The intent is to spread knowledge and the associated evidence-based interventions. The targeted distribution of information and intervention materials to a specific public health or clinical practice audience. 3 It links the fields of communication and health and is increasingly recognized as a necessary element of efforts to improve personal and public health. The study and use of communication strategies to inform and influence individual and community decisions that affect health. Definitions of concepts relevant for this review Concept or Constructĭefinition As It Relates to Health and Health Care Implementation processes to improve health outcomes are beyond the scope of this review. We deliberately avoid the term “translation” in our review because it is broadly and diversely defined. We list three key definitions to help readers understand the scope of our review, which focuses on the communication and dissemination of health and health care evidence and effective ways to present associated uncertainty (see Table 1). The terminology for each of these steps overlaps considerably. Research evidence presented in complex and technical jargon must be altered to simpler language that potential end-users will find easier to understand it must then be disseminated to those audiences and, finally, providers and others must incorporate it into existing health care processes and systems to improve health. High-quality studies must be conducted and the body of evidence must then be synthesized and summarized, often in the form of systematic reviews. Transforming scientific evidence for its use in practice, commonly known as research translation, involves many processes and strategies. Third, it examines the comparative effectiveness of various ways of communicating uncertainty associated with health and health care evidence to different target audiences. Second, it examines the comparative effectiveness of a variety of approaches for disseminating the evidence from those who develop it to its potential users. First, it addresses the comparative effectiveness of communicating the evidence in various contents and formats that increases the likelihood that it will be understood and used by the target audience. This systematic review has three related components all focus on promoting informed health and health care decisions among patients and providers. The committee would like to know what approaches to conveying uncertainty increase the likelihood that audiences receiving such information will understand it and be able to factor it into their decisionmaking. Many hope that better communication and dissemination of CER will result in more widespread use of such information.Ĭoupled with these mandates is the fact that the ad hoc Uncertainty Committee of the EHC Stakeholder Group is interested in promoting effective ways to communicate uncertainty about health and health care evidence to end-users. 2 The specific topic (“compare the effectiveness of dissemination and translation techniques to facilitate the use of CER by patients, clinicians, payers, and others”) was listed among the first quartile of topics recommended for initial focus.
The Institute of Medicine’s list of 100 priority topics for CER highlights the importance of translating and disseminating this research. One EHC goal is to make CER accessible to these decisionmakers. The purpose of CER is to assist patients and consumers, clinicians and other providers, and purchasers and payers to make informed decisions that will improve health care at both the individual and population levels. 1 Comparative effectiveness research (CER) compares the benefits, harms, and effectiveness of health interventions for the prevention, diagnosis, treatment, and management of clinical conditions and the improvement of health care delivery. The Agency for Healthcare Research and Quality (AHRQ) Effective Healthcare (EHC) Program funds individual researchers, research centers, and academic organizations to work with AHRQ to produce effectiveness and comparative effectiveness research for clinicians and consumers. Background and Objectives for the Systematic Review
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