# Designing for Dissemination and Implementation Training Hub

> **NIH VA I50** · VA EASTERN COLORADO HEALTH CARE SYSTEM · 2021 · —

## Abstract

The goal of the Designing for Dissemination and Implementation (D4D&I) Training Hub program is to train
Veterans Health Administration (VA) providers, researchers, and operational leaders/staff in the D4D&I
implementation strategy. Implementation strategies are designed to translate research into practice to improve
patient care. This training will increase the knowledge and skills of VA practitioners and researchers who are
ready to disseminate and implement care coordination practices across the VA. Our multifaceted D4D&I
strategy combines discrete methods that consider the culture, climate, and work environment (i.e. context) of
implementation sites. This will increase the impact, effectiveness, adoption, and maintenance of care
coordination programs across clinical settings and patient populations and throughout the continuum of care.
The four discrete methods of the D4D&I strategy are: 1) Pre-implementation assessment for proactive
planning and assessment of multilevel context using the Practical, Robust Implementation and Sustainability
Model (PRISM) to ensure program success and sustainability, 2) Multi-level stakeholder engagement to
learn what is important to end-users and garner program buy-in, 3) Implementation and adaptations guided
by the pre-implementation assessment and stakeholders while retaining fidelity to care coordination program
core components, and 4) Program evaluation using RE-AIM (Reach Effectiveness Adoption Implementation
Maintenance) to define program outcomes.
The D4D&I Training Hub program will address the following aims: 1) Train participants to use the four
discrete methods of the D4D&I strategy; 2) Implement a virtual learning collaborative (VLC) to facilitate
peer-to-peer learning by providing participants with a forum for sharing experiences; and 3) Evaluate the
D4D&I Training Hub implementation strategy using the RE-AIM Framework. Our evaluation will encompass
participant learning and satisfaction with the training and professional growth with the VLC, cost of
implementing the training hub, and downstream program outcomes and products. The D4D&I Training Hub
uses evidence-based experiential and e-learning educational strategies for adult learning. Each training cohort
will participate in a 24 week program. Training will occur through Canvas, an e-learning platform during the first
13 weeks. We selected an e-learning format because of its low cost and potential high-impact. Use of an e-
learning platform increases accessibility, scale, and spread across the VA. The training content will be
delivered in six, 2-hour training weeks over a 13-week period (12 weeks of training with the 13th week being a
capstone presentation) with didactic alternating with VLC meetings. The didactic sessions will cover the D4D&I
strategy. Participants will learn how to conduct implementation science-guided assessments, engage
stakeholders, adapt their care coordination program based on data and feedback, and care coordination
progra...

## Key facts

- **NIH application ID:** 10067454
- **Project number:** 1I50HX003017-01A2
- **Recipient organization:** VA EASTERN COLORADO HEALTH CARE SYSTEM
- **Principal Investigator:** Catherine T Battaglia
- **Activity code:** I50 (R01, R21, SBIR, etc.)
- **Funding institute:** VA
- **Fiscal year:** 2021
- **Award amount:** —
- **Award type:** 1
- **Project period:** 2020-04-01 → 2023-09-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10067454

## Citation

> US National Institutes of Health, RePORTER application 10067454, Designing for Dissemination and Implementation Training Hub (1I50HX003017-01A2). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10067454. Licensed CC0.

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