sábado, 12 de marzo de 2011

An Organizing Framework for Translation in Public Health: The Knowledge to Action Framework | Preventing Chronic Disease: March 2011: 10_0012




Volume 8: No. 2, March 2011

SPECIAL TOPIC
An Organizing Framework for Translation in Public Health: The Knowledge to Action Framework

Katherine M. Wilson, PhD, MPH, CHES; Teresa J. Brady, PhD; Catherine Lesesne, PhD, MPH; on behalf of the NCCDPHP Work Group on Translation

Suggested citation for this article: Wilson KM, Brady TJ, Lesesne C, on behalf of the NCCDPHP Work Group on Translation. An organizing framework for translation in public health: the Knowledge to Action Framework. Prev Chronic Dis 2011;8(2).

http://www.cdc.gov/pcd/issues/2011/mar/10_0012.htm. Accessed [date].



PEER REVIEWED

Abstract
A priority for the Centers for Disease Control and Prevention (CDC) is translating scientific knowledge into action to improve the public’s health. No area has a more pressing need for translation than the prevention and control of chronic diseases. Staff from CDC’s National Center for Chronic Disease Prevention and Health Promotion worked across disciplines and content areas to develop an organizing framework to describe and depict the high-level processes necessary to move from discovery into action through translation of evidence-based programs, practices, or policies. The Knowledge to Action (K2A) Framework identifies 3 phases (research, translation, and institutionalization) and the decision points, interactions, and supporting structures within the phases that are necessary to move knowledge to sustainable action. Evaluation undergirds the entire K2A process. Development of the K2A Framework highlighted the importance of planning for translation, attending to supporting structures, and evaluating the public health impact of our efforts.


Introduction

As the nation’s leading public health agency, the Centers for Disease Control and Prevention (CDC) not only conducts public health research but uses the findings to improve the public’s health. Critical to CDC’s success is enhancing the use of evidence-based practice by our constituents and partners. No area has a more pressing need for bridging research and practice than the prevention and control of chronic diseases. The World Health Organization (WHO) estimated in 2004 that chronic diseases accounted for 56% of deaths and 45% of the global burden of disease (1). In the United States, at least 80% of adults aged 65 years or older now have at least 1 chronic condition (eg, arthritis, diabetes, hypertension, heart disease) and obesity and its sequelae are threatening the health of future generations (2). Addressing the burden caused by these chronic health conditions is needed for the health of the nation’s people and its economy, as health care spending is likely to increase with the aging of the population. One of the most efficient ways to use our limited public health dollars may be to apply “what we know works” (3).

full-text:
Preventing Chronic Disease: March 2011: 10_0012

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