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Volume 8: No. 2, March 2011

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

The framework consists of 3 phases: research, translation, and institutionalization. In the research phase, discovery studies lead to efficacy studies, which lead to effectiveness and implementation studies. The effectiveness and implementation studies lead to a decision to translate; such decisions also lead back to more effectiveness and implementation studies. In the translation phase, the decision to translate leads to turning knowledge into products, dissemination (with engagement), a decision to adopt, and adoption of a practice. There is diffusion of information between practice and effectiveness and implementation studies. Practice, with practice-based evidence, leads back to turning knowledge into products and to effectiveness and implementation studies. Also from practice, practice-based discovery leads back to efficacy studies. Practice also goes forward toward institutionalization. Under each of the 3 phases are supporting structures, and under all of these supporting structures is evaluation.

Figure. NCCDPHP Knowledge to Action Framework for Public Health.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.


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