February
7

Research Ethics and Policy Series: Rinad Beidas, PhD and Katelin Hoskins, PhD, MBE

12:00pm - 1:00pm • via Zoom

2022-02-07 12:00:00 2022-02-07 13:00:00 America/New_York Research Ethics and Policy Series: Rinad Beidas, PhD and Katelin Hoskins, PhD, MBE Salient ethical issues in implementation science: Pragmatic tradeoffs, unintended consequences, and sustainability   Via Zoom. Register in advance:  https://upenn.zoom.us/meeting/register/tJAkcOigrzsuHN2LmKJ9D2wopKCF0xyOQpWQ  Rinad Beidas, PhD Professor, Psychiatry, Medical Ethics and Health Policy, and Medicine, Perelman School of Medicine; Director, Penn Implementation Science Center (PISCE@LDI), Leonard Davis Institute; Director, Penn Medicine Nudge Unit Katelin Hoskins, PhD, MBE, CRNP NIMH T32 Postdoctoral Fellow Center for Mental Health, Department of Psychiatry, Perelman School of Medicine; Associate Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania Abstract: Implementation science is the study of methods to increase the use of evidence-based practices in routine clinical care and to reduce the research-to-practice gap. Implementation science has a set of distinct foci including stakeholder engagement, characterization of contextual factors at the patient- (e.g., preferences), clinician- (e.g., knowledge), and organizational- (e.g., leadership) level, and measurement of implementation outcomes. Because of the primary emphasis on intervention delivery and scale-up, this research generates distinct ethical considerations. We use ASPIRE, a type III hybrid effectiveness trial of strategies to implement firearm safety promotion as a universal suicide prevention strategy in pediatric primary care, as a case exemplar to investigate salient ethical issues that may arise during implementation research. Using examples from ASPIRE, we examine (1) pragmatic tradeoffs (e.g., acceptability and effectiveness) in study design and execution; (2) sustainability and health system integration as up-front considerations; and (3) unintended consequences with implications for health equity. We also identify other ripe ethical topics for further exploration within implementation research, including evidence for the research-to-practice gap, power dynamics and stakeholder engagement, and contextual equipoise (i.e., genuine uncertainty about the contextual conditions in which implementation will be effective). In conclusion, we will highlight future directions for empirical work at the intersection of bioethics and implementation science.   Information: Mary Pham, Mary.Pham@pennmedicine.upenn.edu  via Zoom Penn Medical Ethics

Salient ethical issues in implementation science: Pragmatic tradeoffs, unintended consequences, and sustainability

 

Via Zoom. Register in advance: 
https://upenn.zoom.us/meeting/register/tJAkcOigrzsuHN2LmKJ9D2wopKCF0xyOQpWQ 

Rinad Beidas, PhD
Professor, Psychiatry, Medical Ethics and Health Policy, and Medicine, Perelman School of Medicine; Director, Penn Implementation Science Center (PISCE@LDI), Leonard Davis Institute; Director, Penn Medicine Nudge Unit

Katelin Hoskins, PhD, MBE, CRNP
NIMH T32 Postdoctoral Fellow
Center for Mental Health, Department of Psychiatry, Perelman School of Medicine; Associate Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania

Abstract: Implementation science is the study of methods to increase the use of evidence-based practices in routine clinical care and to reduce the research-to-practice gap. Implementation science has a set of distinct foci including stakeholder engagement, characterization of contextual factors at the patient- (e.g., preferences), clinician- (e.g., knowledge), and organizational- (e.g., leadership) level, and measurement of implementation outcomes. Because of the primary emphasis on intervention delivery and scale-up, this research generates distinct ethical considerations. We use ASPIRE, a type III hybrid effectiveness trial of strategies to implement firearm safety promotion as a universal suicide prevention strategy in pediatric primary care, as a case exemplar to investigate salient ethical issues that may arise during implementation research. Using examples from ASPIRE, we examine (1) pragmatic tradeoffs (e.g., acceptability and effectiveness) in study design and execution; (2) sustainability and health system integration as up-front considerations; and (3) unintended consequences with implications for health equity. We also identify other ripe ethical topics for further exploration within implementation research, including evidence for the research-to-practice gap, power dynamics and stakeholder engagement, and contextual equipoise (i.e., genuine uncertainty about the contextual conditions in which implementation will be effective). In conclusion, we will highlight future directions for empirical work at the intersection of bioethics and implementation science.

 

Information: Mary Pham, Mary.Pham@pennmedicine.upenn.edu 

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