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Journal of Environmental and Public HealthVolume 2011 2011, Article ID 797646, 6 pages

Research ArticleDivision of Health Promotion & Sports Medicine, Oregon Health & Science University, CR110 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA

Received 6 September 2010; Accepted 15 February 2011

Academic Editor: Gary M. Marsh

Copyright © 2011 Diane L. Elliot et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Dissemination of health promotion interventions generally has followed an efficacy, effectiveness to full scale paradigm, and most programs have failed to traverse that sequence. Objective. Report national dissemination of a health promotion program and juxtapose sequential case study observations with the current technology transfer literature. Design. Multiple department-level case studies using contact logs, transcribed interactions, augmented with field notes and validated by respondent review; at least two investigators independently generated site summaries, which were compared to formulate a final report. Results. Adoption was facilitated with national partners and designing branded materials. Critical site influences included departmental features, local champions, and liaison relationships. Achieving distal reach and fidelity required sequential process and program revisions based on new findings at each site. Conclusions. Beta testing to redesign program elements and modify process steps appears to be a needed and often ignored translational step between efficacy and more widespread dissemination.

Autor: Diane L. Elliot, Kerry S. Kuehl, Linn Goldberg, Carol A. DeFrancesco, and Esther L. Moe



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