Applying the Interactive Systems Framework to the Dissemination and Adoption of National and State Recommendations for Hypertension

• Published in: American journal of community psychology 2012-12, Vol.50 (3-4), p.541-552
• Main Authors: Lane, Rashon I., Berkowitz, Judy M., Sullivan, Steven T., Rose, John, Bernichon, Tiffiny, Favoretto, Alessandra, Shifflett, Pat, Miles, Eileen, Jones, MaryCatherine
• Format: Article
• Language: English
• Subjects: Behavioral Science and Psychology; Blood Pressure; Centers for Disease Control and Prevention (U.S.); Clinical Psychology; Community and Environmental Psychology; Content analysis; Evaluation; Framework; Guidelines as Topic; Health Care Services; Health education; Health Problems; Health Psychology; Health services; Heart Diseases; Humans; Hypertension; Hypertension - prevention & control; Hypertension - therapy; Implementation; Information Dissemination - methods; Interactive Systems; ISF; Methodology (Data Collection); Mixed methods; National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division; Original Paper; Personality and Social Psychology; Prevention; Program Development; Psychology; Public Health; Public Health Practice; State Role; United States
• ISSN: 0091-0562; 1573-2770
• DOI: 10.1007/s10464-012-9511-0

The Centers for Disease Control and Prevention (CDC), Division for Heart Disease and Stroke Prevention (DHDSP), commissioned an Institute of Medicine (IOM) report to identify the highest priority action areas for CDC, state health departments, and other public health partners in their efforts to reduce and control hypertension. To assess the dissemination and adoption of the IOM report recommendations, DHDSP developed an evaluation based on the Interactive Systems Framework for Dissemination and Implementation (ISF). The evaluation incorporates data collection at critical points across 3 years. In this article, we focus on the ISF systems to describe the role of funded state partners and their relationship with CDC in implementing public health recommendations. We describe baseline results for three data collection activities: (1) key informant interviews, (2) a Web-based survey, and (3) content analysis of state workplans to determine the degree of alignment with IOM recommendations. For example, currently 30 % of surveyed programs are implementing most (or all) of the recommendations in the IOM report, however 76 % intend to change hypertension program priorities based on the recommendations of the IOM report. Qualitative data suggest that there are several facilitators and barriers in implementing public health policy recommendations. DHDSP will use these baseline results to provide additional technical assistance and support to state health departments in their efforts to implement the IOM report’s recommendations.