Research to Actions Interview With Sara Johnson, PhD

In this interview we sit down with Dr. Sara Johnson, PhD, Co-President & CEO, Pro-Change Behavior Systems; Co-Editor, The Art and Science of Health Promotion.

And we’ll discuss her career’s work looking at behavior change and her recent work looking at
The Power of Education To Inspire Change by Shining a Light on Bright Spots.”

Here’s a quick summary of what we discussed:

What was the problem or question you set out to answer?

How can we integrate and apply leading theories of behavior change to inform CME/CE activities that affect clinicians and systems (i.e., multi-level change initiatives)?

What were the methods you applied to answer the question?

We integrated the Transtheoretical Model of Behavior Change, Diffusion of Innovation, and an approach centered on “Bright Spots” (i.e., replicating behaviors being performed in clinical environments in which success is being achieved) to promote increased utilization of best practices in the treatment of IPF.  To understand how the ILD centers could contribute, we conducted three telephonic interviews conducted with Directors of ILD centers as well as in-person day-long site visits at two additional sites. The interviews and site visits provided insight into particular clinical or interprofessional communication practices that facilitated the implementation of best practices in the treatment of IPF. The site visits included in-depth interviews with numerous members of the interprofessional team.

What did you learn? What do we know now that we didn't know before?

The clinical practices and communication practices that emerged most consistently as Bright Spots:

  • Standardization to maximize effectiveness
  • Efficiency
  • Unparalleled commitment to compassionate patient care
  • Deep specialized Multidisciplinary expertise
  • Coordination of research and clinical care
  • Mentorship and training
  • Nonpharmacological treatments
  • Collaboration and communication
  • Promotion of Shared decision-making
  • Appropriate framing and early introduction of palliative care
  • Focus on continuous quality improvement!

How do you think this could be applied in practice? Identify 2-3 actionable take-aways

  1. There is a definable set of clinical and interprofessional communication practices that facilitate the implementation of treatment guidelines and that likely translate to other therapeutic areas.
  2. To ensure the success of CME/CE activities, we have to transform our efforts to be agents of change by starting with and learning from “what is right”. Analyzing success enables us to create more of it.
  3. Robust and well-established theoretical behavior-change models can be integrated to enhance CME/CE activities at multiple levels (e.g., centers and clinicians).

If you learned something with this episode please share the lessons and share the link with your colleagues – the Almanac is now fully open access, meaning everyone in your organization or professional social network can benefit!

Please feel free to reach out if you have suggestions on folks you’d like to see us interview. Or Maybe there are published articles you would like to see deconstructed or simplified…just let us know. You can contact me through LinkedIn or Twitter at @briansmcgowan.

Keep in mind that with every educational program we build there are a thousand opportunities to ask a research question, and with every research article that is published there are dozens of lessons to learn. You don’t have to be a research scientist to build great training experiences, but you do need to embrace what the literature says and move past the status quo.

Thanks for joining us and until next time, NEVER STOP LEARNING.

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