Linking Research and Public Health Practice A Review of CDC's Program of Centers for Research and Demonstration of Health Promotion and Disease Prevention (1997) / Chapter Skim
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Executive Summary
Executive Summary
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To advance research in these areas, Congress authorized and CDC established a program of university-based Centers for Research and Demonstration of Health Promotion and Disease Prevention. Congress authorized the program to "undertake research and demonstration projects in health promotion, disease prevention, and improved methods of appraising health hazards and risk factors, and shall serve as demonstration sites for the use of new and innovative research in public health technique to improve public health" (PL 98-551~.
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to review the PRC program to examine the extent to which the program is providing the public health community with workable strategies to address major public health problems in disease prevention and health promotion. IOM established a 10member committee to evaluate the PRC program.
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The vision should encourage PRCs and others who work in health promotion and disease prevention to expand their activities, evolving toward centers characterized by: focus on risk conditions and social determinants of health; · an orientation toward the community; · interdisciplinarity; · a means for dissemination research in public health; · an interactive process for establishing research priorities; · a role in setting national research priorities. THE RESEARCH AND DEMONSTRATION PROJECTS CONDUCTED BY THE PREVENTION RESEARCH CENTERS The value of the PRC program is largely determined by the content and the quality of the research and demonstration projects conducted by the PRCs.
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Thus, the committee recommends that · PRCs should include methodology units or assigned personnel in support of research methods development as a core activity. Setting Priorities in the PRCs In its interviews, site visits, and record reviews, the committee found little evidence of explicit criteria for selecting research projects in the individual PRCs.
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Dissemination and Implementation Activities Research findings and products from the PRCs and CDC should be disseminated to all PRCs, their communities, and their regional populations; to the research and professional communities through scientific and professional literature; to the public health practice community; and to the general public. Thus, the committee recommends that
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Thus, the committee recommends that · PRCs should seek to be part of regional and national networks for prevention that include CDC, the public health practice community, and other relevant parties. In reviewing the activities of the PRCs, the committee found many instances of dissemination activities, but few projects focused on dissemination research.
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In order to consolidate the information for public health policy being gained from the PRC program, the committee recommends that
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PRCs have not regularly and systematically reported their findings concerning dissemination and implementation to CDC, and CDC does not have a mechanism for assembling findings from the various PRCs in order to promote such activities. Thus, to improve the quality of dissemination research in the PRC program, the committee recommends that · CDC should set specific expectations for dissemination research in the PRC program and encourage the PRCs to communicate their findings concerning dissemination and implementation methods among themselves and to the broader public health community.
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To ensure appropriate scientific review of the PRCs, the committee recommends that · An external peer review of each PRC should be conducted in the year prior to the last year of its funding. The core funding of the PRCs is dedicated to developing community-based projects that enhance health, build and maintain strong working relationships with community organizations, and establish better-informed public health practice and research communities.
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. Thus, the committee recommends that · Priorities for the SIPs should be set through a long-term, interactive process involving the PRCs, CDC, and the public health practice community.
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There are, however, substantial differences among the PRCs in the kinds of activities they have undertaken and the success realized, and only a few centers have made substantial progress on all fronts: research, dissemination, and developing connections with the community and public health practitioners. Given the breadth of the PRC program's goals, the limitations on core funding, and the relative newness of some of the PRCs, the program's successes have been genuine and important.
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