson Center for Mental Health, a community mental health center serving the Colorado counties of Jefferson, Gilpin and Clear Creek. Dr. Beck's areas of research include mental health services, chronic illness care, geriatrics, dissemination and implementation of evidence-based practices in mental health, and the effectiveness of worksite wellness programs.
David W. Price, MD, Co-Director, Contact Dr. Price
Debra P. Ritzwoller, PhD, Health Economics and Simulation Modeling , Contact Dr. Ritzwoller
Dr. Ritzwoller is an economist and a health services researcher with fields in Labor Economics and Public Finance. Much of her research focuses on the economic burden of chronic diseases, including cancer and diabetes. In addition, she is working on several projects that examine the costs and cost effectiveness of behavioral interventions. She currently serves as the site principal investigator (PI) for the Cancer Research Network (CRN), a consortium of research organizations affiliated with nonprofit integrated healthcare delivery systems and the National Cancer Institute. She has published studies related to the uninsured, disease management interventions, vaccine effectiveness, public health surveillance systems, physician compensation, comorbidities, cost estimation and cost-effectiveness.
Borsika Rabin, PhD, Affiliate Investigator, Contact Dr. Rabin
Dr. Rabin is a Staff Researcher and the Research Coordinator for the Cancer Research Network Cancer Communication Research Center one of five National Cancer Institute funded Centers of Excellence in Cancer Communication Research which is housed at the Institute for Health Research at Kaiser Permanente Colorado. Dr. Rabin holds a Ph.D. in Public Health Studies and a Masters in Public Health from Saint Louis University, Saint Louis, Missouri and a Doctor of Pharmacy degree from Semmelweis University, Budapest, Hungary. Her research focuses on dissemination and implementation of evidence-based interventions, communication and coordination around cancer care with special interest in survivorship related issues, and the evaluation and development of interactive, web-based interventions and tools with a strong emphasis on cancer survival prediction tools and tools that can support planning for dissemination and implementation of interventions (i.e., designing for dissemination and implementation). Dr. Rabin is a member of the University of Colorado Cancer Center and active in the Cancer Research Network (CRN), a consortium of research organizations affiliated with non-profit integrated healthcare delivery systems and the National Cancer Institute. She has a faculty appointment at the University of Colorado School of Public Health.
Alanna K. Rahm, PhD, MS, Affiliate Investigator, Contact Dr. Rahm
Dr. Rahm is a Staff Researcher in the Institute for Health Research (IHR) at Kaiser Permanente Colorado (KPCO). She has extensive experience in qualitative and quantitative data collection and analysis, as well as expertise in family history and cancer genetics due her training as a genetic counselor. Her particular interests are in hereditary cancer risk communication, direct-to-consumer genetics, and translating genomic technology into clinical practice. She completed her doctoral training in Health and Behavioral Sciences in 2010 utilizing data from her study on media messages and public perception of direct-to-consumer genetic tests, funded by the Cancer Research Network (CRN) Pilot Program and for which she received an HMORN Early Career Investigator award in 2011. Within the KPCO IHR, she is involved with studies on the comparative effectiveness of KRAS testing for colorectal cancer and non-small cell lung cancer, physician barriers and intent to change from continuing medical education programs, and implementation of a web-based tool for collecting developmental questionnaires in pediatric practice. For the past eight years, she has also managed the Cancer Genetic Services Department which tracks and conducts research on all referrals for hereditary cancer risk evaluation at KPCO. She is co-chair of the CRN Family History Scientific Interest Group, which recently published a manuscript on genetic counselor perceptions of barriers to hereditary cancer risk referrals and is currently developing grant proposals to evaluate an EMR-integrated family history tool and to evaluate the effectiveness of family history on clinical outcomes.
Bonnie Leeman-Castillo, PhD, Center Manager/Affiliate Investigator, Contact Dr. Leeman-Castillo
Dr. Leeman-Castillo is a senior project manager with the Institute for Health Research and the center manager for the Center for Health Education Dissemination and Implementation Research. Dr. Leeman-Castillo holds a PhD from the University of Colorado at Denver and a Masters in Cardiac Rehabilitation and Exercise Science from East Stroudsburg University. Her research interests include treatment seeking behaviors, health disparities, healthy eating active living, and the use of health information technology to engage patients and providers in changing health behavior.
Michelle Henton, MA, Site Support, Contact Ms. Henton
Ms. Henton completed her MA in sociology from Southern Illinois University Carbondale and holds a BS in psychology from Missouri State University. During her Master's program, Ms. Henton completed research focused on social interaction, religion, technology, and community. She also assisted Dr. Jennifer Dunn with her book titled, Judging Victims: Why We Stigmatize Survivors and How They Reclaim Respect. Ms. Henton joined KP Colorado in March 2011.
Several other investigators and staff from the Institute for Health Research also contribute actively to the CHEDIR. Visit the Institute for Health Research's website to see other investigators. The Kaiser Permanente Colorado Institute for Health Research has provided funding for the workgroup's ongoing work and for developing this website.